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Why do GERD symptoms worsen despite taking medications?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I was diagnosed with GERD. I have taken medicines like PPI, Sodium bicarbonate, and Geltazine. But it seems these medications do not work.

My heartburn symptoms occur frequently and are painful. I cannot sleep at night, and I cannot do my work effectively because of this. I am 32 years old, five feet 11 inches, and 165 pounds.

I have already started controlling my meals, but symptoms persist even with medications.

Kindly help.

Answered by Dr. Goswami Parth Rajendragiri

Education:

MBBS

Professional Bio:

Dr. Goswami Parth Rajendragiri is an experienced General Physician and Pathologist with extensive years of clinical expertise. He specializes in diagnosing and managing a wide range of medical conditions while providing holistic care to patients. As a Pathologist, he is skilled in performing and interpreting laboratory investigations that aid in accurate diagnosis and treatment planning. Dr. Rajendragiri is dedicated to delivering patient-focused care with a strong emphasis on preventive medicine and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to the icliniq.com.

I read your query and can understand your concern. You have acid reflux disease.

For that,

  1. Tablet Rabeprazole 20 mg OD for four weeks will be beneficial to you to get rid of symptoms.
  2. While sleeping, keep your head elevated by putting on a pillow.
  3. Go to sleep two hours after a meal.
  4. Avoid excessive tea, coffee, chocolate, and stress.
  5. Rule out the underlying cause for acid reflux, like Hiatus hernia, by barium meal x-ray or endoscopy.

However, please consult a gastroenterologist for examination, discuss with them, and start taking the medications with their consent.

I hope this helps.

Thank you and take care.

Medically reviewed by iCliniq medical review team
Published At November 17, 2022
Reviewed At June 24, 2025

Education:

MBBS

Professional Bio:

Dr. Goswami Parth Rajendragiri is an experienced General Physician and Pathologist with extensive years of clinical expertise. He specializes in diagnosing and managing a wide range of medical conditions while providing holistic care to patients. As a Pathologist, he is skilled in performing and interpreting laboratory investigations that aid in accurate diagnosis and treatment planning. Dr. Rajendragiri is dedicated to delivering patient-focused care with a strong emphasis on preventive medicine and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Goswami Parth Rajendragiri is an experienced General Physician and Pathologist with extensive years of clinical expertise. He specializes in diagnosing and managing a wide range of medical conditions while providing holistic care to patients. As a Pathologist, he is skilled in performing and interpreting laboratory investigations that aid in accurate diagnosis and treatment planning. Dr. Rajendragiri is dedicated to delivering patient-focused care with a strong emphasis on preventive medicine and overall well-being.

This doctor is not available for online consultations on the platform anymore.

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