Given your worsening symptoms, especially the pain near your liver (right upper abdomen), you should urgently consult a gastroenterologist for a proper evaluation, as this may indicate a condition beyond simple acid reflux. For immediate symptom relief, avoid fatty, spicy, and acidic foods, eat smaller meals, increase your fibre intake, stay hydrated, and try walking for 15 minutes after meals to aid digestion. Do not change your medication dose or switch tablets without your doctor's guidance, as further investigations (e.g., ultrasound or endoscopy) may be needed.

Your symptoms may be related to acid reflux affecting your throat, or a possible throat infection causing referred ear pain. Avoid acidic and spicy foods, eat smaller meals, and elevate your head while sleeping. You should consult a gastroenterologist or ENT specialist for an examination and appropriate treatment, such as a proton pump inhibitor or antibiotics if an infection is present.

The medications you mentioned contain proton pump inhibitors (pantoprazole and rabeprazole) combined with a prokinetic (domperidone). Using both together is not recommended. While there is no single pill for a permanent cure, persistent reflux can be managed effectively.\n\nFor long-term control, a doctor may prescribe a single, optimal daily dose of a proton pump inhibitor like esomeprazole, or a newer class of acid suppressants called P-CABs (such as vonoprazan). \n\nBecause your symptoms are persistent, it is important to consult a gastroenterologist. They may recommend an endoscopy to check for underlying issues like a hiatal hernia or H. pylori infection, and help design a safe long-term management plan alongside dietary adjustments.

Yes, certain gastric issues, such as gastritis or delayed stomach emptying, can increase the risk of acid reflux. High sugar consumption can worsen reflux because sugar may promote bacterial fermentation in the stomach, increase gas, and relax the lower oesophageal sphincter, allowing acid to flow back into the oesophagus. Managing symptoms typically involves avoiding trigger foods such as sugary, fatty, and spicy foods, eating smaller meals, not lying down immediately after eating, and consulting a doctor for appropriate medications.

You should consult a doctor promptly, especially for the right-sided abdominal pain, as it may indicate serious conditions such as gallbladder issues or appendicitis that require timely evaluation. To help manage acid reflux, avoid spicy, fatty, or acidic foods, eat smaller, more frequent meals, and avoid lying down immediately after eating. The throat infection should be assessed by a doctor, who may prescribe antibiotics if it is bacterial or recommend supportive care, such as hydration, warm fluids, and throat lozenges, if it is viral.

To relieve your symptoms, consider lifestyle modifications such as avoiding trigger foods like spicy, fatty, or acidic meals and eating smaller, more frequent meals. Elevating the head of your bed and avoiding lying down immediately after eating can also help reduce reflux. Over-the-counter antacids or proton pump inhibitors may provide temporary relief, but it is best to consult a doctor for a personalised treatment plan.