Doctor insights on:
Heartburn Meds Medication
My 13 y o son complains his stomach and that chest hurts a lot. Clinic said it was heartburn meds not help. Blood pressure is 89/55 heart 111?
Chest & abdominal pa: Your son need to be reevaluated & have work up done, his B/P is low & pulse is elevated, most likey it is a gastrointestinal problem, possible dehydration propably not taking enough fluids, you can go to ER, he will also need a gastroentrologist consult, chest pain is most likey from the stomach but it also has to be addressed, I'm concerned obout possible blood loos from GI tract. Good l ...Read more
My uncle is on cyclobenzaprine and heartburn meds. He has had a migraine for a week. Is it okay for him to take imitrex (sumatriptan)? He also has high bp.
Migraine for a week?: Generally, you want to take a triptan for migraines asap at onset of migraine. Having a migraine for a week is quite odd. I personally prefer newer triptans with longer 1/2 lives like frova, relpax, (eletriptan) or zomig....I also prefer treximet over just plain imitrix. If his blood pressure is controlled and does not have any present heart disease, okay to try. Expect warm pressure around head ; neck. ...Read more
Does aciphex (rabeprazole) heartburn meds (or a generic equivalent) cause coughing and tickling in the throat?
Diverticulitis, since 1/12/14 so hungry, I ate 2 boil eggs now a burning sensation from belly to mouth, can I take heartburn meds w/antibiotics?
Calm your volcano: Time for change: *stop smoking. *avoid triggers: caffeine, chocolate [sorry! ], alcohol, citrus, sour/acid foods, fatty/spicy foods, carbonated drinks, garlic, spearmint. *eat small meals. Sit down and eat slowly. *reduce stress. *after you eat, wait 2-3 hours before laying down. Get checked for h. Pylori germs, which can kick up the acid in your stomach. ...Read more
3 weeks on rinitidine for gerd. Having pain around my liver area and diagnosed with fatty liver. Does rinitidine damage the liver? Better drug?
No...: Ranitidine is a common otc remedy for heartburn and indigestion. Like any drug it has side effects but fatty liver is not one of them. The RUQ pain you are having might be related to fatty liver if it is enlarged and swollen. Fatty liver is caused by a build-up of excess of fat in the normal liver cells and is most commonly caused by eating excess calories. ...Read more
Which drug is safest for lifetime maintenance of GERD on daily basis: 40mg of omeprazole, 40mg protonix, or 40mg nexium (esomeprazole)?
Equivalent, but: These are all pretty equivalent. They are different drug formulations that work on the same general mechanism within the stomach to decrease acid secretion. It is important to note that long term use of these medications can be associated with osteoporosis. It is important to maintain recommended calcium/vitamin D intake and see Dr. For assessment of osteoporosis risk. ...Read more
What is the best longterm treatment for drug induced GERD and epigastric pain if someone take meds for chronic conditions, &name of drug please?
Gerd due to ehler danlos syn. Omeprazole 20mg 2 mnth to heal esophigitis. What is a safe long term drug as ppi is bad long term? Zantac (ranitidine) once healed?
Yes many drugs can…: Relax the esophageal sphincter & allow acidic stomach fluids to reflux. Ccb's, beta-agonists, alpha-adrenergic antagonists, nitrates, anticholinergics, theophylline, morphine, meperidine, diazepam, & barbiturates. Some meds may irritate esophagus directly, especially if not taken with enuf water: nsaids, tetracyclines, beta blockers. Take all meds with full glass of water; don't lie down for 15-30. ...Read more
I have GERD and have being having heartburn symptoms. I'm taking zantac (ranitidine) now daily and I still have heartburn. What medication is best for heartburn?
PPI: Proton pump inhibitor. This class of medications typically works the best for reflux disease. It is advisable over to use this for about three months, and then try and wean yourself off and see how the symptoms are. Do this with the knowledge of your primary care provider. They might need to send you for more tests should medication fail. Hope this helps! ...Read more
I hv sliding hiatus hernia with gerd, esophagitis la grade b, duodanitis. I don't have any symptom now like heartburn etc. Does it mean, medication NT rqr?
Stay on meds: I would use anti-acid producing medication until you know the damage to your esophagus heals. This means another endoscopy. If the esophagitis comes back after healing and stopping meds, may need to consider an anti-reflux procedure which could be done endoscopically or surgically. Hope this helps, and you have a merry christmas! ...Read more
What is the best treatment for gerd? I don't have heartburn but I have constant post nasal drip symptoms & asthma. Which medications should I take?
I am experiencing heartburn (gerd), sore throat and throat tightness. I've been to several doctors with no real relief. I had an upper gi exam as well as an endoscopy, everything checked out good. Medication has little effect. Is surgery required?
