Hi, frequent reflux like this often responds well to simple changes over time.  Smaller meals, avoiding late dinners, spicy/oily food and raising your bed head can reduce the need for Sompraz long term.  It's generally safe short term but best not to increase dose yourself.  Feel free to consult for further guidance.

CHANGE LIFE STYLE N DIET PLAN DRASTICALLY FIRST OTHERWISE NO THERAPY GIVES U PROPER RESULT. PUT HEAD END HIGH SO ACID REFLUX REDUCE.  CONTINUE  PRESCRIBED MEDICINE.

Free online consultations for age 50 years and older. Best wishes WWW.JGSR-HEALTH-EDUCATION.IN

Yes it can be taken twice a day before food

Need few more details for proper understanding of your issue. You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management

Take Syp Antacid to dilute the acid already exist

Yes

Increasing the dosage of Sompraz-D 40 to twice a day on your own is not recommended and can be medically unsafe . Sompraz-D contains a combination of Esomeprazole (an acid suppressant) and Domperidone (a prokinetic agent) . While taking a plain proton pump inhibitor (PPI) twice a day is sometimes prescribed for severe reflux under strict medical supervision, doubling a combination drug that contains Domperidone carries a potential risk of side effects, including cardiac rhythm changes (QT prolongation), and should never be done without a proper clinical evaluation. If your frequent acid reflux is persisting irrespective of what you eat, it suggests that the current treatment plan needs to be re-evaluated, or a different medical approach needs to be added (

Are you getting relief in the morning

Need a few more details please consult for further evaluation and treatment

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

Avoid fried and spicy food Water intake more Green leafy vegetables more Fiber meal Walk Kindly do connect and consult Will help you