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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can GERD Be Treated?

I have been taking rabeprazole domperidone(cyra d) for about 10 months straight for my GERD problems.but after such a long period of time nothing has improved.the days i use the medication my stomach remains healthy but as i stop taking capsules I suffer from a heavy heartburn.please hell me on this issue.thank you
Mon, 29 May 2017
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Anesthesiologist,  's  Response
I have gone through your question and understand your concerns..
GERD can cause lot of troublesome symptoms both esophageal as well as extraesophageal.
I hope you have already consulted a gastrophysician before taking rabeprazole for such long duration.
It would have been helpful if i could know your body mass index.
Lifestyle modifications can very well help you in reducing symptoms. I would like to advice you
1) Avoid reflexogenic food items like fatty food, alcohol, spearmint,peppermint, tomato based food, tea and coffee.
2)Avoid acidic foods
3) Behavioral mofification to minimise heart burn like
a)weight reduction
b) nighttime heart burn will be benefited if you raise your head end of
the bed and avoid taking meals just before going to bed.
We should be aware that Vitamin B12 and iron absorption can be impared on chronic PPI therapy(rabeprazole)
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How Can GERD Be Treated?

I have gone through your question and understand your concerns.. GERD can cause lot of troublesome symptoms both esophageal as well as extraesophageal. I hope you have already consulted a gastrophysician before taking rabeprazole for such long duration. It would have been helpful if i could know your body mass index. Lifestyle modifications can very well help you in reducing symptoms. I would like to advice you 1) Avoid reflexogenic food items like fatty food, alcohol, spearmint,peppermint, tomato based food, tea and coffee. 2)Avoid acidic foods 3) Behavioral mofification to minimise heart burn like a)weight reduction b) nighttime heart burn will be benefited if you raise your head end of the bed and avoid taking meals just before going to bed. We should be aware that Vitamin B12 and iron absorption can be impared on chronic PPI therapy(rabeprazole)