I am 54. I used to smoke about 40 cigarettes a day (I completely gave it up 27 years ago) I used to be a heavy drinker as well. Since 1995 I have almost stoopped drinking. I used to take lots of tea, have been suffering from accute constipation during my young days. Got operated for inguinal hernia (both sides) and appendix between 2005 & 2008) Sometime in 2003, I started feeling miss beat of heart, which used to feel more after having food and while lying down. After visits to many a doctors and many an ecg, the problem could not be documented untll January this year when a cardio in Delhi understood it and related it my tea intake. He advised me to go low on tea and take only 1 pantaprozole 40 mg twice daily for 15 days. The problem completely vanished after about three weeks of this treatment. Thereafter, I reduced on tea, changed to green tea, lemon tea, light tea from time to time but the problem resurfaced from time to time. However, with same treatment of pantaprozole I would get relief withing 10 - 15 days. For about 3 months now I am totally off tea but the problem still comes on. Yesterday I saw another cardio who again advised to start pantaprozole 40 mg once a day and said it could be related to gastroentritis/ infection in duodenum. Can I have views please on how to address it.