Dear JA customer,
sorry to hear about your problem.
I am online today and will be happy to assist you.
steroids can increase esophagitis effect of acid reflux. not recommended for GERD. rather should avoid. take omeprazole for now. drink milk, and do gargels with mouth wash to decrease erythema and sooth back of throat
Treatment for gastroesophageal reflux disease is as you have been adhering to. that is, nonpharmalogical : eating less acid, diet, elevating head end, avoiding alcohol and tobacco, less caffeine, decreasing stress in life, more milk intake, less spicy food and carbonated drinks. NO BEDTIME MEALS. Pharmacological: Gaviscon, metoclopramide, antacids, H2 blocker like ranitidine, and the best one is omeprazole.
so I would recommend to do all of non-pharmacological measure and take omeprazole for at least 2 months.
if your age is more than 55, losing weight, or having blood/ black colored stools, you should undergo re endoscopy of upper GIT.
if this treatment fails, you might need surgical treatment for GERD like nissen fundoplication. but you need to
- identify objective evidence of reflux,
- correlate reflux with symptoms, and
- evaluate for other coexisting diseases that may be contributing to symptoms. , before you are recommended for surgery.