Question: Hi , I am suffering with GERD symptoms since last two years. Did endoscopy twice (2011 and 2 weeks back) and result are more or less similar. Doctor also did H-Pylory IGG blood test and it came positive but Doctor could not find any H-pylori during recent endoscopy. Doctor suggested ilaprazole 10mg (1 daily empty stomach) and Riflux forte (3 daily) after food. Earlier (2011) doctor suggested me to take Rabicip. I was actually better with Rabcip (than ilaprazole ) but slowly it was becoming a part of daily routine. My usual symptoms are difficulty in swallowing and at a time I get kick middle of my heart or upper part of my stomach, bloating feeling and overall uneasiness with stomach. With current prescribed medicines I dont have all these symptoms but swallowing difficulty has increased and at time its very painful. I also tried taking Rantac after food and it gives some comfort. Somehow I felt that my body is not accepting Riflux Forte. Please suggest what would be the best remedy? Also do you suggest any home made remedy during that state when I am not able to swallow any solid food like bread . Even drinking water is painful sometime. I take daily homemade curd, is this causing any food allergy? BTW I have allergy symptoms since childhood with often skin rash from specific kind of foods.

Thx doctor, i have enclosed my recent endoscopy report for your review. As i told you i was taking rabicip for 2 years (not everyday but whenever i had symptoms or whenever i knew that i had to eat outside food, approx 3 to 4 tablets per week and always only 1 tablet per day) , my recent endoscopy was part of routine check up since h-pylori igg came positive , even my platelet count came only 0000 but then rest of the blood reports were normal. Doctor asked me not worry about lower platelet count since there were no symtoms on the skin. Coming back to original topic, i did not want to live on medicine (rabicip) and was looking for parmanent cure and hence went for second endoscopy. With new medicine i dont have any other symptoms by swallowing issue bothers me a lot. A week back even i was feeling terrible pain in my tooth and mouth, went to gp and she suggested antibiotic (t-mox) and rantac for three days. She felt pain may not for acid reflux since there is local infection. I was ok for those three days but once again swallowing difficulties started yesterday after lunch. During those three days i was avoiding riflux forte and was taking only Rantac and hence i thought my body may be rejecting riflux forte. I have nomal bowel, good appetite and no pain in lower or upper abdomen as i write this. I dont take meat but take fish regularly, i also take aloe vera juice and karela jamun juice empty stomach every day, i take rice, curd , dal and low spicy curry for lunch. Cucumber puffed rice , groundnut and chana ( no oil) as evening snacks, for dinner i take boiled vegetables, corn, carrot , ginger, lots of cavaage , two rotis and 1 cup rice and 1 piece of fish. I usually take 4 cups of tea with milk and 1 cigarette before sleep. Used to take 10 cigarette even 4 years back and gradually reducing this. I take one amway neutralite per day after breakfast. As i told you, for allergic symptom i take one half citrizine every alternate day, taking anti allergic drug for last 20 years. Because of stress ful work i sometime get constipation, acid reflux symtom becomes worst during that, to avoid constipation i sometime take ayurvedic laxative like isabgol. My body weight is under 73kg and height is 5ft 10inch, i do regular exercise and yoga.
My question is, can i live normal life with normal food? Can i not get rid of medicines parmanently? Also You have suggested me not to take milk food and curd but my other doctor saw me 2 yrs back suggested me take curd, i am confused here. What are the side effect of these acid suppressing drugs on long term? Thx in advance again,

Thx doctor, i have enclosed my recent endoscopy report for your review. As i told you i was taking rabicip for 2 years (not everyday but whenever i had symptoms or whenever i knew that i had to eat outside food, approx 3 to 4 tablets per week and always only 1 tablet per day) , my recent endoscopy was part of routine check up since h-pylori igg came positive , even my platelet count came only 0000 but then rest of the blood reports were normal. Doctor asked me not worry about lower platelet count since there were no symtoms on the skin. Coming back to original topic, i did not want to live on medicine (rabicip) and was looking for parmanent cure and hence went for second endoscopy. With new medicine i dont have any other symptoms by swallowing issue bothers me a lot. A week back even i was feeling terrible pain in my tooth and mouth, went to gp and she suggested antibiotic (t-mox) and rantac for three days. She felt pain may not for acid reflux since there is local infection. I was ok for those three days but once again swallowing difficulties started yesterday after lunch. During those three days i was avoiding riflux forte and was taking only Rantac and hence i thought my body may be rejecting riflux forte. I have nomal bowel, good appetite and no pain in lower or upper abdomen as i write this. I dont take meat but take fish regularly, i also take aloe vera juice and karela jamun juice empty stomach every day, i take rice, curd , dal and low spicy curry for lunch. Cucumber puffed rice , groundnut and chana ( no oil) as evening snacks, for dinner i take boiled vegetables, corn, carrot , ginger, lots of cavaage , two rotis and 1 cup rice and 1 piece of fish. I usually take 4 cups of tea with milk and 1 cigarette before sleep. Used to take 10 cigarette even 4 years back and gradually reducing this. I take one amway neutralite per day after breakfast. As i told you, for allergic symptom i take one half citrizine every alternate day, taking anti allergic drug for last 20 years. Because of stress ful work i sometime get constipation, acid reflux symtom becomes worst during that, to avoid constipation i sometime take ayurvedic laxative like isabgol. My body weight is under 73kg and height is 5ft 10inch, i do regular exercise and yoga.
My question is, can i live normal life with normal food? Can i not get rid of medicines parmanently? Also You have suggested me not to take milk food and curd but my other doctor saw me 2 yrs back suggested me take curd, i am confused here. What are the side effect of these acid suppressing drugs on long term? Thx in advance again,

Doctor,

Thx once again, while I understand that there is no permanent cure through medicines and if I want to avoid surgery (as most of us would) then I need to continue with PPI tablets and there is no known side-effect. I still have few questions as part of my follow up

1. Scopy shows weak junctions , hole etc - will these aggravate as part of the my aging process? Even if I consider quitting Cigarette completely and cut down tea intake? I don’t drink but I can not avoid stress full work environment. I get tensed quickly under pressure.
2. What are the chances for such disease like Lax XXXXXXX or Hital Hernia etc to become cancerous as I grow older? Will surgery reduce the chances?
3. Sometime I get urine infection along with Riflux symptoms, are these related? Do you think it would help if I upload my complete blood and pathology report as well?
4. Can you please suggest a balanced diet for me? I usually don’t take milk or milk sweet but I take curd regularly and so far that did not trouble and in fact improved my bowel system.

Thx again