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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Cure GERD (since 7 Yrs) With Little Cure From Rabeprazole?

i am 28 year old. i have GERD problem since 9- 10 years. i am taking Rabeprazole tablet ( razo Q , nexpro - rd 20. etc ) since then, but there is no relief. Please suggest what to do. every day i have to take that medicine. otherwise heartburn, gas problem start to occur specially after meal.
Mon, 3 Mar 2014
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Emergency Medicine Specialist 's  Response
Hi,
Thanks for writing your query.

After reading your post, I would like to advise that you should take Domperidone 30mg along with your antacid.
Antacid in gel or liquid form is also beneficial as it forms a protective coating over the damaged mucosa of the stomach.

Following precautions will be helpful :-
1.Avoid spicy and oily foods.
2.Avoid being empty stomach for long periods.
3.Avoid mental and emotional stress.
4.Avoid smoking and alcohol, if any.
5.Avoid self medications, especially pain killers and steroids.
6.Drink lots of water daily.
5.Eat food prepared under hygienic conditions.
6. Curd may help.

I hope this is helpful to you.
Thanks.
I find this answer helpful
General & Family Physician Dr. Polash Sannigrahi's  Response
Hello dear,

GERD is caused by reflux of acid from stomach to esophagus due to relaxation of the sphincter at the lower part of esophagus.

Management consists of:
1. Lifestyle modification- like weight reduction, sleeping on the left side, or with upper body raised.
2. Dietary modification- avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol.
3. Medical management- Proton pump inhibitors like Omeprazole, Rabeprazole,etc. (which prevent acid formation in stomach)
4. Surgical treatment- includes Fundoplication, done when medical measures fail.
So, it will be better to consult a Gastroenterologist and discuss regarding the further plan of management.

Wish you a good health & speedy recovery.
Take care.
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How To Cure GERD (since 7 Yrs) With Little Cure From Rabeprazole?

Hi, Thanks for writing your query. After reading your post, I would like to advise that you should take Domperidone 30mg along with your antacid. Antacid in gel or liquid form is also beneficial as it forms a protective coating over the damaged mucosa of the stomach. Following precautions will be helpful :- 1.Avoid spicy and oily foods. 2.Avoid being empty stomach for long periods. 3.Avoid mental and emotional stress. 4.Avoid smoking and alcohol, if any. 5.Avoid self medications, especially pain killers and steroids. 6.Drink lots of water daily. 5.Eat food prepared under hygienic conditions. 6. Curd may help. I hope this is helpful to you. Thanks.