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A 46-year-old male asked:

What is a safe bowel prep for a severe gerd patient on a high dose of ppis? moviprep, suprep, propopik and peg/mag citrate all contain harsh acids.

2 doctor answers3 doctors weighed in
Dr. Donald Colantino
Internal Medicine 61 years experience
Bowel prep: Your gastroenterologist is best qualified to answer your question, but I don't feel that any of the recommended preps would be a significant problem for your esophagus while you're on ppi therapy. My guess is that the gastroenterologist has a preference for a good bowel prep and will prescribe it.
Dr. Lisa Roazen
Emergency Medicine 18 years experience
All safe.: None of these contain the type of "harsh acid" which would be expected to worsen gastritis or GERD. So long as you continue your PPI, you should be able to complete any of these preps without significantly worsening your GERD symptoms. These products have an excellent track record of safety and efficacy, even in people with ulcers, gastritis, and reflux. Good luck!
Dr. Lisa Roazen
Dr. Lisa Roazen commented
Emergency Medicine 18 years experience
Provided original answer
Pedialyte and vitamin C both contain acids, but what matters is the pH of the solution - not just whether the label says "acid." What you describe is a need to BUFFER whatever solution is used. There are several agents which can do this. Please discuss with your GI specialist.
Jun 14, 2017

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Last updated Jun 14, 2017

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