Purpose of Sompraz D (Domperidone 30mg + Esomeprazole 40mg)

• Esomeprazole: Reduces stomach acid production to relieve symptoms like heartburn and acid reflux.
• Domperidone: Enhances stomach muscle contractions to improve emptying and reduce reflux.

Reasons for Persistent Symptoms Despite Medication

• Incomplete healing or severe hiatus hernia may cause ongoing symptoms.
• Diet, lifestyle, or incorrect medication timing can affect effectiveness.
• Consider dosage adjustment or additional treatments.

Importance of Medical Follow-up

• Consult a gastroenterologist for reassessment.
• Possible need for investigations like endoscopy.
• Discuss alternative or adjunct therapies if symptoms persist.

Lifestyle and Dietary Recommendations

• Avoid trigger foods (spicy, fatty, acidic).
• Eat smaller meals; avoid lying down immediately after eating.
• Manage weight and elevate the head during sleep to reduce reflux.

When to Seek Immediate Medical Attention

• Watch for warning signs like difficulty swallowing, weight loss, or severe pain.