Q: I am having hyperacidity since the past 30 years. I am 62 years old. I used to take antacids like Gelusil etc. Two years back I had gastritis and was admitted in AIIMS. Earlier to admission, I was suspected to be having pancreatitis. But subsequently it was ruled out. After a week, I was discharged from the hospital and the doctors recommended taking pantoprazole (pantocid) for a month. But, after taking these tablets for a month, I felt happy and there was no hyperacidity. But, after one week, I got acid belching, flatulence and gas etc. I did consult local doctors, who advised to take Pantocid for two more months. I took the pills and during the period of taking pills I was feeling normal with no problems at all. Earlier problems of acidity, gas, belching and indigestion was not there at all. But, when I stopped taking pantoprazole, after two weeks the same symptoms, stated above, started. When I was admitted to the hospital, all tests like endoscopy, colour Doppler scanning, etc were conducted and all were normal. What is the reason for recurrence of hyperacidity, inspite of taking pantocid and also strict dietary restrictions? How long should I continue taking pantoprazole tablets? I have stopped taking alcohol, can I at least have red wine or one peg of whisky once in a week?

A:It looks like you have a condition called Non Ulcer Dyspepsia. You should take the following steps: 1. Loose some weight if you are overweight. 2. Avoid too much fatty foods. Also cut down on spices and chillies. Otherwise diet can be normal. 3. You can have a drink or so occasionally but smoking should be avoided. 4. Avoid a heavy meal at night and take your meals at least 2 hours before going to bed. 5. You can continue to take pantoprazole indefinitely as it is safe for long-term use.