Hi, All time I am feeling pressure inside me throat. Reflux. major problem I can't sleep even. Abdominal pain sometimes HYPERACIDITY. My period is irregular due to polycystic ovary. Taking macrabonik Dsr. Still it is there. What should I Do.

Dr. Ayush AgarwalGeneral Surgeon7yrs exp

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If reflux is the major problem then most likely you have GERD, that can can also explain other symptoms you have (except Polycystic ovary). However only way to confirm this is by getting an Upper GI endoscopy done. Also should get an Ultrasound done to rule out Gall Bladder stones since they can also present with similar symptoms. You can continue with Mac Rabonik DSR capsule. It should be taken empty stomach, there should be a gap of at least 45 mins between taking the medicine and your breakfast. The best way is to take it with a Sip of water in morning immediately after getting up from bed then you can perform your routine activities like washroom, bathing. So by the time you finish up 45 mins would have been passed and then you can have your Tea or breakfast. This medicine can be taken twice a day once in morning as explained and evening dose around 2 hrs before dinner. You should also follow some lifestyle changes like regular exercise, avoiding tea/coffee, oily, spicy meal, avoiding food with high sugar content like sweets, juices. Also maintain a gap of at least 2 hrs between your dinner and laying down in bed, try lying in bed with your head end slightly raised by around 20-30 degrees or you can lay in left lateral position (i.e. Left side down). Try the above instructions and if you are not relieved then you can go for the investigations mentioned before. Please feel free to contact me for any additional queries.  

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