Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
what meds have you tried?
Okay. I don't think you were on max medical therapy at all
I would recommend two things
1)first switch from omeprazole to another PPI. I use nexium 40 mg daily. Then twice a day.
2)if this doesn't work add ranitidine 300 mg at night.
If that doesn't work, then we need to start looking at other problems like non acid reflux.
Let me know if you need more details
do it once a day
then go to twice a day
then add ranitidine
I would take them at different intervals. 8-12 hours apart
When the symptoms are in remission for at least 3 months
let me know if you have other questions.
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