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A member asked:
Do gastro doctors only assume its bile reflux when one does not respond to acid reflux meds anymore? does it mean that nothing can be done anymore?
A doctor has provided 1 answer
W/U forDx: Bile is often a suspected of contributing to GERD when people respond incompletely or not at all . Contributing to PPI refractoriness, such as inappropriate use of the drug (lack of patient adherence to PPI therapy, inadequate dosage of PPI), residual acid reflux due to inadequate acid suppression, nocturnal acid escape, "non-acid" reflux, rapid metabolism PPI, slow gastric emptying, and miss dx
Answered 5/16/2019
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