I am suffering from severe acid reflux and constipation. I used to take Pantodac 20 Tablet in the morning, but it no longer provides much relief. During the day, whatever I eat causes bloating, and I also feel mild pain near my liver. Can you suggest any medication?

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Asked by Male, 36 · 3 months ago

Dr S Aneela

M. Pharm (Pharmacology)., PhD

3 months ago

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.

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Evaluation of Symptoms
- Your symptoms of severe acid reflux, constipation, bloating after eating, and mild pain near the liver area warrant a thorough medical evaluation to identify the underlying cause and tailor appropriate treatment.
Possible Diagnostic Tests
- Tests such as liver function tests, abdominal ultrasound, and upper gastrointestinal endoscopy can help assess liver health, detect any structural issues, and evaluate the severity of acid reflux and related conditions.
Medication Options for Acid Reflux
- Since Pantodac (pantoprazole) is no longer effective, a doctor may consider prescribing Rabekind-DSR Capsule, which contains Rabeprazole (a proton pump inhibitor) and Domperidone (a prokinetic agent). This combination helps reduce stomach acid and improves gastrointestinal motility, potentially relieving acid reflux and bloating. This medication should be taken under medical supervision.
Management of Constipation and Bloating
- Safe options include dietary fiber supplements, adequate hydration, and possibly probiotics to improve bowel movements and reduce bloating. Avoiding foods that trigger symptoms, such as spicy, fried, or carbonated items, can also help.
Addressing Liver-area Pain
- Mild pain near the liver should be evaluated to rule out liver or gallbladder issues. Persistent or worsening pain requires consultation with a specialist.
Lifestyle and Dietary Recommendations
- Eating smaller, frequent meals, avoiding caffeine, acidic foods, and processed foods, and maintaining good hydration can alleviate symptoms.
When to Seek Immediate Medical Attention
- Seek urgent care if you experience severe abdominal pain, jaundice (yellowing of skin or eyes), vomiting blood, or significant worsening of symptoms.
Referral to Specialists
- It is important to consult a gastroenterologist or hepatologist for comprehensive evaluation and personalized treatment.

If symptoms persist or worsen, please consult a gastroenterologist promptly for detailed assessment and management.To narrow down potential causes, we will need some more information.Please tell me your age and gender. I understand that you're experiencing severe acid reflux and constipation, along with bloating and mild liver pain. I'll do my best to assist you.

Answered 3 months ago