Doctor insights on:
Heartburn Tablet Medication
My GERD has been playing up lately, and I'm thinking of trying aloe vera tablets. Would this be safe with the medication I'm on?
Think again...: Aloe is used in folk medicine for worm infestation, stomach disorders, colic, constipation, diabetes, arteriosclerosis, menstrual complaints, skin disorders. However, aloe is contraindicated in cases of intestinal obstruction, inflammatory bowel disease, appendicitis, & unexplained abdominal pain. If you have gerd use appropriate rx & diet, but if you question your "diagnosis" see your doctor. ...Read more
I have been diagnosed GERD & I get heartburns almost once a week. I usually take a Pantoprezole tablet then - is it safe to take it so often?
Talk to doc but:
First you need to take the Pantoprazole 30-60 mins before your first meal of the day. There is also concern that chronic use of this type of drug increases the risk in getting pneumonia and possibly traveler's diarrhea.
If taken only when heartburn starts, then a Histamine 2 reverse agonist (Pepcid, Zantac) may be more appropriate. ...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
Took calcium citrate (2 tablets for 500mcg twice daily). horrible heartburn. Take ppi's and have GERD and hernia. Possible? What to take instead?
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
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
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
Orig diagnosis was gerd, but the tablets or liquids don't work, pain just seems to be getting worse n worse, constantly feels like all food n liquid is stuck?
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?
Its been 3 months I'm taking Rabeprazole tablet 2 times a day for GERD. Felt a little better but has come back after missing to take the tablet for 15?
Back on meds GI eval:
By using the medication a proton pump inhibitor you decrease the aciditiy in your stomach. This type of medication takes a week to do this. A quick acting product such as OTC liquid antacids decrease acid immediately. Go back on the meds and see a GI doctor to get a scope. There are other meds for long term use.
Thanks for query
Dr Lange ...Read more
I suffer from GERD. Can I take 150mgm Zantac (ranitidine) tablets once daily with no long term restrictions?
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