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Long-Standing Gastroesophageal Reflux (GERD)

Gastrointestinal Disorders
Suresh BabuGender: MaleAge: 52 years (Adult) Chronicity: 5 years

Presenting Complaints & History

  • Burning pain in the chest and throat (heartburn)
  • Sour regurgitation, especially when lying down
  • Chronic morning dry cough and throat irritation
  • Stomach bloating and heavy gas

Clinical Assessment

A 52-year-old bank manager from Thalikulam presenting with chronic acid reflux and chest burning. He had taken daily PPIs (omeprazole) for 5 years. Attempts to stop PPIs resulted in rebound severe burning and coughing. Previous endoscopy showed esophagitis.

Diagnostic Investigations: Upper GI endoscopy showing esophagitis; normal H. pylori status.

Homeopathic Therapeutics & Management

Constitutional analysis focused on his chronic work stress, sedentary habits, dependency on tea, and reflux worse at night. A gradual tapering plan off PPIs was introduced alongside homeopathic remedies. After 1 Month: Reflux severity reduced; PPI dose halved. After 3 Months: PPI discontinued; chest burning resolved. After 6 Months: Dry cough and throat clearing resolved. One Year Follow-up: Reflux-free without PPIs.

Selected Constitutional Remedies: Robinia Pseudacacia and Nux Vomica

Lifestyle & Nutritional Support

Avoided drinking water with meals; had dinner 3 hours before sleep; walked 15 minutes post-meals; eliminated spicy foods.

Clinical Outcome

Follow-up Period: 1 year
  • Successful discontinuation of long-term PPI dependency
  • Complete resolution of chest burning and acid reflux
  • Cleared morning dry cough and throat irritation
  • Healthy digestion with zero bloating
Medically reviewed by Dr. Navaneeth K. Unni
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