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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Difficulty In Falling Asleep Due To Gastritis And Reflux. On Medication For Arthritis And BP. Any Suggestions?

I have sero negative autoimmune type arthritis. I have gastritis and reflux which is impeding my ability to get a good nights sleep. I take 20mg of Losec to counter it but I still get it. I take 20mg Methotrexate and 400mg of Plaquenil, 5mg of folic acid and also take Avapro HCT for my blood pressure. For bad pain I take Panadeine extra and try to stay away from panadeine forte. I have a sensitivity to Prednisone and Codeine.

Sat, 14 Dec 2013
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Gastroenterologist 's  Response
Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM).

1.Avoid fatty meals
2. Don’t lie down soon after meals for at least two hour
3.Take small and frequent meals, instead of full meals at a time
4. wear loose clothes
5. If you are overweight or obese do weight reduction with dieting and exercise
6. take rabeprazole along with a prokinetic agent like domperidone instead of losec

I hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.
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Difficulty In Falling Asleep Due To Gastritis And Reflux. On Medication For Arthritis And BP. Any Suggestions?

Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM). 1.Avoid fatty meals 2. Don’t lie down soon after meals for at least two hour 3.Take small and frequent meals, instead of full meals at a time 4. wear loose clothes 5. If you are overweight or obese do weight reduction with dieting and exercise 6. take rabeprazole along with a prokinetic agent like domperidone instead of losec I hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.