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Doctor insights on: Gerd 20

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I have acid reflux & mild gastritis--looking for best OTC med--am on Dexilant (dexlansoprazole) & Carafate (temp)...will be traveling & need convenience (no Carafate).

I have acid reflux & mild gastritis--looking for best OTC med--am on Dexilant (dexlansoprazole) & Carafate (temp)...will be traveling & need convenience (no Carafate).

Gerd: Dexilant (dexlansoprazole) and Carafate are good combination, either you can leave of the Carafate during travel and may be okay with that, if symptoms bothers off of Carafate, try ranitidine 150 mg at night.l ...Read more

Dr. David Earle
1,354 doctors shared insights

Gerd (Definition)

It is normal to have some gastroesophageal reflux (ger). It becomes a disease( gerd) when it causes organ damage (imflammation of the esophagus, or barrett's esophagus), it has a significant negative impact on your life, or requires dependence ...Read more


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I'm 22, female, type 1 diabetic 20 years & graves disease. Had baby 12/2 & sick for month. Angina, irregular heartrate, syncope, short of breath. Help?

I'm 22, female, type 1 diabetic 20 years & graves disease. Had baby 12/2 & sick for month. Angina, irregular heartrate, syncope, short of breath. Help?

PCP visit: I would suggest having your thyroid function tests obtained, and an evaluation for autoimmune disease. The other test that you should have while you are at the PCP, is an EKG. ...Read more

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EGD today showed severe gastritis & slow motility. Zero food x13 days. severe N/V. down 22lbs in 3 months no constipation. Can gastritis cause this?

EGD today  showed severe gastritis & slow motility. Zero food x13 days. severe N/V.  down 22lbs in 3 months no constipation. Can gastritis cause this?

Your system is out o: As far as the gastritis and slow motility your doctor must tell you what to do. No food at all for 13 days will cause you to lose a bunch of weight. Sounds like you need a good trial of antacid medical treatment. So kits time to quit treating yourself and talk to your doc. ...Read more

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I am experiencing heartburn (gerd) (worsened by: eating shortly before bed, eating certain foods, lying flat) . Constipated. Burping. Feeling weak?

I am experiencing  heartburn (gerd) (worsened by: eating shortly before bed, eating certain foods, lying flat) . Constipated. Burping. Feeling weak?

GERD.: The symptoms you have described could be consistent with gastroesophageal reflux disease. Given your age, it would be fine to trial a one month course of an over-the-counter medication like Protonix or Prevacid. Should this medication not work, or should your symptoms worsen during the month trial, then an evaluation with a gastroenterologist would be wise. ...Read more

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I am taking domperidone and omeprazole for reflux ? But i think I have non-acidic reflux as i'm still getting symptoms, would glycopyrrolate help ?

I am taking domperidone and omeprazole for reflux ? But i think I have non-acidic reflux as i'm still getting symptoms, would glycopyrrolate help ?

No: Glycopyrrolate will slow down gastric emptying time, cause constipation, and is likely to slow down peristalsis in the esophagus, all of which would worsen the condition you already have. ...Read more

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Can LPR acid reflux cause asthama like symptoms can reflux cause breathlessness and why I don't have asthama?

Can LPR acid reflux cause asthama like symptoms can reflux cause breathlessness and why I don't have asthama?

Ops tropism: if you do not have asthma or copd then why are you using ipatropium as there are side effects to any medication including IPR which includes increase in acid relic increase heart rate dry mouth amongst others serious side effect being difficulty breathing ...Read more

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12 years post op rny, iron 20 & vitamin d at 10. Seeing a new dr that hasn't worked with deficient gastric bypass, is 325ferrous 3x and 2000d 1x okay?

12 years post op rny, iron 20 & vitamin d at 10. Seeing a new dr that hasn't worked with deficient gastric bypass, is 325ferrous 3x and 2000d 1x okay?

Nutrition!: A gastric bypass is a very complex nutrition situation. If your physician has not dealt with it much i would suggest asking for a referral to a nutritionist or a bariatric center. That being said, the dosage of iron is fda approved treatment for iron deficiency, and the vitamin d is a reasonable amount. You have many nutrient levels that should be monitored and carefully watched! ...Read more

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Is citalopram 20 mg. Good 3 months after expiration date?

Is citalopram 20 mg. Good 3 months after expiration date?

Yes-- but: It is still functional-- but if it is that old, it sounds like you are no longer under a doctor's care. It is never a good idea to take medicine unless your doctor knows about it. You might have been placed on new medicines that interact with it, or, at the very least, you need to have someone to call if you have side effects. ...Read more

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Are acid reflux and diarrhea related?

Are acid reflux and diarrhea related?

