Hello i'm b mukherjee. Age 29 yrs. I've esophagus motility disorder. I felt severe pain and burning sensation left side of my upper abdomen, in esophageal region, sometimes on chest and back also. And lump of mucus in back of throat all time. I felt relief at the time of eating only. And that is my only solution for some moments. My endoscopy, usg, esophageal manometry and ph metry were done. Endoscopy and usg both were okay. But esophageal manometry and ph metry shows esophagus motility disorder and functional heartburn respectively. Esogress it brings some relief to me for 3 months .but after that as I want to plan for pregnancy doctor stopped that medicine and gave esomeprazole 40. But again my mucus again and again comes to throat and nose. It's really very painful. Cleaning all time mucus lumps from throat and nose. For that reason excessive pressure generates in my throat nose and ear section. After acid reflux my right nostril and nose felt so rigid and stiff. Is there any treatment that will stop my acid reflux?

Dr. N S S GauriUnani Specialist20yrs exp

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Follow these herbal combination for complete cure sootshekhar ras 1 tablet twice a day shambook avleh 10 gms twice a day.  

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I understand the complexity of your symptoms associated with esophagus motility disorder and functional heartburn. It's crucial to approach your condition comprehensively, considering your desire for pregnancy, here are few things to consider: medication management: esomeprazole 40 mg / esogress is a proton pump inhibitor (ppi) used to manage acid reflux. Its efficacy can vary among individuals. It's vital to adhere to the prescribed dosage and discuss any recurring symptoms with your healthcare provider. Lifestyle modifications: implement lifestyle changes to minimize acid reflux triggers. This includes avoiding large meals, acidic or spicy foods, and lying down after eating. Elevating the head of your bed can assist in reducing nighttime reflux. Dietary adjustments: collaborate with a dietitian to identify specific trigger foods and customize your diet accordingly. This can significantly impact the frequency and intensity of acid reflux and associated symptoms. Continuous monitoring: maintain a detailed symptom diary to track patterns, triggers, and medication effectiveness. Regularly share this information with your healthcare provider for informed decision-making. Pregnancy planning: it's commendable that you're considering pregnancy. Discuss your plans with your obs/gynaec doctor to explore acid reflux management strategies that are safe during pregnancy. They may recommend alternative medications or lifestyle modifications. Nasal and throat symptoms: mucus accumulation in the throat and nose can be associated with acid reflux. Ensuring proper acid suppression is crucial. Additionally, consider nasal saline irrigation to alleviate nasal congestion and mucus buildup. Ear, nose, and throat (ent) assessment: given the pressure and symptoms in your throat, nose, and ear, consider consulting an ent specialist for a comprehensive evaluation. They can assess for any structural or inflammatory issues contributing to your symptoms. Alternative medications or therapies: if esomeprazole alone is insufficient, your healthcare provider may explore alternative medications or therapies. This could include combining medications or trying different acid-suppressing drugs. Remember, managing acid reflux is a nuanced process, and individual responses to treatments vary. Regular follow-ups with your healthcare provider are essential to assess progress and adjust your treatment plan accordingly. If you have specific concerns or require further tailored advice, feel free to initiate a private consultation. Your well-being is paramount, and i'm here to support you on your health journey.  

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