The best medicine for gastric issues depends on the cause, like acidity, gas, or indigestion. Consult a doctor to identify the exact cause and get the right treatment. Along with medicine, eat small, light meals, avoid spicy or oily foods, stay hydrated, and manage stress.

Taking Esoz D (esomeprazole and domperidone) only when you feel symptoms is actually not the most effective way to manage constant issues. This medication works best when taken consistently, typically once daily before breakfast, to prevent acid buildup and help your digestion flow smoothly. Taking it only 'on-demand' won't provide the continuous relief you need. I highly recommend discussing this with your doctor so they can guide you on a daily schedule or investigate if another treatment is better suited for your constant symptoms.

Your ECG and cardiac Doppler, are completely normal. Since cardiac issues have been ruled out, your brief chest pain could be related to ongoing acid reflux or esophageal spasms, even while taking esomeprazole and domperidone. Additionally, anxiety itself can physically cause chest tightness, creating a stressful cycle. I recommend discussing these symptoms with your doctor to see if your reflux treatment needs adjusting. Exploring stress-management techniques or speaking with a therapist for the anxiety can also bring great relief.

Your new medications, Rebkool (rabeprazole) and Zentac (ranitidine), are highly effective at reducing stomach acid, which should help maintain the improvement in your breathing by preventing acid reflux. However, because these are primarily acid-suppressing medications, they may not directly resolve your bloating. Since previous treatments like Acotrust (acotiamide) and Rebesec DSR (rabeprazole and domperidone) did not fully ease the bloating, I recommend discussing this with your doctor. You might benefit from evaluating dietary habits or checking for underlying issues like food intolerances. .