Not responding to PPI

Patient is suffering from retrosternal burning sensation,belchings,burning sensation in the throat.Even though he is on rabeprazole since 15 days his symptoms are not relieved.So i would like to know the next step in management.I need DM gastroenterologist to tell me the next step in management. thanks
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Doctor Answers (1) on Not responding to PPI

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Dr. Chethan R S Bangalore | General Physician
Lifestyle changes may help reduce the frequency of heartburn. Consider trying to: Maintain a healthy weight. Excess pounds put pressure on your abdomen, pushing up your stomach and causing acid to back up into your esophagus..... Avoid tight-fitting clothing. Clothes that fit tightly around your waist put pressure on your abdomen and the lower esophageal sphincter. Avoid foods and drinks that trigger heartburn. Everyone has specific triggers. Common triggers such as fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine may make heartburn worse. Avoid foods you know will trigger your heartburn...... Eat smaller meals. Avoid overeating by eating smaller meals..... Don't lie down after a meal. Wait at least three hours after eating before lying down or going to bed......
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