PPI: Proton Pump Inhibitors (priolosec, nexium, (esomeprazole) protonix and others) reduce the acid produced by the stomach and help prevent esophogeal damage. They should be taken daily for prevention. Consult your Dr to see if you need to take long term. For occasional heartburn, there are a number of meds - zantac, tums, etc. These will reduce hearburn pains, but do little to preotect against long term damage. ...Read more
Good idea to take meds if you have persistant gerd, along with lifestyle modifications. Like losing weight if overweight.Avoiding certain foods which cause gerd, not eating less than 3 hours before going to bed, avoid alcohol, do not drink too much coffee or tea and meds in the beginning. You can try to stop meds and see if it stops
if not you need long term meds to prevent esophagitis/cancer. ...Read more
GER medications: Commonly used OTC reflux medications include Zantac, Prevacid, Prilosec and Nexium (esomeprazole). At one time, these were all available by prescription only and should be effective for uncomplicated occassional heartburn. Some people find one more effective than the others, but this seems to be somewhat individualized. ...Read more
I was suffering a rusty voice from my gerd. Is it possible to regain my natural voice again after I finish the medication?
Yes: Laryngopharyngeal reflux is very common. Symptoms frequently include throat clearing, cough, hoarseness, lump in the throat and post-nasal drainage. Treatment usually includes both medication and dietary change. With adequate treatment it is likely that you will experience an improvemnet if not return of a normal voice. You should see an ENT doctor to further assess. ...Read more
Depends: In general, gerd is a chronic condition that does not get "cured" by medications. Depending on consultation with your family physician and referral to specialists, they will work with you to decide best course of treatment. If nothing else is done, symptomatic gerd will require life long medication to alleviate/treat symptoms. ...Read more
Yes: Gerd can be exacerbated by many different drugs, including anticholinergics, beta blockers, bronchodilators used for asthma, calcium channel blockers, Dopamine agonists, sedatives, and tricyclic anti-depressants. It is best to talk with your physician if you are on other medications to see if they may cause your gerd symptoms to worsen. ...Read more
Double dose then dr: You can either double the dose (i.e. 20mg -> 40mg)) or frequency (1x/day -> 2x/day) or add an H2 blocker if taking a PPI. If on an H2 blocker, then add a PPI. Make sure nor eating before lying down, avoid alcohol, caffeine, and spicy/fatty foods, as well as nsaids. If no relief wi 1wk, see your clinician to rule out Peptic ulcer, more severe GERD or other cause. Take Care! ...Read more
Why GERD symptoms get worse before mesnsturation and how to decrease symptoms without medication?
Well, not sure: Why worse but premenstrually many things worsen, perhaps even eating habits. Ranitidine is a medicine that is safe and much better than long term effects of reflux. If you smoke it's much less harmful and smoking can make gerd worse. Try some baking soda, milk or even a little bit of half/half if you must stay away from medicine. Gdluc. ...Read more
None.: If you have arthritis reducing inflammation is most important. You are referring to nsaids that relieve pain. The drugs that are least likely to exacerbate gerd are Celebrex (celecoxib) and meloxicam. Acetominophen will not cause problems but is less effective. Also, pro-drugs, inactive in the stomach, but converted to the active drug by the liver work well: Nabumetone, an example. Salsalate works well. ...Read more
No endorsement: The physicians here do not endorse products. Especially when the products are similar in their action and efficacy. ...Read more
Several: Several surgical options are available for the treatment of reflux. The most common is a laparoscopic nissen fundoplication. It works very well but does have some side effects, such as inability to vomit, gas bloat and trouble swallowing. My favorite is the tif (transoral incisionless fundoplication). It controls reflux very well without the nissen side effects. ...Read more
What is the most current technology to cure GERD? (Excluding medication like ppi, h2 blocker). Thanks.
Intragastric: Or esophageal Botox injections have been used in severe cases. ...Read more
I'm 40 years old and had the fundoplication 15 years ago but it failed. What are the side affects of not taking GERD medication for over ten years?
I have been on medication for GERD around two year. And it don seen to get better. Mild erosive esophagus issit serious.
I have GERD and I have no ins. What is the best OTC medication for that? I already take 300mg of Zantac (ranitidine) a day.
Baking soda: If cost is an issue, and your are already taking 300mg of generic Zantac (ranitidine) a day, then you could occasionally try taking a level teaspoon of baking soda in about two ounces of water for further relief. This is a home remedy that has worked well of decades, but is not promoted in standard medical practice. That said you should be evaluated asap by a gastroenterologist to determine the cause of sx. ...Read more