Hello
You are having
acid reflux as well hemorrhoids .
But according to your height your weight is more , so try to reduce .
You are taking
ganaton,
topamax,
mebeverine and also having
fatty liver with high uric acid , so these ,measure may be useful for you.
1 Try raising the head of your bed about 4 inches with blocks.It might also help to avoid eating or drinking for 2-3 hours before you lie down.
To help control stomach acid one should not drink alcohol or drinks with caffeine in them or eat chocolates or pizza or burger or spicy foods .
When such case visit I prescribe them to take a combination of rabeprazole+
levosulpiride twice in day on empty stomach .
But this is a prescription drug so before any decision ,consult your doctor.
2 Tension is the another major cause of such symptoms , so be careful .
3 I have noted that on the name of some healthy diet people eat more than their stipulated diet ,so IF such thing is with you , please avoid .
SINCE YOU are also having excruciating burning so take some
antacid containing oxetacaine 4 tsf , whenver you feel such burning.
Hope these measure will be helpful for you.
Good luck.