Talk to General Physician on GERD & Drugs
Asking for Self, Male, 30 years old, Faisalabad
I have occasional squeezing chest pain above food pipe, Once I got done ECG at emergency and that was normal, doctor diagnosed it as GERD, and prescribed Esomeprazole 40mg twice a day, Levosupiride 25mg Three times a day for 2 week and the pain was gone. but it not gone completely, it occurs occasionally. I eat two times in a day. I'm also hypertensive which is well-controlled. my blood pressure is 130/80 or less.
I was wondering, is not any anti-hypertensive the cause/worsening of GERD?
I take following drugs for high blood pressure, Tab. Norvasc 5mg ---- One in the Morning Tab. Zestril 20mg ---- One at Night Tab. Inderal 10mg ---- Two Twice a Day Tab. Ascard 75mg ----- Two days per week
Dr. Qurban Hussain - Diabetologist
MBBS, MRCP, FCPS (Internal Medicine), SCE Endocrinology and Diabetes (UK) | Lahore
plz visit my clinic at Wilcare medical center Lahore
4-M model town extension Lahore
GERD Needs life long lifestyle & food modification and if you take too much coffee or tea or oily and spicy food, if your overweight or you smoke all these will cause symptoms to recur, so do lifestyle & dietary changes, Take LOPRIN ENTERIC COATED instead of Ascard as it can cause gerd ,rest of drugs are fine
Patient
Post Owner
thanks Dr Mehrin Farooq sahiba for your reply.
Ok, Ascard is replaced with Loprin.
I am now down to One cup of tea, I totally avoid fatty, deep fried, baked, sugary and processed/fast foods. I occasionally have one/two Samosa after two/three month.
I never smoked.
I'm having two meals a day.
One symptom forgot to mention, throat irritation, lump in throat feeling, frequent need to clear throat. It happens two/three times every year.
Is it GERD related?
7 years ago
Just reduce asprine like ascard to once a day,stop spicy,acidic,roasted
should contain vegitable and Tea and Stop cold
drinks. Just use china 200 Homeopathic germon shwabe.5 drops in half glass
of water before half an hour before after 3 days to inform
about your health.
Dr. Kashif Ijaz Ahmed - General Physician
MBBS, MRCP (UK), MRCP (E), MRGP (UK), FRSPH, CCT (UK), Family Medicine, PGDip (London), PGDip Diabetes (USW) | Lahore
42 Positive Reviews
its in its conception stages i have only ideas need some web developer and do some write up to make some videos to upload for patient info
these will about common illness in Pakistan
Dr. Kashif Ijaz Ahmed - General Physician
MBBS, MRCP (UK), MRCP (E), MRGP (UK), FRSPH, CCT (UK), Family Medicine, PGDip (London), PGDip Diabetes (USW) | Lahore
42 Positive Reviews
for GERD
i absolutely agree look into possible precipitant if this doesn't sort it out take omeprazole /lansoprazole etc you can add prokinetics like metoclopramide but be careful it can some time cause same reaction what you had a child. Research has shown some benefits of baclofen even in severe intractable reflux compromising the quality of life people are tried on long term low dse erythromycin as well
Can u please share all your blood test reports like fasting lipid profile, liver profile and kidney profile? Was the cause of high blood pressure found out before putting you on medicine? Have u had your EEG done?
Patient
Post Owner
thanks.
original diagnosis made by FCPS cardiology was Essential Hypertension. He just checked pulse or something on my right side of thigh at joining point, probably femoral and said its Essential Hypertension. Although I got done Renal Doppler and later Renal Scan at PINUM, which were Normal with comments ''Well Functioning both Kidneys''
Last years Urea/Creat were as;
Blood Urea 25 and Serum Creatinine 0.9.
ECG are normal.
LFT was as;
Bilirubin total 0.9, Alk. Phosphate 220, SGPT 32,
Lipid Profile;
Cholesterol 237, TG 241, HDL 38, LDL 151 (Sample was taken when I wasn't taking Atorva 10mg, When I'm on it, Lipid Profile remains under normal range)
Fasting Sugar 96.
EEG was never done.
7 years ago
Assoc. Prof. Dr. Somia Iqtadar - Internal Medicine Specialist
MBBS, FCPS (Medicine), FRCP (London) | Lahore
571 Positive Reviews
I dont think so but u need some dietry and life style modifications for your GERD as well as long term treatment.
Patient
Post Owner
Thanks for reply.
Yes I've totally eliminated Oninions, Tomatoes, Lemon, Mint etc... from Salad.
Tea is reduced to One cup a day.
I already abstain from Fast-foods, Pizzas, Burgers, etc...
Eating dinner three hour before bed.
Medicines have been changed to Rabeprazole 20mg 1+1 plus Domperidone 10mg 1+1 for Four week.
7 years ago
you need to have an online appointment for detail history and detail examination. you can get yourself reviwed from you home.
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