Hi there, This is Dr Basu, Experienced Specialist. I am here to address your concerns and provide great service.
It is reassruing that your gastroscopy and barium swallow test were normal.
You likely have severe acid relfux problem.
Nexium dose should be at least 40 mg daily.
The symptoms will improve over 6 weeks.
However, we also suggesting adding Ranitidine 300 mg before bedtime daily along with nexium for better acid supprssion.
i see you started at but make sure it is 300 mg ranitidine daily
Also another medication can be added to help with your symptoms.
Domperidone can be added 10 mg 2 times daily along with these medications.
Please also watch your your diet.
You should void any caffeine, alcohol, spicy food.
Also low fat diet is desirable.
Avoid acidic foods.
You should consider following low fermentable sugar diet ( FODMAP diet) to reduce your symptoms. Please go to this link for detailed information:http://stanfordhealthcare.org/content/dam/SHC/for-patients-component/programs-services/clinical-nutrition-services/docs/pdf-lowfodmapdiet.pdf
Please also include prebiotics like Inulin daily to keep your colon acidic which prevent gas producing bacteria. Also take a probiotic ( lactobacilli, bifidobacterium) daily.
I have been doing all these things,with the exception of Domperidone, which I believe is fro emptying the stomach quicker?
that is correct
and that will usually help since these medications are taking time to control your symptoms.
I am concerned as to me diet as I do not want to lose any more weight, My doctor has referred me to a dietcicin, is it possible that the ant -depressants can contribute to my acid?
that is possible
however you are on medications for acid control.
Should not be that significant
Yes ! I was just concerned how long it would take to settle down. I thank you for your time, and reply.
it will settle down but be patient for at least 6 weeks.
Domperidone should be added
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