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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For GERD

My husband spent about 4 hrs in the local ER on Sunday with epigastric pain. After blood work and a CT scan that were normal, the ER doctor diagnosed him with GERD. He is following a low residue diet, using Prevacid, and taking Lortab for break through pain. Is there anything else he could do? He is a worrier, and is concerned he isn t feeling better already.
Thu, 31 Jul 2014
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General & Family Physician,  's  Response
Hello dear,

GERD is caused due to reflux of acid from stomach is caused due to relaxation of the sphincter at the lower part of esophagus.
Medical management consists of intake of Proton pump inhibitors like Prevacid (which prevent acid formation in stomach)+ Domperidone preparations (strengthens the sphincter & prevents reflux)
However, over use of Lortab can aggravate the pain by causing damage to gastric mucosa.

In addition he needs to follow certain diet & lifestyle measures, such as:
1. Dietary modification- avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol.
2. Lifestyle modification- like weight reduction, sleeping on the left side, or with upper body raised.

If symptoms still persist, it will be better to consult your treating Doctor/ Gastroenterologist.

Wishing him a good health.
Take care.
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Suggest Treatment For GERD

Hello dear, GERD is caused due to reflux of acid from stomach is caused due to relaxation of the sphincter at the lower part of esophagus. Medical management consists of intake of Proton pump inhibitors like Prevacid (which prevent acid formation in stomach)+ Domperidone preparations (strengthens the sphincter & prevents reflux) However, over use of Lortab can aggravate the pain by causing damage to gastric mucosa. In addition he needs to follow certain diet & lifestyle measures, such as: 1. Dietary modification- avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol. 2. Lifestyle modification- like weight reduction, sleeping on the left side, or with upper body raised. If symptoms still persist, it will be better to consult your treating Doctor/ Gastroenterologist. Wishing him a good health. Take care.