I have GERD and LPR which distubs my sleep with acid reaching esophagus. What to do?

Question

Hello doctor,

My condition is GERD and LPR and I am so stressed out with this I cannot even sleep. I take Esomeprazole 40mg per day, but still no improvement. I sleep, but sometimes acid reaches my throat when I wake up. I am on this for one month and I feel every time. I take pills that they remain stuck in my throat like down the esophagus and I must drink a lot to push it down.

I am on diet with no spicy, no coffee, no alcohol and I have a list with acidic foods. I am scared about my esophagus to not be very damaged. This will destroy me for real. I am only 24. Should I double the dose? Should I change medicines? Now with the Coronavirus, I cannot find any doctor.

I do not feel heartburn, but I always hear my stomach making a weird sound when lying in bed. Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern and at this point, I would recommend further evaluation in order to better assess your condition. I would recommend a barium swallow x-ray, endoscopy, esophageal manometry, and 24-hour esophageal acid test. I would recommend you shift your Esomeprazole to Ranitidine 150 mg, twice a day for two weeks and Metoclopramide 10 mg, one tablet four times a day for five days. If symptoms persist, worsen or new onset of symptoms such as diarrhea, further consult is advised.

I hope this helps.