So since you are already taking ppis , try a bit of lifestyle changes , try to eat meals on the same time everyday, avoid spicy, chocolate rich and packed foods as it can precipitate acid reflux. Don't drink tea on empty stomach same with coffee . After eating don't lie flat/sleep all of a sudden .

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Early dinner  is one of the solution. Dinner must be  light. Nexpro RD40 ONE IN EMPTY STOMACH FOR ten days.  Mucain gel10 ml without water nothing by mouth till 30min can be taken 3to 4times.

Hello, Thank you for sharing your concern. Acid reflux-related cough can be persistent if the underlying cause is not fully addressed. You are already on the right track by taking PPIs and making dietary and lifestyle changes. However, for more long-term control, here are some important suggestions: 1. Meal Timing: Always eat at least 2-3 hours before lying down or going to bed. 2. Elevate Head While Sleeping: Use a wedge pillow or raise the head of your bed by 6-8 inches to prevent nighttime reflux. 3. Diet Modifications: Strictly avoid spicy, oily, and acidic foods. Reduce intake of caffeine, chocolate, mint, carbonated drinks, and alcohol. 4. Weight Management: If you're overweight, even a small reduction in weight can significantly reduce reflux symptoms. 5. Regular Meals: Eat small, frequent meals instead of heavy meals. 6. Avoid Smoking: If you smoke, quitting will greatly help reduce symptoms. 7. Continue PPIs: Use as prescribed, usually taken 30 minutes before breakfast. Long-term use should be monitored by a physician. If symptoms persist despite these measures, an upper GI endoscopy or pH monitoring test may be needed to assess the severity and rule out other conditions. Do consult a gastroenterologist for a personalized treatment plan if the symptoms continue. Take care and feel free to follow up for any clarification.

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Avoid fried food and spicy Water intake more Green leafy vegetables Do connect and consult

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Try to have your dinner 2 hours before you go to sleep. Try to keep an extra pillow under your shoulder so that the head end is little elevated that will reduce the reflex when you sleep Avoid fast foods and spicy foods