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A 39-year-old female asked:

What is best option for bile reflux on egd? crippling epigastric pain after meals. ppis, zantac,&questran didn't help. is carafate or pepcid better

1 doctor answer • 1 doctor weighed in
Dr. Donald Colantino
Dr. Donald Colantinoanswered
Internal Medicine 63 years experience
Bile reflux: Unfortunately bile reflux, unlike acid reflux, doesn't respond well to treatment with the usual antiGERD medications. I think it's worthwhile to try carafate. Pepcid is in the same medication class as zantac. Your gastroenterologist can advise you best,however.
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Last updated Dec 15, 2018

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