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Doctor insights on: Gerd Ppi Therapy

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Dr. David Earle
1,367 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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Can Nexium (esomeprazole) heal gastritis anthrum?

Gastritis: Yes Nexium (esomeprazole) is a proton pump inhibitor designed to reduce acid production in stomach and facilitate healing of gastritis and ulcers. May want to be checked for h. Pylori, a bacteria associated with gastritis, ulcers and other stomach related issues. ...Read more

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Which proton-pump inhibitor is best? Nexium, (esomeprazole) Prilosec, or Prevacid and why?

Which proton-pump inhibitor is best? Nexium, (esomeprazole) Prilosec, or Prevacid and why?

None!: The plethorta of side effects of these drugs has only become evident. Nutritional deficiencies, osteoporosis, chronic kidney issues, and acelerated heart disease. They should be short term. H2 blockers are a preferred treatment! ...Read more

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Been experiencing hiccups, burping and bad breath and acid reflux ? Solutions ? Prescribed proton pump inhibitors for acid reflux. Acid reflux is gone

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 more

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Do the ppi's such as Nexium (esomeprazole) and other prescription ppi's work to help laryngopharyngeal reflux?

Do the ppi's such as Nexium (esomeprazole) and other prescription ppi's work to help laryngopharyngeal reflux?

Yes: If lpr is your problem, ppi (proton pump inhibitors) are the treatment. It is important to take ppi's as prescribed. Every day on an empty stomach 60 minutes before a meal. After a few weeks of regular use, if your problem hasn't resolved, speak to your physician. ...Read more

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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 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

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What best meds for severe grade4 reflux disease.Dr has tried pantorazole, nexium, (esomeprazole) ranitindine. Will be having nissen eventually. ?

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 more

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Hello doctors. Can GERD eventually stop responding to proton pump inhibitors like omeprazole?

Hello doctors. Can GERD eventually stop responding to proton pump inhibitors like omeprazole?

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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Names of non ppi medications for acid reflux?

Names of non ppi medications for acid reflux?

Acid reduction...: Non-ppi acid reducers include the h2-blocker class (tagamet=cimetidine; zantac=ranitidine; pepcid=famotidine) as well as antacids (like maalox, mylanta, tums, (calcium carbonate) etc.). Can we help you further? ...Read more

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Does Zantac (ranitidine) works for acid reflux? Would you recommend Zantac (ranitidine) for acid reflux?

Does Zantac (ranitidine) works for acid reflux? Would you recommend Zantac (ranitidine) for acid reflux?

Zantac (ranitidine) works 4 GERD: Zantac (ranitidine) was the leading drug in the world when introduced in the early 1980's to treat indigestion. Conventional prescription doses were 300mg twice daily. The drug is effective in suppressing acid, but when used longterm can promote tolerance (so that larger doses are needed over time to block acid). Current over-the-counter dosing is 75mgs. Take along with behavior & diet aimed at reducing gerd. ...Read more

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Witch slows gastric emptying more Carafate (sucralfate) or proton pump inhabitants?

Witch slows gastric emptying more Carafate (sucralfate) or proton pump inhabitants?

Neither: Carafate (sucralfate) tends to bind to sites oozing blood. Proton pump inhibitors partially block hcl acid secreting cells in upper 2/3 of stomach from making & secreting acid; look up the prescribing information. No evidence either have much affect on stomach emptying. Many meds prescribed by docs because available, even though low odds of being helpful - promotes illusions (to the foolish) of being helpful. ...Read more

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Prilosec10yrs+ Short seg Barrett's.HALO ablation2015.Barrett's gone.Prefer stop PPI's. Endoscopy July '16. Wait? H2 blockers enough? Combo approach?

Prilosec10yrs+ Short seg Barrett's.HALO ablation2015.Barrett's gone.Prefer stop PPI's. Endoscopy July '16. Wait? H2 blockers enough? Combo approach?

Endoscopy: I would wait for July's endoscopic results before making any changes in your management. If there's no sign of Barrett's, your gastroenterologist may agree with avoiding more long-term ppi therapy in view of recent reports of adverse potential side effects. On the other hand long term ppi treatment does protect against malignant transformation. ...Read more

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Is omeprazole better than pantoprazole for acid reflux?

Is omeprazole better than pantoprazole for acid reflux?

It seems my GI...: Buddies prefer esomeprazole but really it is what works best with your body, as with any medication. ...Read more

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Gastro esophageal reflux disease diet recommedations?

Gastro esophageal reflux disease diet recommedations?

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 more

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Does Nexium (esomeprazole) prevent Barret's Espophagus?

Does Nexium (esomeprazole) prevent Barret's Espophagus?

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

Dr. Charles Cattano
1,547 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


Dr. Michael Blumenfield
313 doctors shared insights

Proton Pump Inhibitor (Definition)

Proton pump inhibitors are a kind of ...Read more