Pain while swallowing due to acid reflux may indicate esophageal inflammation (esophagitis). Zantac (ranitidine) is no longer recommended due to safety concerns. Please consult your doctor before starting or changing any medication to ensure appropriate treatment and dosage. Medications such as proton pump inhibitors (PPIs), which are generally safer and more effective, may be prescribed for acid suppression.

Vomiting and diarrhoea are commonly caused by acute gastroenteritis, which may result from viral, bacterial, or foodborne infections. Treatment should focus on maintaining hydration by drinking plenty of water or oral rehydration solutions to replace lost fluids and salts. Adequate rest and consumption of light, bland foods (such as bananas, rice, or toast) are advised once vomiting subsides. If symptoms persist, worsen, or are associated with fever or signs of dehydration, please consult a doctor immediately.

Your symptoms may indicate worsening GERD, esophagitis, or peptic ulcer disease. It is advisable to consult a gastroenterologist for a detailed evaluation. The doctor may recommend an upper gastrointestinal (GI) endoscopy to confirm the diagnosis and assess the severity of mucosal inflammation or ulceration. Medications such as proton pump inhibitors (PPIs) or H2 receptor blockers may be prescribed to reduce acid production and promote healing.

Vomiting due to indigestion can be managed with antiemetic medications. Additionally, proton pump inhibitors or antacids may help reduce stomach acidity and improve digestion. Maintaining adequate hydration, eating light meals, and avoiding fatty or spicy foods are recommended. If vomiting persists or worsens, consult your doctor immediately to rule out other underlying causes and receive appropriate treatment.

Given the potential sugar sensitivity, initial management should focus on reducing refined sugars, high-fructose corn syrup, and sugary beverages, as these may worsen acid reflux. Concurrently, adopt lifestyle changes such as eating smaller, frequent meals, avoiding late-night eating, elevating the head of the bed, and maintaining a healthy weight. If symptoms persist, consult a gastroenterologist for further evaluation and appropriate treatment.