Thought clinical assessment is required. Provision of related investigations. The physical maneuvers usually are inadequate. Start with a course of PPI with Aluminium hydroxide, magnesium carbonate, alginic acid suspension ( effective in >60% of cases).

Individualise the choice of either: (Baclofen, Gabapentin, Domperidon, low dose of Benzodiazepine, Carvedilol, Nifedipine and Amitriptyline). What is the diagnosis? Is this management adequate?