acid reflux

Hi doctor
I am 55 yrs.old for 3 months I am suffering from acid reflux. Last month I took nexium , now I am taking protonix, but still I feel acid taste in my mouth. and also I am constipated too. and i take fiber at night . but any thing I eat i feel bloated.the medicine doesn't do anything for me.  what I have to do?
thank you for your answer and your time.

[Ratnakar Kini, MD]

Hi,
If there is no response to PPI, then reevaluation has to be done with 24 hours pH monitoring test.
Another point to be considered is optimal response can be expected only if certain lifestyle modifications are followed in addition to taking PPI.
Life style 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
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The information provided is for patients’ education only and is not a medical advice. Always consult your personal physician for complete evaluation of your health problem.
- Ratnakar Kini M.D.