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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Acid Reflux, Osteoporosis And Seizure Disorder

My son, age 33suffers from major dispression with psychotic features,acid reflux, seizure disorder (0 in 7 years), severe Osteoporosis, scoliosis, and is Intellectual delayed. He takes: Omeprozola 40mg, Iamotrgine-75mg in am & 75mg in pm, SeroguelXR -800mg in pm, Forteo 20mcg in pm, Vitamin D3-3000mg in am, fish oil in am and Calcium Carbonate 500mg in am & 500 mg in pm. His Psychologist just started him on Viibryd, 5mg for 7 days, increased to 10mg. He is complaining of having headache and in bed all day. Says he was tired. I am concerned about this new medicine since he takes so much and I noticed him mouth moving a little.
Fri, 22 Mar 2019
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General Surgeon,  's  Response
Hello,

Your symptoms are because of Gastroesophageal reflux disease (GERD). It is a chronic digestive disease. GERD occurs when stomach acid or, occasionally, stomach content, flows back into your food pipe.

The backwash irritates the lining of your esophagus and causes, heart burn, chest pain and intense burning sensation in the throat. Both acid reflux and heartburn are a part of GERD.

Advice:

Please request your gastroenterologist to start you on PPI-antacids like Pantoprazole or Esomeprazole. Pantoprazole can be used in the dosage as high as 40 mg twice daily.

Also, request him/her to add Domperidone 30mg slow release once daily. This will slow down the reflux of acid back and would provide symptomatic relief.

An antacid containing local anesthetic (Mucaine gel or peptobismol) could be added to the drug regimen.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
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Suggest Treatment For Severe Acid Reflux, Osteoporosis And Seizure Disorder

Hello, Your symptoms are because of Gastroesophageal reflux disease (GERD). It is a chronic digestive disease. GERD occurs when stomach acid or, occasionally, stomach content, flows back into your food pipe. The backwash irritates the lining of your esophagus and causes, heart burn, chest pain and intense burning sensation in the throat. Both acid reflux and heartburn are a part of GERD. Advice: Please request your gastroenterologist to start you on PPI-antacids like Pantoprazole or Esomeprazole. Pantoprazole can be used in the dosage as high as 40 mg twice daily. Also, request him/her to add Domperidone 30mg slow release once daily. This will slow down the reflux of acid back and would provide symptomatic relief. An antacid containing local anesthetic (Mucaine gel or peptobismol) could be added to the drug regimen. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon