Gastroesophageal reflux disease treatment does not help, what to do?

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Hello doctor,
I have a question to ask the doctor. A 47-year-old male patient, having an endoscopy at the hospital, assumed that he had gastroesophageal reflux, took medicine but did not help, sometimes had reflux. Patients present with anorexia, nausea, and weakness. So the doctor asked me what should I do if I can't treat gastroesophageal reflux disease? What medicine can be given to the patient, doctor? Thank you doctor.
Nguyen Thi Thu Huong (1996)
Answer
Answered by Master, Doctor Pham Thi Thu Huong - Department of General Internal Medicine, Vinmec Times City International Hospital.
Hello,
With the question “What should I do if the treatment of gastroesophageal reflux disease does not help? ", the doctor would like to answer as follows:
Gastroesophageal reflux disease is defined as a condition in which acid from the stomach backs up into the esophagus.
The exact cause of gastroesophageal reflux disease is not clear, but there are several predisposing factors that can lead to reflux such as obesity, diaphragmatic hernia, pregnancy, certain medications and food (coffee, alcoholic beverages,...).
If the patient has symptoms of gastroesophageal reflux - oesophagitis for a long time, taking medicine does not help, affecting daily activities, accompanied by alarming symptoms such as weight loss, fatigue, vomiting a lot, ... you Patients should be advised to return to a gastroenterologist for medication adjustment or other necessary exploratory tests if necessary.
If you still have questions about gastroesophageal reflux, you can go to a hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!