Doctor insights on:
Gastritis Ppi Not Working
Maybe not acid: Nexium (esomeprazole) is a ppi, potent minimizer of acid production in the stomach. Several other ppis on market-all roughly equivalent, can take days some respond better to one than another. Make sure the problem is truly acid related, or not. Other issues including gall bladder, pancreas, celiac sprue, cardiac can cause similar symptoms. Don't know your history, meds, risk factors, etc. Follow up with doc. ...Read moreSee 1 more doctor answer
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
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
With ehlers danlos hypermobility caused gerd, gastritis, esophagitis does it need to betreated ddifferently. Omeprazole Carafate (sucralfate) not working?
If gastroparesis: High prevalence of GI manifestations including severe chronic constipation , irritable bowel syndrome , acid reflux or gastroesophageal reflux disease, and/or chronic abdominal pain . Gastroparesis , slow gastric emptying, is also seen. If this is present as well as reflux then medication has to be taken to speed up stomach. Gastroparesis is usually diagnosed by nuclear gastric emptying test. ...Read more
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
Bad GERD even on 300mg ranitidine, prilosec stopped working. Is gerd caused by stomach polyps and gasteroperesis? H pylori 2011. Will get worse?
See GI doctor: Assuming that you are taking your medication correctly(Prilosec 30-60 mins before breakfast) and have followed the dietary precautions, one needs to consider bile reflux as a potential cause. Stomach polyps unless causing obstruction would not lead to GERD but gastroparesis may by slowing down stomach emptying. Sometimes surgery may be needed to correct the problem. ...Read more
Why doctors also prescribe PPI like Nexium (esomeprazole) that reduces stomach acid along with Clathromycin & Amoxicilln when treating H Pylori?
Do the ppi's such as Nexium (esomeprazole) and other prescription ppi's work to help laryngopharyngeal reflux?
Depends: If u are taking these medications for years and years they can cause atrophic gastritis. The treatments is different but it involves making sure that your B12 levels are normal, your Folic Acid levels are normal, and to take breaks from the medications. ...Read moreSee 1 more doctor answer
Endoscopy shows chronic gastritis due to acid. Have tried prescription Prilosec, Dexilant, (dexlansoprazole) and Protonix at max dosage. What would next step be?
Gastritis: Hi, it depends if you have infection with h pylori or not, if u do then Antibiotics treatment is the next step, if not then PPI and life style modification are the answer to ur problem, also u can try Mastic gum 500mg twice a day for 14 days, u can buy it from whole food store. ...Read moreSee 1 more doctor answer
Bile reflux, taking Carafate and 2 aciphex (rabeprazole).Still have burning in gut.Bland diet & small meals are not helping. What can I take to relieve? Pepcid?
Bile reflux: Unfortunately bile reflux differs from acid reflux and is not usually helped by medications like prilosec, aciphex, (rabeprazole)nexium,pepcid,zantac,etc. Carafate May be helpful.Avoid greasy and fried foods. A gastroenterologist is best qualified to document the diagnosis and advise you. ...Read more
Gastritis from Diclofenac I've been given omerprazole to continue with Prednisolone/Gabapentin. Does omerprazole make it harder to digest food?Bloated
Diagnosis of barretts esophagus recently but prevacid (lansoprazole) + tagamet not helping after 3 months. What next?
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
After gastroscopy checkup. Doctors said gastritis and distal esophagitis. Prescribed take Prilosec and Colpermin. Prilosec seems very bad drug . Thx u?
Diagnosised w/mild antral gastritis & mild GERD waiting 4 h pylori results-take Prilosec bid & carafate-can not eating enough cause break thru reflux?
Taking 40mg prescription Prilosec daily and have breakthrough GERD which required zantac (ranitidine). Do i need a new ppi?
Maybe...: If you are following strict dietary and lifestyle modifications routinely recommended to patients with gerd and are compliant with taking your Nexium (esomeprazole) it may be time to either try a different ppi or double the dose of nexium (esomeprazole). 30 - 40% of patients with gerd will require a double dose of ppi for control of symptoms. Make sure you are followed by a GI specialist. Good luck! ...Read more
Taken Nexium, (esomeprazole) generic Nexium, (esomeprazole) and Protonix which cause drowsiness. Would it be worth taking Prevacid or Prilosec? Will tired feeling go away with time
Doubtful: None of the actions of any of these drugs would have anything to do with drowsiness. That is a very uncommon side effect of any of them. BUT Prilosec is well known to gum up the liver's ability to get other drugs out of you including all sedatives including alcohol.... so .. that one is doubly out. Otherwise, while I cannot explain why these drugs do that on you, the entire group is similar ...Read more
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