Can help you with the next course of action and treatment plan. Would like to discuss in details. Kindly consult via whatsapp on nine zero two nine six zero zero four seven zero.

Both medical and surgical therapy are equally effective Can try either

Already  answered  in detail.  U need to decide about  procedure aeap. U will be  fine.

continue your medication and get surgery done at earliest

Kindly connect Will help you.

You are young and fit to be operated, get hiatal hernia  repaired. Meds are only for symptomatic relief. Take frequent small meals,  avoid spicy  oily, heavy, meals. Sleep with bed propped up head side. Restart meds

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

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

Need few more details for further evaluation. Kindly connect

Need few more details Kindly consult

Proton pump inhibitors (PPIs) like Pantoprazole, Esomeprazole, etc., should not be stopped abruptly, especially after prolonged use. Abrupt withdrawal can lead to a rebound increase in gastric acid secretion, which may cause symptoms like acid reflux or gastritis. It's advisable to taper the dose gradually. You need to restart your medication and after a couple of weeks of using them regularly start taking them on alternate days for another two weeks and then stop.

Nexpro 40 mg 1-0-0 (bf ) for 5 days. Syp mucaine gel 10ml 1-0-1 (bf) for 5 days.

Your symptoms have returned likely because the medications were stopped. Restart your previous medications (Ganaton Total, Acogut, Librax) after consulting your doctor. Antacids(like pantoprazole or esomeprazole) before breakfast for acidity For post-nasal drip, use a nasal saline spray Eat small, frequent meals Avoid lying down soon after eating Don’t eat spicy, sugary, and oily foods

You can go for hiatus hernia repair as per gastroenterologist.take light meals at night

If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.