Patients with moderate to severe acid reflux symptoms are those who have not responded to the **mild acid reflux treatments** we talked about earlier, which include lifestyle changes and certain medications, and need to be treated with prescription medications.. Most of these patients are treated with proton pump inhibitors. Sporazole, panotrazole, and rabeprazole, which are stronger and more effective than H2 blockers. After the doctor determines the dose and type of PPI drugs, the treatment continues for 8 weeks. After eight weeks, according to the patient's symptoms, the drug dose may be reduced or stopped. If the patient's symptoms do not disappear within three months. Although these drugs may be a bit more expensive!..especially if they are to be taken for a long time, they may also have risks..long-term risks may include an increased risk of intestinal infections or decreased absorption of minerals and nutrients..these risks are small....however, even a small risk emphasizes the importance of reducing the drug dose as soon as possible...if acid reflux symptoms are not controlled!...if acid reflux symptoms are sufficiently controlled with a pump inhibitor If the proton is not controlled, one or more of the following steps may be recommended: ● Proton pump inhibitor may be prescribed intermittently or the dose of proton pump inhibitor may be increased. ● Proton pump inhibitor medication may be prescribed twice a day instead of once. ● Additional tests may be recommended to confirm, diagnose, or determine if another problem is causing the symptoms ● Surgical treatment may be prescribed as treatment Surgical treatment before the production of stomach acid reducing drugs; As we talked about earlier, surgery was used for severe cases of gastric acid reflux that could not be resolved with drug treatment.... Due to the effectiveness of this treatment method, today the role of surgery has become more complicated.... In general, the anti-gastric acid reflux surgery includes repairing the hiatus hernia and strengthening the esophageal sphincter.... The most common surgical treatment in the terminal area of ​​the stomach is the terminal part of the stomach... the esophagus... For example, we can mention persistent and difficult swallowing (occurs in about 5% of patients), bloating and inability to expel gas, damage repair (1 to 2% of patients per year) or damage to the stomach and intestinal nerves caused by diarrhea, which is one of the side effects of this treatment method. The best quality for the welfare of dear patients > > To schedule an appointment, you can call 051 (38704066) every day.... > > Office address: Mashhad, Kausar Blvd., between Kausar 2 and 4 - Farabi Building - 2nd floor **Gastroenterologist in Mashhad** ==================================== **\*Gastroenterology specialist in Mashhad\***