What Causes Vomiting After Eating Every Meal While Treating GERD?
Take Pantocid-L instead of Pantop-D
Detailed Answer:
Hello,
Thanks for your query.
GERD or reflux esophagitis is caused due to irritation/ inflammation of the esophagus due to acid reflux from stomach.
The acid reflux is caused due to relaxation of the sphincter at the lower part of esophagus.
The refluxed acid sometimes enters into the respiratory tract and may cause throat inflammation with severe coughing and feeling heaviness in throat as mentioned in your post.
This kind of symptoms may get resolved with some appropriate over the counter medications with strict dietary precautions.
So,I will suggest you to take these drugs with some precautions and this combined effect will helpful to you.
1) Take proton pump inhibitors (pantoprazole 40) in combination with prokinetic drugs (levosulpride 75 mg or Itopride 150mg) rather than Pantop-D.
The combination actually increases stomach emptying time along with effect on gasteoesophageal sphincter and for that,I suggest you to go to a nearby pharmacy and ask the pharmacist a brand or a pill with a combination of pantoprazole 40 and levosulpride (Brand name: Pantocid-L or Ganaton total).
2) Take over the counter antihistamines like levocetrizine 10 mg twice daily for symptomatic relief in coughing.
3) There are certain digestive enzymes (Uni-enzymes) available over the counter which will also be helpful in the digestion of carbohydrates and minimize the gas production.
Apart from medications, you will also need to follow dietary precautions.
1) Avoid oily,spicy and high fiber diet.
2) Avoid eating with full stomach rather you eat small frequent meals.
3) Avoid taking rest for 2 hours after meal.
4) You can walk slowly up to first 2 hrs of meal but don't walk fast.
5) You should make regular eating pattern.
6) Have your dinner before 8 pm so that at the time of sleeping your stomach will be empty.
7) Regular yoga will also be helpful.
All this cumulative effect will be beneficial to you while treating for the GERD.
We may expect improvement in your symptoms within 3 to 5 days with above drugs and precautions.
If your symptoms do not change even after 1 week of treatment then you should see gastro-enterologist for further evaluation and tests.
Thanks and regards,
Dr.Sandip Kabra