Hi ! Good morning. I am Dr Shareef answering your query.
If I were your doctor, I would not increase the dosage of
Protonix for you. Instead I would advise you for the following considering your
GERD symptoms :
1) Elevate the head end of the bed with two blocks on each side, so that the regurgitation does not occur while lying down, and the contents of
esophagus and stomach flow down with gravity.
2) Some modification in your diet like more of roughage, enough liquids, avoidance of oily, fried, and fast food
3) Regular routine exercises like morning walk depending on your medical fitness.
4) Prescription for a prokinetic agent in addition for symptomatic relief and to have a control on the acid production and facilitate movement of gastric contents downwards.
5) A routine blood sugar test both fasting and post prandial.
6) You could use
Tylenol instead although its anti inflammatory actions are less pronounced than that of
Ibuprofen.
7) Go for regular steam inhalation two to three times a day to augment reducing the swelling in nasal mucosa for
sinusitis.
I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.
Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.