These symptoms can sometimes be related to non-acid reflux, throat sensitivity, or how food moves after surgery. Since you are already taking esomeprazole and levosulpiride (Sompraz L40) twice daily, please do not adjust your dose on your own. I highly recommend discussing this with your gastroenterologist or surgeon. They can perform simple tests, like a pH study or endoscopy, to find the exact cause and help adjust your treatment safely.

Your symptoms of throat clearing after eating strongly suggest Laryngopharyngeal Reflux (LPR), or 'silent reflux.' Even after successful surgery and taking Sompraz L (esomeprazole and levosulpiride), highly sensitive throat tissues can react to non-acidic reflux. Anxiety is also a major contributor; stress can tighten throat muscles and heighten your sensitivity to these sensations. Please be reassured that this is common and manageable. I recommend discussing these symptoms with your gastroenterologist or an ENT specialist to evaluate your throat lining and tailor a comfortable management plan for you.

Yes, it is possible that Sompraz L (which contains esomeprazole and levosulpiride) is contributing to your symptoms. Esomeprazole can sometimes alter gut bacteria, leading to diarrhea, while levosulpiride speeds up digestion. However, experiencing stools with mucus five to six times a day could also suggest a mild intestinal infection. Please stay well-hydrated with fluids and oral rehydration solutions. I gently recommend consulting your doctor, who can safely evaluate your symptoms, check for any infection, and adjust your acid reflux treatment if needed. We will help you get this sorted out comfortably.

For stomach and upper bowel issues?especially those managed with Sompraz L (esomeprazole and levosulpiride)?an upper endoscopy is generally the most accurate test. It allows direct visualization of the stomach lining to check for inflammation or ulcers, which an MRI cannot see as clearly. An abdominal MRI is excellent for solid organs like your liver, gallbladder, and pancreas. I highly recommend discussing your symptoms with your doctor or a gastroenterologist; they can help determine if an endoscopy or adding an abdominal scan is the best next step for you.

Your blood pressure medication, Telzy H (telmisartan/hydrochlorothiazide), is typically a long-term treatment to keep your heart safe. For anxiety, Nexito 5 (escitalopram) is usually continued for several months even after you feel better to prevent symptoms from returning. Sompraz L (esomeprazole/levosulpiride) is often used for shorter periods. Please do not stop or adjust these medications without consulting your doctor, as they will safely tailor the duration for you.

I understand how distressing these symptoms must be for your mother. Since her endoscopy was normal, her post-COVID issues might be due to post-viral functional dyspepsia or gut microbiome changes, compounded by her gallbladder removal. The medications she takes?including pancreatin (Creon 10000), esomeprazole with levosulpiride (Sompraz L), mebeverine (Colospa), and rabeprazole (Razo)?support her digestion. Her discomfort returns when stopping because her gut is still recovering and needs this support. Please consult her doctor about a gradual management plan, potentially incorporating probiotics and dietary adjustments. Reassuringly, post-viral gut issues often improve with time and gentle care.

It is very common to feel stomach burning even after finishing H. pylori treatment, as your stomach lining needs time to heal. I highly recommend following your specialist's advice to take Sompraz L for the full 15 days. Consistent acid suppression is crucial for complete tissue healing, whereas taking it 'as needed' can cause symptoms to fluctuate. Supplements like DGL licorice, mastic gum, and zinc carnosine are generally safe and wonderful for supporting your stomach lining. However, please discuss them with your specialist first to ensure they do not interfere with your recovery. Your stomach will heal, so please take heart!

I understand how uncomfortable these side effects like weakness and dizziness can be, especially when your heart tests are reassuringly normal. While it is wonderful that your acid reflux is improving with Sompraz L, please do not stop taking Inderal LA (propranolol) suddenly. Abruptly stopping a beta-blocker can cause your body to experience a sudden increase in heart rate or blood pressure. To safely discontinue this medication, it is very important to do so gradually under your doctor's supervision. Please reach out to your doctor to discuss a safe, step-by-step tapering plan and find an alternative that suits you better.

I am so sorry to hear that your grandmother is still experiencing discomfort. Since her stomach inflammation is not improving with Sompraz 40 (esomeprazole), Sompraz L (esomeprazole and levosulpiride), and Gaviscon peppermint liquid, it is very important to consult her doctor. Persistent symptoms may require a change in her treatment plan, a dosage adjustment, or further evaluation to rule out other causes like an H. pylori infection. Please ensure she takes her medications exactly as prescribed, typically before meals. In the meantime, try to offer her bland, non-acidic foods. A professional medical review is the safest next step to help her find relief.

I understand how worrying this must be for you. Please do not start him on Nuflox (norfloxacin) without a doctor's confirmation, as antibiotics are only effective for specific bacterial infections and can cause side effects. His symptoms of severe upper stomach pain radiating to the back, combined with a fever, require urgent medical attention. Even with a normal ultrasound, these symptoms could point to conditions like inflammation of the pancreas (pancreatitis) that require immediate evaluation, likely with blood tests or further imaging. Please contact his doctor or visit an emergency room right away for a proper diagnosis while continuing his prescribed Sompraz L and Meftal Spas as directed.