Q. I have heartburn, dry cough, and nausea for almost a month now. Can you suggest medicines?

Answered by
Dr. Mian Shah Yousaf
and medically reviewed by Dr. Hemalatha
This is a premium question & answer published on Apr 30, 2020 and last reviewed on: May 11, 2020

Hi doctor,

I have been having heartburn, dry cough, and nauseous feel for almost a month now. I have amended my diet for more than two months and have not been eating pork or beef. I am taking veggies and fish now. Also, I am eating small portions already. At the onset, I experience that food has been stuck in my throat, and my stomach feels like it is always full, although I feel hunger.

Both my toes cramps at the same time and my toe bumps are also painful. I have been diagnosed with gastritis since a decade ago. I am a 35 years old female and weighs 51 kg. Doctor, can you prescribe me medication? Thank you very much!

Dr. Mian Shah Yousaf

Medical Gastroenterology


Welcome to icliniq.com.

I reviewed your detailed history, which is more suggestive of reflux disease.

I would like to prescribe some treatment at the moment, and I am hopeful that it will get better. There is nothing to worry about and nothing to panic.

If you have any other query kindly get back to me. Thank You.

Investigations to be done:

No need at the moment

Probable diagnosis:

GERD (gastroesophageal reflux disease).

Treatment plan:

1. Capsule Omeprazole 40 mg. One in the morning and one in the evening before meals for two weeks and then only one in the morning before meals for two weeks.

2. Tablet Levosulpiride 25 mg. one tablet two times daily before meals for two weeks.

3. Syrup Gaviscon 10 mL. Two times daily after meals.

Preventive measures:

1. Elevate the headend of your bed by at least 5 inches.
2. There should be at least 2 hours gap between dinner and going to bed.
3. Avoid smoking.
4. Avoid late-night tea/coffee.

Regarding follow up:

Get back to me in a week.

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