Doctor insights on:
Forms Ppi Gerd
Is taking PPI like Nexium (esomeprazole) only solution for containing effects of chronic acid reflux?
Barrett's esophagus: Treating people with reflux may help prevent Barrett’s esophagus and esophageal cancer. Often, reflux is treated using drugs called proton pump inhibitors (PPIs), such as esomeprazole (Nexium®). Avoiding tobacco and alcohol, balanced diet and healthy body weight do help also. ...Read more
Bile reflux-acid reflux, being treated for acid reflux 40mg Pepcid (famotidine) and 40mg pantaprozole each 2/aday. But symtoms of bile reflux..Wrong meds?
Bile or acid reflux?: If you have acid reflux disease and are having symptoms despite high dose acid-reducers and acid-blockers, then either your reflux is more severe and other treatment options should be considered, or the reflux is not acid-related but possibly gall bladder/liver related. ...Read more
Not at all: No they are all, as you said PPI's and appear to provide similar relief. Some are more expensive than others and drug companies would like you to believe their PPI works better than the generic. It is my belief that in general, you should stick with generic medications. Do not fall for the marketing hype. ...Read more
Diagnosised w/mild antral gastritis & mild GERD waiting 4 h pylori results-take Prilosec bid & carafate-can not eating enough cause break thru reflux?
Many Possibilities: If this is chronic and not a new problem may need to consider your diet such as things like coffee, smoking, spicy foods, and alcohol intake. Also there can be a chronic infection of the stomach that can cause this called h. Pylori which can be tested for by blood and stool tests. This is treatable with antibiotics. Also try otc meds like Zantac (ranitidine) and Prilosec with maalox. Try changing diet as well. ...Read moreSee 1 more doctor answer
Been experiencing hiccups, burping and bad breath and acid reflux ? Solutions ? Prescribed proton pump inhibitors for acid reflux. Acid reflux is gone
Careful on the long: Be careful with the a ppi as a 19 year old man. With prolonged use, they can cause rebounding (addiction) and seem to cause osteoporosis. Try using an h1 blocker like zantac (ranitidine) or pepcid. Give it a couple of weeks and see if it resolves. If it does not, follow up with your pcp. ...Read moreSee 1 more doctor answer
8 weeks of Nexium&Protonix40mg for severe esophagitis & eritemous pangastritis.Now erosive antral gastritis, no esophagitis. Causes & treatment?
Possible Causes: Sounds like you have had a series of endoscopic studies and likely biopsy studies to rule out infection with H. Pylori, Barrett Disease, and Eosinophilic Gastritis. Consider serum Gastrin level, parietal cell antibodies and B12 level. No antiarthritic meds incl. aspirin. No Tums because of acid rebound(looks likes acid is being suppressed) Take Nexium (esomeprazole) in early morn Consider Nexium (esomeprazole)+Carafate+Pepcid ...Read moreSee 2 more doctor answers
In my: Experience, ppi's work better. What is more important, however, is underlying cause that needs to be addressed. Consult with your doctor or GI specialist. ...Read more
PPI Choices: Nexium, dexilant, (dexlansoprazole) protonix, prilosec, Omeprazole are all in the family called proton pump inhibitors or ppis. In theory, all of these drugs should work equally well and most hospitals stock only one and interchange them. However, occasionally, there is the rare patient that responds to one better than others in the same ppi class. However, i consider the drugs therapeutically equivalent. ...Read more
Do the ppi's such as Nexium (esomeprazole) and other prescription ppi's work to help laryngopharyngeal reflux?
Which is better to treat esophageal reflux that induces anxiety? Pepcid AC or zantac (ranitidine)?
Maybe (not) . . .: Everyone now agrees that h pylori is responsible for peptic ulcer disease, including gastric & duodenal ulcers. However, it's not clear that h pylori is responsible for gerd & esophagitis. However, esophagitis is associated w/pud so if we find h pylori, then we tend to treat if you/re symptomatic. The trick in medicine is paying attention to cause & effect studies vs observational ones. It's tough. ...Read more
Yes: Esophagitis is damage to the lining of the esophagus caused by stomach acid coming up past a failing valve at the top of the stomach, called gerd. Acid medicines can reduce the pain and much of the damage to the esophagus, but they do not stop the stomach fluid from coming up. Gerd is often associated with hiatal hernias and this can be repaired with anti-reflux surgery. ...Read more
Why doctors also prescribe PPI like Nexium (esomeprazole) that reduces stomach acid along with Clathromycin & Amoxicilln when treating H Pylori?
Depends: if you are taking it OTC and have not had a definitive diagnosis, you should take it for no longer than two weeks. However, if GERD has been officially diagnosed, it often takes at least several months to get it under good control. At that point one might consider a trial of trying to stop the medicine, but often people need long-term maintenance therapy to keep it under control. Good luck. ...Read more
Are there any other medications normally prescribed with PPIs for GERD? Can you just take the PPI only?
If PPIs and diet only help a little with heartburn and other GERD symptoms, can anything else be done besides surgery?
Yes: On diet, want to ensure cutting back drastically on caffeine, coffee, alcohol, fatty/fried foods, too much acidic or spicy foods (some good), red meats. Lose weight. Keep blood pressure and diabetes (if applicable) in control. Exercise daily. Stay sitting or standing at least 30 min after any meal. Sleep on a regular schedule. Control stress. These all help with GERD unless hiatal hernia present. ...Read moreSee 1 more doctor answer
I have severe GERD that causes me to frequently lose my voice. Im taking two diff ppis but still losing my voice. What else can I do?
