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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can GERD And Abdominal Pain Be Treated?

Hi I am suffering from GERD since march 2016. Initially doctor prescribed Nexpro 40 in empty stomach in morning and Nexpro 20 in night. Along with Lesuride 25mg three times daily before food. After taking these medicines condition of my problem improve and then doctor changed the medicine. Presently I am taking Nexpro 40 RD in empty stomach and Ganaton 50 two times in a day before meal But acid refluxes again came back severely. So kindly advice what to do. I am really worried about my health condition because I have been suffering from Heart burn and burning senses in upper abdomen for last one week
Wed, 12 Oct 2016
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General & Family Physician,  's  Response
Hello.

Your current line of treatment is correct. You have been given medicines which decrease the acid secretion (nexpro - esomeprazole) and that which increases the emptying of the stomach contents and prevents reflux (Ganaton - itopride). This should ideally be enough for now. That which you received earlier was somewhat similar, only had a higher dosage of nexpro.

In addition to the medications you should do the following:

1. Take small frequent meals. eg. 6 small meals a day instead of 3 large ones.
2. Avoid lying down immediately after food.
3. Avoid spicy or oily food.
4. You can also take Gaviscon syrup or Gelusil - both of which are antacids.
5. Rule out other conditions which may seem like gastric pain eg. a heart condition and a hiatus hernia.
6. To check the heart - you need to get an ECG and an echocardiogram. Treadmill test if necessary.
7. If you donot get relief with the above, the next line of treatment is endoscopy to see inside the stomach directly. You may also be treated for H. pylori infection either before or after endoscopy. If the stomach lining appears very much abnormal, your doctor may even take a biopsy to rule out malignant conditions.

Hope this helps. Wishing you good health.

Regards,
Dr Geeta
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How Can GERD And Abdominal Pain Be Treated?

Hello. Your current line of treatment is correct. You have been given medicines which decrease the acid secretion (nexpro - esomeprazole) and that which increases the emptying of the stomach contents and prevents reflux (Ganaton - itopride). This should ideally be enough for now. That which you received earlier was somewhat similar, only had a higher dosage of nexpro. In addition to the medications you should do the following: 1. Take small frequent meals. eg. 6 small meals a day instead of 3 large ones. 2. Avoid lying down immediately after food. 3. Avoid spicy or oily food. 4. You can also take Gaviscon syrup or Gelusil - both of which are antacids. 5. Rule out other conditions which may seem like gastric pain eg. a heart condition and a hiatus hernia. 6. To check the heart - you need to get an ECG and an echocardiogram. Treadmill test if necessary. 7. If you donot get relief with the above, the next line of treatment is endoscopy to see inside the stomach directly. You may also be treated for H. pylori infection either before or after endoscopy. If the stomach lining appears very much abnormal, your doctor may even take a biopsy to rule out malignant conditions. Hope this helps. Wishing you good health. Regards, Dr Geeta