Back arm pain, heart burn, intense burp.

GERD. Avoid oily spicy and sour food

You have got the most appropriate treatment from your Doctor. If you still feel that not enough is being done you may change your Doctor. But tele-consultation may not be of much use in such cases because you need frequent monitoring. Incidentally it may also be psychological.

Connect please

Need few more details Kindly consult

According to your sign and symptom you are suffering from Gastroesophageal reflex disease due to your bad life style and less drinking water.

Please take consultation for better evaluation and best Treatment.

Please follow good life style as take plenty of fluid and take less spicy and fatty foods and take protein containing food and do breathing exercise regularly and Do yoga and meditation and keep positive attitude to fight any disease and any problem of your life

Is just gastric considering your symptoms

Gastroesophageal reflux disease Antacids 10ml before each meal PPIs Lifestyle modification

1. Dietary Changes:    - Avoid trigger foods like spicy, acidic, or fatty foods, as they can worsen symptoms.    - Eat smaller, more frequent meals rather than large ones to reduce pressure on the stomach.    - Finish meals at least 2-3 hours before lying down or going to bed. 2. Lifestyle Adjustments:    - Elevate the head of your bed by 6-8 inches to prevent stomach acid from flowing back into the esophagus while sleeping.    - Maintain a healthy weight, as excess weight can contribute to GERD symptoms.    - Avoid tight-fitting clothing that can put pressure on the abdomen. 3. Meal Timing:    - Avoid eating close to bedtime.    - Wait a couple of hours after eating before engaging in strenuous activities or exercising. 4. Avoid Smoking and Alcohol:    - Both smoking and alcohol can weaken the lower esophageal sphincter and increase the risk of acid reflux. 5. Medications:    - Follow your healthcare provider's recommendations for any prescribed medications, such as proton pump inhibitors (PPIs) or H2 blockers. 6. Stress Management:    - Stress can exacerbate GERD symptoms. Engage in relaxation techniques like deep breathing, meditation, or yoga. 7. Hydration:    - Drink plenty of water throughout the day. Staying hydrated can help maintain a healthy digestive system. 8. Chewing Gum:    - Chewing sugar-free gum after meals can help increase saliva production, which can neutralize stomach acid. 9. Avoid Bending Over:    - Bending over or stooping immediately after meals can increase the risk of acid reflux. Instead, try to maintain an upright posture. 10. Consult Your Doctor:     - If you experience severe or persistent symptoms despite making lifestyle changes, consult your healthcare provider. They can provide personalized advice and recommend further tests or treatment options. Test: 24hours pH monitoring, GI endoscopy

Syp muccin gel 3 tea spoon thrice a day Tab pantocid dsr twice a day Syp a to z 3 tea spoon thrice a day Have plenty of water Thanks

Can help you, kindly consult and provide detailed history for proper diagnosis and further management