GERD with Chronic Acidity
Gastrointestinal Disorders Ramesh Warrier•Gender: Male•Age: 45 years (Adult)• Chronicity: 3 years
Presenting Complaints & History
- Severe burning retrosternal pain (heartburn) after meals
- Sour regurgitation and water brash
- Nocturnal cough and choking, waking the patient at 2 AM
- Bloating and flatulence
- Constipation with ineffectual urging
Clinical Assessment
High-stress job as a manager, high coffee intake, and sedentary lifestyle. Dependent on daily Proton Pump Inhibitors (PPIs).
Diagnostic Investigations: Upper GI endoscopy showing Grade B reflux esophagitis with mucosal irritation at the lower esophageal sphincter (LES).
Homeopathic Therapeutics & Management
Nux Vomica to treat stomach acidity linked to stress, stimulants, and sedentary lifestyle, combined with Carbo Vegetabilis for bloating.
Lifestyle & Nutritional Support
Eating dinner 3 hours before sleep; elevating the head of the bed; avoiding coffee, tea, and spicy foods.
Clinical Outcome
Follow-up Period: 6 months- Tapered and stopped all antacid and PPI medications
- Complete resolution of night-time acidity and choking cough
- Normal bowel habits and complete resolution of bloating
- Endoscopy showed fully healed esophageal mucosa
✓Medically reviewed by Dr. Navaneeth K. Unni
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