I take ppis for GERD since 13 yrs. Will this affect mg absorption? Should I use mg supplements? If yes, what type and dose would be right? Tyvm
Get tested: Ppis can also affect your vitamin B12 so rather than just supplement, get your blood levels to know if you are deficient. Among the best food sources of magnesium are nuts and they are very healthy and far less fattening than most people think. So test and then eat nuts if you need more mg. ...Read moreSee 1 more doctor answer
I have had GERD for 12 years been on ppis since then. I am 32, 6' 175lbs. Considering nissen fundoplication to get off ppis and help with regurgitation. Tests are good but I am hesitant, any advice?
See below: Iyou live in austin texas, which has some of the best gastroenterologist in United States. I would suggest you check in with austin gastroenterology..And get a second opinion before you consider any surgery. Also, you need a workup for food allergy. I lot of patients who had nissen that still have gerd..Later to find out they had a food allergy.. Wish you the best. ...Read moreSee 1 more doctor answer
No: Although there is a lot of talk about iron absorption while on PPIs on the Internet, the practical aspect of it is that the effect of PPI's on this is very minimal. There is no reason to take extra iron supplements. If you need to be on PPI's for years, it might be reasonable to check a blood count every year or so. Otherwise, you are unlikely to have problems. Good luck. ...Read more
Not true!: PPIs DO NOT prolong the QT interval. They are safe. The recent safety concerns over PPIs are related to their interaction with platelet inhibitors following percutaneous intervention, not due to arrhythmias. Other safe drugs include the histamine 2 blockers like ranitidine/Zantac. Antacids (like Mylanta and TUMs (calcium carbonate) and Rolaids) are also safe. ...Read more
Is it true that a patient with GERD should be treated with PPIs first for 6 weeks before EGD to avoid false positive of BE?
See answer: Not sure what BE refers to BUT it is not advisable to start with a PPI first because they can be "addicting" due to rebound hyper secretion of acid.( When you try to stop the PPI the heartburn comes back with a vengeance). This doesn't happen with an H2-blocker like Zantac or Pepcid (famotidine). For more information see my Checklist: "Treating Heartburn". It will direct you to additional information ...Read more
Is it true that ppl who have GERD are more likely to suffer from anxiety and depression, despite being on GERD meds such as ppis & antiemetics?
Stress causes all!: We don't know which may cause the other but they do frequently occur in the same patients. Anxiety may lead to gerd and not being able to get either controlled can lead to depression. However, each often occurs alone so it isn't a clear case of any one of the 3 causing the other. That said, large amounts of stress can cause any one or all three. ...Read more
Due to my severe GERD severe heartburn when I take antibiotic pills despite being on PPIs. Do all antibiotics come in injectibles as well? tyvm
GERD: Many antibiotics do come in injectable forms. However, if your heartburn is that severe, I would encourage you to speak with your provider. If not already done, you would benefit from an upper endoscopy to see what's going on in the upper GI tract. You might also need twice daily PPI for a period of time. You should have this checked. ...Read more
Small meals: Small frequent meals, low in fat and fried foods- cause they delay stomach emptying. Foods that dont contain caffeine such as coffee and tea and dark chocolate would be helpful since these products also increase acid production in the stomach. If overweight, losing weight can decrease the pressure on the abdomen that is contributing to reflex. ...Read more
Bile reflux, chronic gerd, do not respond to ppis. Would Linx be a possibility? I'm not a hyper secreter per ph study.
See GI: This can best be answered by a GI doctor. I have seen failure with LINX . You also need to have sufficient esophageal motility for LINX replacement. A major problem I see is that it must be surgically removed then replaced if you need to have an MRI. There are other surgical options which may be considered. ...Read moreSee 1 more doctor answer
Acid is bothering daily.Take proton pump inhibitors but still gives lot of discomfort. Which med should be taken and the best dose.Dr says its GERD.
Why most of the doctors prefer to use ppis to "treat"(hide the symptoms) gerd, gastritis and ulcers instead of misopostrol that is a way less harmful?
Think again...: First, i'm not sure what you mean by "way less harmful." neither drug is side effect free. Second, ppi's effect healing of peptic damage, not just "hide the symptoms." please refer to the many excellent healthtap answers regarding drug safety and efficacy, and of treatment options for gerd/gastritis/ulcers. ...Read more
I am diagnosed with barrett's esophagus with no dysplasia. Is it a good idea to stay on the prescribed ppis after i no longer have GERD symptoms?
Tough to know: Barrett's is thought to be caused by reflux disease, but its not known if it is the acid or non-acid component of the reflux, or how that reflux actually causes the change. Short segment barrett's however has a very low chance to get worse. I would use your own risk/benefit assessment, and discuss with your primary care. Hope this helps! ...Read moreSee 1 more doctor answer
I have been diagnosed with barrett's esophagus with no dysplasia. Is it a good idea to continued with prescribed ppis even after GERD symptoms stop?
Please help very anxious, will taking PPIs for hiatal hernia and gerd reduce the risk of developing Barrett's oesophagus?
Follow advice...: Many factors may contribute to the occurrence of Barrett's esophagus like GERD, smoking, regurgitation, etc., and PPIs may help ease GERD-related symptoms. So, it is logical to state PPIs may potentially decrease the risk of developing Barrettt's esophagus. But, how much may it help still remains unclear. Remember: Doc never cures anything, but help modify something to some degree with/without... ...Read more
Have GERD so take PPIs (pantoprazole) daily. Will this affect my absorption of vitamins and nutrients? if so, should I take supplements? Thanks
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