Doctor insights on:
Heartburn Prevention Medication
Prevent/Control GERD: Avoid foods & behavior that delay stomach emptying &/or relax the lower esophageal sphincter--spicy, greasy food, mints, alcohol, tobacco, chocolate, tomato-based products, caffeinated & fizzy drinks, eating before bedtime. Lose weight. Elevate head of bed on blocks. Use otc acid blockers for relief (h2's: tagamet, zantac, (ranitidine) pepcid; ppi's: prilosec, prevacid, zegerid). See a GI doctor if persistent. ...Read moreSee 1 more doctor answer
Barretts Esophagitis: By controlling the GERD by using proton pump inhibitor (PPI's) or if very severe by surgery we hope to prevent the acid from hitting the esophagus. This should prevent the occurrence of Barrett's in most cases. If you have Barrett's you need to have it followed by serial EGD's. ...Read moreSee 2 more doctor answers
Prevent/control GERD: Avoid foods & behavior that delay stomach emptying &/or relax the lower esophageal sphincter--spicy, greasy food, mints, alcohol, tobacco, chocolate, tomato-based products, caffeinated & fizzy drinks, eating before bedtime. Lose weight. Elevate head of bed on blocks. Use otc acid blockers for relief (h2's: tagamet, zantac, (ranitidine) pepcid; ppi's: prilosec, prevacid, zegerid). See a GI doctor if persistent. ...Read more
Dose of ranitidine: Either 150 mgm tab twice a day, or 300 mgm tab once a day. ...Read more
I have GERD and have being having heartburn symptoms. im 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 moreSee 1 more doctor answer
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 ?
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 moreSee 1 more doctor answer
What is the most current technology to cure GERD? (Excluding medication like ppi, h2 blocker). Thanks.
Im 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?
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
GERD/MEDICATIONS: 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 moreSee 1 more doctor answer
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
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