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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From GERD. Recurrent Throat Infections. Taking Rabeprazole And Domperidone. Feeling Tired. Need Help

Dear Doctor, I am suffering from GERD for the last 12 years. My gastroenterologist started with Omeprazole then Esomeprazole and now he prescribed me Rabeprazole+ Domperidone combination. I have been taking the medication all these years continuously. My weight stays around 60kgs. For the last one year I get recurrent throat infections and almost every month and I need to take antibiotics. I am on restricted diet. I also take one Multivitamin tab everyday. I feel very lethargic and weak. Please advise. Rizwan Ahmed Saudi Arabia
Mon, 27 May 2013
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General & Family Physician,  's  Response
Hello Rizwan,

The symptoms as mentioned in your post can be attributed to GERD.
Gastro esophageal reflux disease is caused by the reflux of acid from stomach to esophagus due to relaxation of the sphincter at the lower part of esophagus.
If the refluxed acid enters the respiratory passage, it will cause damage to the respiratory tract & predispose the individual to respiratory tract infection.

Pantoprazole, Esomeprazole & Omeprazole provides symptomatic relief by preventing acid formation in stomach.
Domperidone is an anti emetic medication. It also strengthens the lower esophageal sphincter.

So, the medications prescribed by your doctor are correct.
Kindly take them as advised.

Further management of GERD consists of:
1. Lifestyle modification- like weight reduction, sleeping on the left side, or with upper body raised.
2. Dietary modification- avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol.
3. Surgical treatment- includes Fundoplication, done when medical measures fail.

So, if the symptoms still persist, it will be better to consult a Gastroenterologist, get a proper examination done & discuss regarding the management plan.

There is no need to worry...you will be fine.
Please let me know if you have any further queries.
You can ask me a direct query on this website using the below link: http://www.healthcaremagic.com/doctors/dr-polash-sannigrahi/64925

Wishing you a good health.
Take care.
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Suffering From GERD. Recurrent Throat Infections. Taking Rabeprazole And Domperidone. Feeling Tired. Need Help

Hello Rizwan, The symptoms as mentioned in your post can be attributed to GERD. Gastro esophageal reflux disease is caused by the reflux of acid from stomach to esophagus due to relaxation of the sphincter at the lower part of esophagus. If the refluxed acid enters the respiratory passage, it will cause damage to the respiratory tract & predispose the individual to respiratory tract infection. Pantoprazole, Esomeprazole & Omeprazole provides symptomatic relief by preventing acid formation in stomach. Domperidone is an anti emetic medication. It also strengthens the lower esophageal sphincter. So, the medications prescribed by your doctor are correct. Kindly take them as advised. Further management of GERD consists of: 1. Lifestyle modification- like weight reduction, sleeping on the left side, or with upper body raised. 2. Dietary modification- avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol. 3. Surgical treatment- includes Fundoplication, done when medical measures fail. So, if the symptoms still persist, it will be better to consult a Gastroenterologist, get a proper examination done & discuss regarding the management plan. There is no need to worry...you will be fine. Please let me know if you have any further queries. You can ask me a direct query on this website using the below link: http://www.healthcaremagic.com/doctors/dr-polash-sannigrahi/64925 Wishing you a good health. Take care.