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Gastritis Pain Not Responding To Ppi
What can I do for GERD that won't respond to omeprazole, carafate, (sucralfate) Tums or gasx. No delayed emptyor h pylori, have gastritis esophagitis. Help in pain?
Diet: Since you do not smoke or drink alcohol, you may need to revisit your diet (no caffeine) and eliminate all foods that make the gerd symptoms worse. If you have already done that and you are having symptoms that cannot be controlled with medications, you may need to seek a surgical consult for gastric fundoplication or depending on the anatomy of your esophagus another procedure. ...Read moreSee 1 more doctor answer
Is symptomatic H. Pylori treatment with antibiotics *mandatory*? What if you just continue taking Zantac (ranitidine) to alleviate symptoms?
Can take zantac (ranitidine) or something else while trying to wean off prilosec? Prilosec not helping at all anymore. Have gerd & stomach polyps recent upper endo
Yes: Zantac (ranitidine) has a totally different mechanism of action than Prilosec. It is safe to take up to 150 mg twice a day. Starting a lower dose of 150 mg once a day may be advisable and if this is not enough to control your symptoms, you may increase it to 150 mg twice a day. It is important to make sure that you are not infected with H.pylori. H.pylori requires specific treatment. ...Read more
H. Pylori gastritis. Finished treatment with antibiotics +PPI today. Still in pain. Does it take time stomach to get better from gastritis?
Why would antibiotics not be prescribed for a gastric/peptic ulcer and only PPI's?
Don't you need Antibiotics for H pylori?
Triple Therapy: Studies show there are several regimens for treatment of H. Pylori related ulcers that usually involve a proton pump inhibitor omeprazole, clarithromycin and amoxicillin (OAC)for 10 days;BIsmuth, Metronidazole and Tetracycline (BMT) for 14 days, or Lansoprazole, Amoxicillin, Clarithromycin (10 or 14 days of treatment). If you had a breath or blood test you need this therapy +f/u with Gastro doc ...Read more
Non acidic reflux with normal manometery also gastroperosis what will work doc prescribed PPI and levosulpride hw PPI work if one have non acidic ref?
See answer: Sometimes PPI's can help. One reason is that "non-acid" is defined as pH >4. The range of pH from 4-7 is actually weakly acidic but usually doesn't cause symptoms. Some patients with "non-acid" GERD have a hypersensitive esophagus lining and get symptoms of esophagitis. Gastroparesis complicates the picture and will contribute to reflux. For approaches to treatment of non-acid Gerd **see comments ...Read moreSee 2 more doctor answers
Can being treated with Carafate and Nexium (esomeprazole) suppress H. Pylori but not eradicate it and then cause symptoms to resurge once said treatment ceases?
H Pylori: Hi, Neither Carafate nor Nexium (esomeprazole) eradicates H Pylori, Carafate coats the lining of the stomach therefore protect it from acid, Nexium (esomeprazole) decreases the secretion of acid therefore decreases the damage from acid. The only way to eradicate H. Pylori is Antibiotics treatment. ...Read more
Which is better drug to treat cronic gastritis and functional dyspepsia? Pantaprazole or famotidine?
Gastritis from Diclofenac I've been given omerprazole to continue with Prednisolone/Gabapentin. Does omerprazole make it harder to digest food?Bloated
Been taking prescribed meds for diffuse erosive gastritis, h pylori & hiatal hernia for a month but it doesn't seem to help. Anything else i can do?
Need doc: Assuming these diagnoses were made with appropriate imaging and are correct, then you need to inform the treating doctor. "plan b" may be in order. Were you instructed to modify certain life style issues such as drinking alcohol and smoking and you didn't? The medications need help from the patient. Monitor your stool for black tarry stools which are a sign of bleeding in esophagus and/or stomach. ...Read more
Gerd not responding to Prilosec or protonix (pantoprazole).....Burning in chest, back throat. Could this be something else?Will i ever be able to get off a ppi?
Have bile reflux after cholecystectomy. GI prescribed denoltab. Is this med better than sucralfate and If does not work what's next to treat bile?
Different medication: Denoltab is a bismuth containing compound that is often used for gastric ulcers associated with H. pylori. It coats the stomach and helps protect the ulcer bed to allow it to heal. Sucralfate has a different mechanism of action and may be more effective for bile reflux symptoms it also binds bile salts. If true reflux of the esophagus and Meds don't work you may benefit from anti-reflux surgery. ...Read more
How long does chronic gastritis heal? Have it for 5 months No h pylori, nsaids and no alcohol bland diet taking PPI. endoscopy show nodular gastritis
You sure no Hp?: on biopsy or serologies? nodular gastritis, especially in young women, is most commonly associated with h pylori. are your symptoms any better on the PPI? the chronic gastritis may never fully regress but need to deal with your symptoms. some GIs would also advocate for repeat endoscopy down the line for screening purposes (data not convincing for it, but reasonable to do) ...Read more
Diagnosed hiatal hernia & gastritis. Upper back pain every other day. anti acid not working for pain. what to do?
Type and symptoms: Hiatal hernia is a very common issue and finding especially in over weight population. Mostly it does not require any treatment unless it becomes symptomatic. Also it has a different types. All depends how bad is symptoms and type of hernia. In those case surgical intervention and treatment is needed. ...Read more
Have gerd, costochondritis symptoms are burning throat like something is stuck and chest discomfort, med not working great Nexium (esomeprazole) and Pepcid any sugg?
?endoscopy: Gerd can burning in throat and chest discomfort as well as causing food to get caught in esophagus. Costochondritis is inflammation of junction of ribs with cartilage in front of chest along the side of sternum. Usually tenderness to touch and pain with movement but not burning in throat. You need to see G-I doctor since meds not working. You may need someone to look down the esophagus. ...Read more
I went to ER for pain in stomach, nausea, not able to eat/not hungry medications for IBS, chronic gastritis, severe reflux and gastropersis weren't wo?
Not clear: What question you are asking is not clear. You mention several problems and do not ask a question. Are you saying the meds won't work. Couple of suggestions include avoid alcohol and caffeine. The idea of this problems should be followed by a gastroenterologist. ...Read moreSee 1 more doctor answer
What best meds for severe grade4 reflux disease.Dr has tried pantorazole, nexium, (esomeprazole) ranitindine. Will be having nissen eventually. ?
Needs further eval.: What is nissen? If you have not responded to all those meds, something more complex is going on than just reflux. There are new strength drugs, such as dexilant, (dexlansoprazole) but most important is finding what else going on. Barretts's esophagus? Zollinger-ellison syndrome, super high acidity state, huge hiatal hernia. Maybe it's not even the GI tract is the problem. Maybe heart, gall bladder, pancreas... ...Read moreSee 1 more doctor answer
No heartburn but bad cough, dr thought it reflux. Rx for protonix, cough gone, now upper GI pain b4 meals and 2 hrs post. Duodenal ulcer? H. Pylori?
Could be: but protonix helps this , do reflux precautions like elevate head of bed 6 inches , 6 smaller meals instead of 3 [less overflow ] and no food or little 3 hours before bed. if take pain meds like aspririn /aleve/advil could cause ulcer . if smoke could be cancer so never do this or ulcer , h.pylori is a bacteria that can cause ulcer , would need lab test or scoping with biopsy ...Read more
Yes and No: Remember the goal in medicine and in health is to not just 'treat' GERD forever, but to find the cause of it and to eliminate the cause so that treatment for the long term is unnecessary. Many in the U.S. fail to do this and continue their very dangerous habits causing GERD and think it safe to take PPI's for the long term. This is erroneous thinking and dangerous for health. ...Read more
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