heartburn not relieved by ppi and antacid .dx rx plz



Adv investigate other causes also sometimes an diabetic pt anginal pain also presents like heart burn adv ECG

Avoid spicy Seat one hour after meals Sy sucrafil 10 ml bd Tea 1 or2 cup only

Search cause of heart burn

If its due to NSIDS give misoprostol 200mg tds first

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