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I am Mysticdoc, experienced Internal Medicine Specialist.
I am here to help you with your concerns.
I understand your anxiety.
Besides, diet, exercise and losing weight, acid reflux should be treated with medication.
An acid suppressant medication will make sure you do not get any attacks throughout the day.
Omeprazole 20 mg daily can be used for now.
This also helps any injury to the esophagus and stomach from excess acid.
Also carry small snacks like crackers, biscuits to avoid empty stomach.
right now i use proton a 40 mg and antacid drink called muscall but only when i get an episode
Proton 40 can be used during your class days.
You can continue on as needed basis after a daily treatment course for 4 weeks.
is proton good? and how many hrs it can keep me stable
Yes it is good --the action remains for 24 hours.
Proton is pantoprazole I assume.
no antacid needed?
Antacid for short acting or immediate relief.
how long usually antacid can relief us? in time i mean
The antacid action remains for 4 to 5 hours.
ok cool now lets say class is in 1 hr i eat a proton pill, is there anything else like for example not drinking water before class or some stuff like that? since i will drive car and my belly might pressure the stomach? since most of my weight is in that area
You should not eat much --smal portion sized meal.
wear loose shirt not to pressure on the belly.
water is good.
and do not bend forward too much
i only eat 3 big meals per day breakfast lunch and dinner the class usually comes after lunch ....how many hours i should stop the big meal before the class ?
eat a small lunch an hour before.
i eat at 2 pm and class is 5 pm is ok to eat big meal ? or still need small?
still you should eat small.
the big meal may take longer than 3 hours to digest.
could u any chance to give me a guideline like how much grams of food? im a measurement guy :)
how much you eat at lunch now?
385 grams of rice 400 grams of chicken and 300-400 mil of soup
and sometime 250 mil apple juice
or most of time really
that is a lot
ok you should cut down to about 150 grams rice, 100 gram chicken, 100 ml soup.
avoid apple juice as this may cause acidity.
water is fine
replace it with water
and after the class i can eat the other half no problem
of the meal i mena
that way you have nothing to worry about.
And take proton 40 just before your lunch
before lunch or class? since there will be 3 hrs between them
proton 40 is long ating --takes about 15- 30 minutes to start action.
last question sorry too much questions lol
i noticed before i get an episode it doesnt comes right away after u eat the food...it only happens couple or 3 hrs of meal is that currect? and why it happens this way
That is possible.
this is due to the excess acid production which is triggerred by the food.
so u mean there is no rules it the episode can start right after i eat the meal right or even during it
thx alot man really helped and god bless u
It was my pleasure to help you today. Best wishes, Please rate the chat Good or Excellent, if you are satisfied with our conversation and do not have any further question, so that I get rewarded for my time & effort. Thank you! Please bookmark my profile for asking further questions! This is the link to my profile: http://www.justanswer.com/medical/expert-mysticdoc/
excellent for sure :)