instruction: hello doctor it has been weeks since I have been feeling acid reflux with symptoms of heartburn and back pain I have been taking kremil and omeprazole lately I am experiencing diarrhea I hope you can help me
output: hello I have reviewed your history as well as the medication profile you just shared so the part of the problem is secondary to the medicine you are taking such as diarrhea which tends to occur secondary to kremil since this medicine contains aluminum and magnesium both could cause diarrhea I want you to stop it now in addition senokot also causes diarrhea I am afraid that your initial physician has given you both these medicines for constipation or for stomach pain you should stop it as well until your diarrhea gets better omepron omeprazole is a generic medication but there are many which are now available with good effect I recommend you to switch to capsule esomeprazole 40 my take similarly as you were taking omepron before breakfast in the morning if this dose does not help increase the dose to twice daily before the meals let me know in a few days if symptoms persist I may consider adding other medicines for you if it does not work in your case gastroesophageal reflux disease dyspepsia follow up in three to five days