Hi,I am Dr. Shanthi.E (General & Family Physician). I will be looking into your question and guiding you through the process. Please write your question below.
54 yo women. Transient reflux/ heartburn.... 54 yo women. Transient reflux/ heartburn. Now appears here to stay. Waking up with burning tongue and terrible taste in my mouth, nausea, belching and pain below breastbone. Tried Zantac 150 bid last week and now taking nexium 40mg qd with an aciphex. With a little more relief but not much. Seeing agi next week but I really don t want to get scoped. Is there something else to try before having a procedure ? I also have gotten terrible cramps and diarrhea recently.
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.
Management of GERD (gastroesophageal reflux disease) is through a combination of lifestyle changes and medications: Avoid spicy, fatty, and fried foods as well as chocolates and carbonated drinks. Avoid citrus-containing foods like tomatoes, oranges, and fruit juices. Eat multiple small portions of food rather than three large meals. Limit caffeine intake. Have your dinner at least two hours before bedtime, so that your stomach is light before you go to bed. Elevate the head end of the bed by placing wooden blocks under the bedpost. Using extra pillows will not provide relief. Avoid cigarette smoking and alcohol consumption. Maintain a healthy weight. Take Nexium every day before breakfast. Endoscopic evaluation is recommended only if the above measures do not improve symptoms of GERD.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Lekshmi Rita Venugopal
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How Can Acid Reflux Be Treated?
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Management of GERD (gastroesophageal reflux disease) is through a combination of lifestyle changes and medications: Avoid spicy, fatty, and fried foods as well as chocolates and carbonated drinks. Avoid citrus-containing foods like tomatoes, oranges, and fruit juices. Eat multiple small portions of food rather than three large meals. Limit caffeine intake. Have your dinner at least two hours before bedtime, so that your stomach is light before you go to bed. Elevate the head end of the bed by placing wooden blocks under the bedpost. Using extra pillows will not provide relief. Avoid cigarette smoking and alcohol consumption. Maintain a healthy weight. Take Nexium every day before breakfast. Endoscopic evaluation is recommended only if the above measures do not improve symptoms of GERD. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Lekshmi Rita Venugopal