instruction: hi doctor I have had a bit of silent reflux in the past which I have been able to identify by some coughing in the night however this was usually associated with certain alcohol or foods and it has never been a problem then I was a bit sick and I noticed I had developed an itchy throat and cough in the next few days which turned into quite a swollen feeling in my throat right up inside my ears and also sometimes on the chest it has stopped now at first I thought it was viral or bacterial and took apple cider vinegar lots of vitamin and was prescribed antibiotics all of which made my stomach very sensitive and the acid reflux worse to the point I was also having a low grade fever every day I changed my diet to low acid foods and have been using gaviscon double and it feels somewhat better but laryngitis has not healed my voice is crack and has been for a month another doctor has prescribed lansoprazole I took it one day and my tummy was quite sore I am unsure if I should continue it my stomach has been very sensitive since taking the antibiotics I am at a bit of a loss of how to fix all this though I take soft foods and gaviscon my throat is not healed yet I am a 40 year old female the only other issue I have is the gallstone issue please help me
output: hello your symptoms are suggestive of reflux which can cause laryngitis leading to sore throat and changes in voice I will recommend you continue lansoprazole but if it is causing a problem then it can be changed to esomeprazole this salt may help I will recommend starting the below treatment and it will help out may need endoscopy if no improvement after two weeks reflux associated laryngitis capsule lansoprazole one in the morning before breakfast for four weeks domperidone 10 my one tablet three times daily before meals for two weeks syearup gaviscon 10 my three times daily after meals for two weeks avoid late night eating increase height of head end of your bed by inches avoid coffee tea and chocolate