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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Night Time Discomfort While Suffering From Severe Acid Reflex

I am have been diagnosed with severe acid reflex, sliding hiatus hernia, GERDS. Have managed to control symptoms with lifestyle change, but experiencing night time discomfort. In the past I have been prescribed proton inhibitors, but I do not handle any medications without some side effects. Tums are ineffective, is there an over the counter medication with a dosage compatible with a 125ib person? Always wondered how same dosage for my 250ib husband is same. Any suggestions for now, can get to a drugstore tomorrow. Did find an old prescription APO ES20, not sure which medication it is. Thank you for your help.
Fri, 30 Sep 2022
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Anesthesiologist,  's  Response
Hello,

GERD can cause night discomfort leading to sleep disturbances. Few treatment modalities of GERD are lifestyle modifications that include losing weight (if overweight), avoiding alcohol, chocolate, citrus juice, and tomato-based products (2005 guidelines from the American College of Gastroenterology).

Avoid large meals. Wait for 3 hours after a meal before lying down Elevate the head of the bed by 8 inches. Antacids should be taken at bedtime after each meal. Proton pump inhibitors like Rabeprazole 20 mg before food. Metoclopramide 10 mg / day can be used during acute episode. OMEZ insta sachets are available and each sachet is emptied into half glass of water and consumed to reduce acute symptoms. If all the above measures fail, surgical approach by Nissen fundoplication is recommended.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Pallavi M., Anesthesiologist
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Suggest Remedy For Night Time Discomfort While Suffering From Severe Acid Reflex

Hello, GERD can cause night discomfort leading to sleep disturbances. Few treatment modalities of GERD are lifestyle modifications that include losing weight (if overweight), avoiding alcohol, chocolate, citrus juice, and tomato-based products (2005 guidelines from the American College of Gastroenterology). Avoid large meals. Wait for 3 hours after a meal before lying down Elevate the head of the bed by 8 inches. Antacids should be taken at bedtime after each meal. Proton pump inhibitors like Rabeprazole 20 mg before food. Metoclopramide 10 mg / day can be used during acute episode. OMEZ insta sachets are available and each sachet is emptied into half glass of water and consumed to reduce acute symptoms. If all the above measures fail, surgical approach by Nissen fundoplication is recommended. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pallavi M., Anesthesiologist