What could be the reason for chest pain, nausea, and muscle weakness?

Hi,

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I read your query and understand your concern. As per your query, I would suggest you switch over to Nexium (Esomeprazole). Initially take it 40 milligrams twice daily. However, if not relieved doses can be increased to 80milligrams twice a day. Though Esomeprazole is of the same class as Pantoprazole yet trials show it is superior to other proton-pump inhibitors (PPIs) in treating reflux disorder and severe acute dyspepsia. Protonix 1 per day is a bit low dose as per the intensity of your symptoms. On the day of the appointment ask your gastroenterologist to add Prokinetic drugs like Levosulpride - It is a sulpride isomer and exerts its prokinetic effect by blocking D2 receptors. Recent trials have shown that combining it with PPI has an excellent effect on patients suffering from acid reflux. Domperidone- Very effective in treating reflux not controlled by PPI especially when combined with Rabiprazole. Acotiamide - Trials showed that 30 milligrams doses taken thrice daily were highly effective in the treatment of dyspepsia. The positive effect of Acotiamide on both gastric emptying and gastric accommodation, Gastric accommodation, and gastric emptying in the Acotiamide group were significantly enhanced in people taking it. Just taking natural supplements will not do as you are having severe dyspepsia due to long-term antibiotic therapy. These medications suggested above should be discussed with your Gastroenterologist. Ask him or her to increase the doses from minimal to optimal. Mucous is because of severe irritation of the gastric and esophageal lining by acid reflux. It is a natural protective phenomenon. To prevent mucosa from damaging the body secretes a large amount of mucous to trap irritants and prevent their direct contact with mucosa. As reflux will settle down, mucous production will automatically stop. Strict adherence to the diet suggested below is required along with medications. Take a low fat, easily digestible food. Eat a lot of raw salads esp. Vegetables. No alcohol or smoking. No aerated beverages or soda. Avoid meat or processed food. Avoid cheese, Dairy, Milk, etc. Take a lot of yogurt in your food. Avoid spicy or fast food (no pizza or burger). If possible try a vegan diet for dinner and a normal diet for lunch. Drink at least eight cups of water every day. Avoid all fruits which are citrus. Avoid orange or pineapple juice. Eat one cup of fruit like banana daily. You can go for an endoscopy if not relieved by above suggested treatments. Thank you for consulting me. You can always come back and reach me at icliniq.com.