instruction: hello doctor I am years old from the last few days I am suffering from herd I feel something is stuck in my throat and even if I take water this feeling never goes also I feel a loud sound in my stomach before and after lunch and formations of gas I took reblet eristozyme tables and sacral antacids but did not work please suggest me remedy so that I can get received from herd and the feeling in esophagus
output: hi not sure whether the diagnosis of herd gastric esophageal reflux disease is made by you or your physician by looking at the symptoms it looks like there is increased gastric acid secretion which is giving you the sensation of bloating diagnosis of herd is made if you feel that the gastric acid is regurgitating back and you feel soreness in your mouth especially when lying down this is because of the relaxation of lower esophageal sphincter pressure as a result acid is regurgitating into the esophagus I suggest you to modify your lifestyle as mentioned below avoid spicy and acidic foods avoid going to bed immediately after food a gap of at least one to one and a half hours is recommended elevate the head end of the bed to about 30 degrees while sleeping avoid smoking and alcohol if you do so take small feeds or meals and avoid fatty foods and large meals avoid coffee tea cold beverages like cola etc for a few days continue tablet lansoprazole or pantoprazole 40 my twice daily for a month no need to take domperidone along with these you can take antacids as and when required but not more than 20 my per day if symptoms do not resolve after 30 days give a try for pyloric kit lansoprazole amoxicillin and clarithromycin for 14 days it is readily available with chemists if the problem still persists you need to undergo endoscopy to find out the reasons for persistent symptoms and may require surgical intervention I hope this helps