Acidity / GERD / gastritis

Gut & liver · OPD · Locked · first month free

By Dr Javed Akhtar · Last reviewed 2 October 2026

Drugs on this card

Pantoprazole, Rabeprazole, Famotidine, Antacid gel (with simethicone)

Advice and when to refer

Advice: Lose weight, raise the head end of the bed, no meals 2–3 h before sleep; stop NSAIDs; endoscopy if alarm features (see Peptic ulcer) (ACG 2022)

Investigations

First visit

No routine tests — Typical reflux under 60 years without alarm features: treat with a PPI.

Only if indicated

Upper GI endoscopy — Alarm features: age over 60, weight loss, difficulty swallowing, vomiting, anaemia, GI bleeding, or failure of 8 weeks of PPI.
ECG — Chest pain on exertion or cardiac risk factors.
H. pylori stool antigen or urea breath test — Dyspepsia without reflux (test and treat).

Locked

The adult dose for each drug
The child dose, where the card gives one
Indian brand names for each drug, with a link to buy

Open Acidity / GERD / gastritis in OPD

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