Doctor insights on:
How Long For Ppi To Work Gerd
1 hour : Or less if it's gonna work.Get a more detailed answer ›
It might not help: Nexium (esomeprazole) is not helping with the reflux, it helps to reduce the stomach acidity. If your baby on a liquid diet, it's physiologic for them to have a reflux . Try elevated head of the bed, thickened the food, efficient burping technique. But i would not recommend Nexium (esomeprazole) for a small baby. It mess up with the digestion and promote unhealthy bacterial overgrowth. ...Read more
< 6 weeks.: Assuming there's no persistent cause for the gastritis, such as a culprit medication like aspirin being concurrently used, we assume that gastritis can be healed, meaning by symptoms and endoscopic evidence, between four to six weeks at the most. You may notice relief of symptoms as early as within the first week of use, though. ...Read more
It is pretty quick: Prilosec is a potent ppi drug which stops production of stomach acid within a matter of 2-3 hours. So in that regard you should have relief of acid symptoms within one or two days but you have to continue taking it for several days to 6-8 weeks depending on your symptoms., to obtain maximum benefit. ...Read more
Here are some ...: Theoretically, it's sound and "yes" to bring a hope, but in reality, it would be more "no' than "yes" for it merely stimulates parasympathetic nerve, not to help restore the physical deficiency created by aging, illnesses, and lifestyles. So, ask the doc who suggests its use. Likewise, this drug have been used for bladder with high expectation, but resulting in mixed result at best. ...Read more
Please tell me how long it takes for omperprazole (prilosec) 40 mg to start working for acid reflux/lpr?
Few days/weeks: You might have improved symptoms wiithin days. ...Read more
Depends...: 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. Certainly if no response within 4-5 days (depending on dose & diet/behavioral factors above) best see GI doctor if persistent/worse. ...Read more
Depends: Depends on cause, but often it can be dramatically better within a month after starting high dose PPI. ...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 moreSee 1 more doctor answer
Yes: Try small meals, low fat, with minimum of liquids consumed with the meal. Add Amino Acid supplement glutamate. Sometimes adding a tablespoon of cider vinegar before the meal helps the digestion of fats. Be sure you have been tested for diabetes or bowel disorders if the problem is long-standing. Your doctor can help you track your success and failures, and advise further testing. ...Read more
Be patient: As noted, proton pump inhibitors (ppis) take some time to have full effect. Ppis are not medications you take with expectation of immediate result. In general, you should expect improvement of "heartburn" pain/discomfort as soon as 72 hours after starting regular use. If you have esophageal injury/inflamation such as esophagitis, this will take more time to heal. ...Read moreSee 1 more doctor answer
Protonix (pantoprazole) in the U.S.: Protonix (pantoprazole) is a proton pump inhibitor used to help patients block stomach acid production, to treat their stomach reflux and stomach ulcer disorders. As will most medications, there is no time limit. A medicine that is helpful, is doing a good job, has no equal alternative, and thus is needed, can be used until it is no longer needed. The doctor can explain the risks versus the benefits of protonix (pantoprazole). ...Read more
Depends : If these are few and far between, then an over-the-counter antacid like Tums or Pepcid (famotidine) ac will work within an hour. However, if you have daily episodes of acid reflux, you are better of taking a medication such a Prilosec daily (which may take 1-2 days to take effect however). ...Read more
Depends: if you are taking it OTC and have not had a definitive diagnosis, you should take it for no longer than two weeks. However, if GERD has been officially diagnosed, it often takes at least several months to get it under good control. At that point one might consider a trial of trying to stop the medicine, but often people need long-term maintenance therapy to keep it under control. Good luck. ...Read more
Not true!: PPIs DO NOT prolong the QT interval. They are safe. The recent safety concerns over PPIs are related to their interaction with platelet inhibitors following percutaneous intervention, not due to arrhythmias. Other safe drugs include the histamine 2 blockers like ranitidine/Zantac. Antacids (like Mylanta and TUMs (calcium carbonate) and Rolaids) are also safe. ...Read more
I am diagnosed with barrett's esophagus with no dysplasia. Is it a good idea to stay on the prescribed ppis after i no longer have GERD symptoms?
