Suggest Treatment For Light Swallowing Difficulties, Acid Reflux And Painful Sensation In My Lower Esophagus Region

Brief Answer:
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Detailed Answer:

Hello,

Esomeprazole can be used in the dosage 80 mg twice daily. Trials have shown that esomeprazole is superior to other PPI's in controlling reflux symptoms. Also, request gastro to add Domperidone 30mg or Levosulpiride(both are prokinetic)slow release once daily. This will slow down the reflux of acid back. Prokinetic should be added to your regimen.

An antacid containing local anesthetic (Mucaine gel ) should be taken 2tsf thrice daily.

Acotiamide is another wonderful new drug and is very effective in controlling symptoms of GERD and esophagitis. In trials- Acotiamide, a gastrointestinal motility modulator, at a standard dose of 100mg thrice daily has significantly affected esophageal motor functions or gastroesophageal reflux in healthy adults.

All these drugs should be given by your gastroenterologist to provide you with relief in your problem.

To prevent the esophageal damage from developing into Barett ask your gastroenterologist to follow aggressive treatment pattern initially. As your symptoms will improve drugs can be tapered off gradually.
Avoid-
Dairy products, which contain sugar lactose that causes gas.
Vegetables, including onions, radishes, cabbage, celery, carrots, Brussels sprouts, broccoli, cauliflower, and legumes.

Fruit sugar, which is especially high in prunes, raisins, bananas, apples, apricots and fruit juices from prunes, grapes and apples
Fiber.
Fatty foods and carbonated drinks.

Try Eating more fermented foods. These are rich in both good bacteria and enzymes you can try raw natto kefir or cultured veggies. This is probably one of the most important first steps.
Take a high-quality probiotic.
Take external enzyme supplements.
Exercising, to help keep food moving through your system.



1. Start medicines in optimal doses.

2. Do not lie down for 2-3 hrs after eating.

3. Avoid acidic foods - citrus, tomatoes, juices

4. Decrease caffeine (colas, coffee) and sodas in general.

5. Decrease alcohol or completely stop it (If at all take).

6. If you smoke cigarettes, now is the time to stop. They increase acid production and delay healing.

7. If you are overweight through the middle, that increases the risk of reflux. Try to decrease your weight (if overweight) slowly over time.

8. Eat smaller amounts at a time so there is less pressure in the stomach which can reflux acid into the stomach.

9. Avoid eating/drinking mint (it relaxes the lower esophageal sphincter which can allow more acid up).

If these changes don't help enough, it is time to see your doctor. Your dr. may want you to have an endoscopy (visualizes the esophagus, stomach, with a fiberoptic tube), or manometry (pressure testing of the esophagus).

I hope this information helps. Please let me know if I can provide further information.

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