Brief Answer:
either a reflux dirorder or stable angina,

Detailed Answer:
Hi,
Thanks for choosingHealthcareMagic for your query,

Most likely your symptoms are because of reflux disorder. In which the acid contents of stomach regurgitates back into esophagus causing Heart-burn and chest pain.

So suggestions are:

- Firstly I would suggest you to switch to Nexium(Esomeprazole). Initially take it 40mg twice daily, However if not relieved doses can be increased to 80mg twice a day.On the day of appointment ask your gastroenterologist to add Prokinetic drug like

Option 1. -Levosulpiride- It is a sulpiride isomer and exerts its prokinetic effect by blocking D2 receptors. Recent trials have shown that combining it with PPI's have excellent effect in patients suffering from acid reflux.

Option 2. Domperidone- Very effective in treating reflux not controlled by PPI's especially when combined with Rabeprazole/Esomeprazole.

-Acotiamide- Trials showed that 30mg doses taken thrice daily were highly effective in treatment of of dyspepsia.The positive effect of acotiamide on both gastric emptying and gastric accommodation. Gastric accommodation and gastric emptying in acotiamide group were significantly enhanced in people taking it.

Just taking natural supplements will not do as you are having severe dyspepsia due to long-term antibiotic therapy. These medications suggested above should be discussed with your Gastroenterologist. Discuss with him/her to increase the doses from minimal to optimal.


Cough can be irritant cough, any thing which irritates mucosa will cause cough. So most likely your reflux is irritating mucosa causing cough. As reflux will settle down, mucous production will automatically stop

.Strict adherence to the diet suggested below is required along with medications-

-Take a low fat easily digestible food.
-Eat a lot of raw salads esp. vegetables.
-No alcohol or smoking.
-No aerated beverages or soda.
-Avoid meat or processed food.-Avoid cheese, Dairy, Milk etc.
.-Take a lot's of yogurt in food
.-Avoid spicy or fast food(No pizza or Burger).-If possible try vegans diet in dinner and normal diet in lunch.-Drink at least 8 cups of water everyday.-avoid all fruits which are citrus.Avoid orange or pineapple juice.-Eat 1 cups of fruit like banana daily.

But as you age is 60, I would recommend you to go for some baseline tests of cardiology like stress test and 2D Echocardiography to rule out the possibility of it being angina.

Thanks and follow up with reports.

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