My father age is 75. My father do not have diabetes. He has hiatus hernia suffering from past 7 months. After endoscopy Dr. told it is by birth and surgery is not needed and prescribed a tablet pantosec dsr. Now my father is coughing from past 1 week. Does surgery is needed. I am hyderabad based. I have seen in online there are omeprazole esomeprazole lansoprazole rabeprazole pantoprazole dexlansoprazole zegerid but doctor only prescribed pantoprazole. Any guide on this thanks!

Dr. Anjanjyoti SarmaGeneral Surgeon23yrs exp

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Hello , probably your father is suffering from congenital hiatus hernia. If surgery is not required (as told by the endoscopist) medical therapy is sufficient to take of symptoms. But I want to know what is the exact problem that your father is suffering which brought him to the doctor? If it is cough, then he needs a detailed evaluation at his age. Regarding use of pantoprazole or omeprzole or any of these proton pump inhibitors, they are more or less quite similar in actions. So do not worry about the composition of the medicine. Hope this was helpful.  

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