Doctor insights on:
Heartburn Relief Medication
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?
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?
Diagx GERD/ulcers 10 mos ago. Heartburn for 6 days after eating sweet/sour chicken. No relief with Prilosec or zantac. Cant take nexium (esomeprazole). What can I do.
Carafate (sucralfate): Hi Maria, since your symptoms have been unresponsive to your usual regimen, your doctor should be notified. Carafate (sucralfate) is a medication that may be considered for you, as it will coat any new or unresolved ulcers and help them heal faster. ...Read more
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
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
Medication: There are some easy solutions to help with gerd. If your friend is not on medication, they can try any over the counter meds to decrease acid. Also, the 3 common causes of gerd are caffiene, alcohol and nicotine. Try to eat early, and avoid coffee, alcohol and cigarettes. You could also elevate the head of the bed 4 inches. If nothing helps your friend, they should see a gastroenterologist. ...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
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
I take dexliant 60mg at night for gerd. I have flair ups and was wondering if it was ok to take maalox for faster relief when the flair ups happen.
Be observant: Maalox contains aluminum which can complex with phosphate. Plain calcium carbonate like Tums or sodium bicarbonate (baking soda) can both neutralize stomach acid. It is useful to determine what triggers flares and avoid the triggers. Sometimes doing moves to treat hiatal hernia prevents the need for anti-acids. Eating small frequent meals helps as well. ...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
For my GERD symptoms I found relief in FOMOTADINE, not in Prilosec. Despite the saying that prilosec is stronger. Why is that? Thanks.
Gerd: Famotidine is a histamine blocker and it works faster than Prilosec which is a proton pump inhibitor which takes longer to work but its effect also lasts longer. Study earlier this year shows that that is some mortality advantage with famotidine compared to proton pump inhibitor. So keep taking what works for you in this case. ...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?
Gerd for 7 mo; been on reddys 20-40mg omep; now on kremers brand. Does brand make a difference? Burning has gotten worse. What can I take for relief?
GERD: I hope you are doing the lifestyle changes too. Avoid food that give u heartburn like coffee, chocolate, alcohol, acid fruits & juices, spicy and fatty foods, sodas, large meals before bed; loose weight, exercise, avoid tight cloths, try eating smler meals 6 times a day. If symptoms continue even on protons inhibitors, you should consult a gastroenterologist to r/o h.Pylori by endoscopy. ...Read more
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