Not usually.: Although both maladies affect the digestive tract, they are usually not related. Since they are both fairly common, it is possible that you could have both problems happening at once. They probably are not related though. If either are out of control, see your doctor or your gastroenterologist. Good luck. ...Read more

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If extensive GI workup showed no structual problems or ca of esophagus (only esophageal dysmotility) is chonic sore throat & chest 2 yrs later gi?

If extensive GI workup showed no structual problems or ca of esophagus (only esophageal dysmotility)  is chonic sore throat & chest 2 yrs later gi?

Maybe: Your sore throat could certainly be a GI cause. I would recommend that you undergo evaluation for acid reflux to see if that is a cause for your sore throat. Esophageal dysmotility could contribute as well, although it depends on what kind of dysmotility you have (there are many). ...Read more

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I have hiatus hernia & was diagnosed with gerd. I am using ppi for 2 years to control hyperacidity. Since prolonged ppi is not good. Suggest alternat?

I have hiatus hernia & was diagnosed with gerd. I am using ppi for 2 years to control  hyperacidity. Since prolonged ppi is not good. Suggest alternat?

Surgery: Surgery for reflux disease is a safe and durable solution for many people. There are many alternatives that depend on your age, medical status, and anatomy (size and type of hiatal hernia). See a general surgeon with interest and experience in gerd for further workup. ...Read more

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Will heaving from 3 Fundoplications and Gastroparesis and sibo ever really stop? First fundo slipped.

Will heaving from 3 Fundoplications and Gastroparesis and sibo ever really stop?  First fundo slipped.

Partial gastrectomy: Hi Rutua I understand your frustration. Fundoplication in the presence of gastroparesis almost always fails. Would recommend medical management of underlying conditions and if fails partial resection of the stomach. Good luck ...Read more

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Frequently i got pharyngitis and throat infection is it due to LPR reflux can LPR cause fever?

Frequently i got pharyngitis and throat infection is it due to LPR reflux can LPR cause fever?

If progressive...: Exposure of the vocal cords to stomach acid ; pepsin will result in inflammation of the vocal cords (as is also often seen with acid regurgitation). Acute laryngitis may result, but watch out for chronic hoarseness, throat clearing, airway spasms, bronchitis, an asthma-type presentation, ; even a higher risk of throat cancer. Impedance ph testing with a symptom diary can best characterize your lpr. ...Read more

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Left sided colitis, ulcers under tongue and bad acid reflux/indigestion... What could be causing the ulcers and the indigestion/ acid reflux?

Left sided colitis, ulcers under tongue and bad acid reflux/indigestion... What could be causing the ulcers and the indigestion/ acid reflux?

Ulcerative colitis: Ulcerative colitis is an autoimmune disease in which your immune system attacks your digestive system, from mouth to anus. Here is a great reference for you: http://www.ccfa.org/what-are-crohns-and-colitis/what-is-ulcerative-colitis/ People with ulcerative colitis require close monitoring and treatment by a team of physicians. ...Read more

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Prevacid (lansoprazole) solutabs making gas worse in infant, help?

Prevacid (lansoprazole) solutabs making gas worse in infant, help?

Infant colic: Prevacid (lansoprazole) is not known to cause gas. It is used to reduce acid and thus treat reflux to prevent the esophagus from getting inflamed. It is normally given to children more than 1 years old but is commonly used for newborns. If you are right, i would suggest simply using half the dose for a day or so and see if the "gas" is gone. If not, stay on the Prevacid (lansoprazole) and change your infant's diet. ...Read more

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4-21-14 Thyroidectomy r/t thyroiditis, goiter. On Synthroid (thyroxine) 137 mcg- hypo s/s returning have felt great for months. Would adding Cytomel help?

4-21-14 Thyroidectomy r/t thyroiditis, goiter.  On Synthroid (thyroxine) 137 mcg- hypo s/s returning have felt great for months.  Would adding Cytomel help?

Not specific: The signs & symptoms of hypothyroidism are not specific for hypothyroidism (not a single one). Recheck your thyroid labs. If they're normal, your symptoms are due to something else. Having said that, I'm happy to do a trial of Cytomel with the Synthroid (thyroxine) in patients who want to try as long as I don't make them hyperthyroid. Some people report feeling better with comparable labs taking a little T3. ...Read more

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Had ketoacidosis and pancreatitis. Could "diabetes" just have been temporary due to stress of illness? A1c is 5.3, 1x daily shot insulin, no spikes?

Had ketoacidosis and pancreatitis. Could "diabetes" just have been temporary due to stress of illness? A1c is 5.3, 1x daily shot insulin, no spikes?

Yes: Severe pancreatitis is well-known to produce diabetes itself or unmask incipient diabetes. Consider a review by a good endocrinologist. Mild pancreatitis is less likely to do this. Glad you made it through the pancreatitis! ...Read more

Dr. Charles Cattano
1,508 doctors shared insights

Heartburn (Definition)

Burning pain or irritation in the upper stomach or lower chest. May be worse on lying down, and is ...Read more