A member asked:

I suffer from pnd but i feel its lpr after reading up on it. im trying nexium (esomeprazole) 24 (my choice) today is day #4. should i take h2 blocker also @ night?

4 doctors weighed in across 3 answers

No : Given the Nexium (esomeprazole) about a week to reach its maximum effectiveness.

Answered 8/9/2014

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Dr. Stephen Sisselman answered

Specializes in Internal Medicine

LPR: Sometimes it's hard to tell nasal drip from LPR. NEXIUM (esomeprazole) is a good choice but one must avoid all food triggers to further calm down the LPR. Avoid caffeine alcohol chocolate cigarettes peppermint and all spicy foods. Eat very bland diet for a few days. If after a few weeks symptoms persist adding a H2 blocker at night may help. Good luck!

Answered 8/9/2014

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Dr. Devin Cunning answered

Specializes in ENT and Head and Neck Surgery

Possibly either: Globus (phantom lump) sensation has multiple etiologies. Sinus post nasal drip and laryngopharyngeal reflux are two common reasons. If LPR is the cause, dietary modification and PPI may take many weeks before noticeable improvement. See an otolaryngologist with persistent symptoms.

Answered 8/9/2014

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