Acid reflux medication

I was given a prescription of Aciphex and it did not stop the problem. Belching acid(nasty taste in throat/mouth) during day and in bed at night. Would an acid blocker be my next step?

[Ratnakar Kini, MD]

Hi,
Aciphex itself reduces acid production.
Take it on empty stomach.
If once daily dose does not help, take it twice daily.
If still no improvement then swtich to another PPI like nexium.
For nighttime symptoms Zantac at nighttime should be taken.

In addition to PPI lifestyle modifications are also important.
Lifestyle modifications -
1. Head elevation while sleeping
2. Small frequent meals
3. Going to bed 2- 3 hours after food
4. Avoiding bed time snacks
5. Avoiding smoking and alcohol
6. Avoiding tight fitting clothes
7. Avoiding cola, citrus drinks, carbonated drinks, tea, coffee, spicy food
8. Weight reduction