Nexium (esomeprazole) 40mg a day still having acid reflux, any suggestions?

Gerd: Elevation of the head of the bed by placing a board under the head board. Not eating before bed. Cutting out caffeinated beverages and alcohol. Aspirin, NSAID's and similar drugs. Peppermint can increase reflux. Consider seeing a GI specialist for a gastric scope.

ConsultGastroenterol: Sometime we do prescribe PPIs in combinationwith H2 Blockers But before we do that I suggest you consult a gastroenterologist Meanwhile also modify your life style Quit Smoking,if obese loose weight,Cut down on alcohol,Dont eat too close to your bed time,avoid large fatty meals.avoid garlic&onions,tomatoes and citrus fruits etc