Tough to know: Barrett's is thought to be caused by reflux disease, but its not known if it is the acid or non-acid component of the reflux, or how that reflux actually causes the change. Short segment barrett's however has a very low chance to get worse. I would use your own risk/benefit assessment, and discuss with your primary care. Hope this helps! ...Read moreSee 1 more doctor answer
Are there any safer alternatives to proton pump inhibitors (PPI) for treating GERD / Acid reflux? I'm concerned about the long term side effects
I'm having GERD sympthoms after food poisoning for months now, PPIs dont work, endoscopy found bile in stomach, what should i do? Pylori stool negativ
No endorsement: The physicians here do not endorse products. Especially when the products are similar in their action and efficacy. ...Read more
I've heard long term PPI use is very bad. How can I control GERD without medicine? Are extreme diets the only option?
PPI use: Yes long-term use of these medications can lead to bad outcomes down the line. Have you had an evaluation with a gastroenterologist? Have you had an EGD? In certain conditions, the benefits of using these medications long-term can greatly outweigh the potential side effects. This is best determined on an individual basis. Also, there are certain dietary restrictions that can be extremely helpful to alleviate the symptoms although it can be difficult for most people to follow these restrictions ...Read moreSee 1 more doctor answer
Can GERD that was not treated for 1.5 months with ppi's actually cause barrett's? Or would it take longer to develop and can on ppi's?
Don't wait for sxs: Barrett's epithelium occurs as a terminal event in those with chronic gerd, but gerd may be "silent" for years. Don't wait to feel sick since barrett's leads to esophagus cancer. Poorly treated barrett's can progress by replacing more ; more of the esophagus lining, ; can become dysplastic. Barrett's warrants surveillance endoscopy, aggressive acid suppression, ; maybe ablation ;/or surgery. ...Read more
I have a severe globus sensation that gets worse after/during eating. I have LPR,GERD,Gastritis.After starting PPi’s, how long until I feel relief?
I have hiatus hernia & was diagnosed with gerd. I am using ppi for 2 years to control hyperacidity. Since prolonged ppi is not good. Suggest alternat?
Surgery: Surgery for reflux disease is a safe and durable solution for many people. There are many alternatives that depend on your age, medical status, and anatomy (size and type of hiatal hernia). See a general surgeon with interest and experience in gerd for further workup. ...Read moreSee 1 more doctor answer
Just started Adderall XR. Taking Dexilant for GERD. Both work well for me. Understand PPI’s react? What can be taken for GERD instead? Space meds?
The combination of: these two agents may affect the onset of action of the Adderall. Take the Adderall in the morning and the Dexilant at lunch. If you notice side effects or decreased benefit from this regimen talk to your health care provider for suggestions regarding alternatives since he/she has all of your health history available. ...Read more
My husband has been taking ppi's daily for the last 10+years for severe gerd.I am concerned about long term use. Can it increase risk of heart attack?
Not clear: A recent study suggested a possible relationship (http://www.ncbi.nlm.nih.gov/pubmed/26061035) but this risk was estimated about 1.16 times. More data is needed to establish a true cause-effect relationship. However, I advise my patients who have a strong family history or personal history of heart disease or risk factors for heart disease to look at alternatives including diet/lifestyle changes. ...Read more
Which is the less bad option for a 12-year-old with GERD? Long term PPI or fundoplication? Vomiting returns when goes off PPI.
Hard to say: Gerd is a variable process and treatment includes dietary, behavioral, medication and surgical approaches. I don't know anyone who would operate on a kid that age that could be managed well by PPI's. That decision is better made by those who have more data on the past treatment and present status. ...Read more
GERD entire life tried anti-acids, H2,PPI, lifestyle changes and wedge pillows and nothing works. Dr says she can't help me. what now? no surgery
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?
Due to GERD I am on long term maint. Of protonix (pantoprazole) 40mg/day. Does long term use of protonix (pantoprazole) or other ppi's increase risk of gastrointestinal cancers?
Had acid reflux about 2 wks ago. Gastro said it was gerd. On and off for 2 wks. Doctor prescribed 40 mg each ppi before breakfast and before dinner for 2 wks, but symtoms still come and go after taking it for a couple of days. Does ppi work immediately? I
PPI delayed; H2 fast: PPIs do not usually work immediately and can take several days to a week in the worst case. H2 blockers like Pepcid and Zantac (ranitidine) work much more quickly, within hours. Both of these decrease production of new acid. For immediate relief you need chemical neutralization of existing acid with e.g. Pepto-Bismol or Mylanta/Maalox. ...Read more
BAD Gerd x4 months I have lupus but very mild scl-70&anticentromere neg no skin issues no raynauds, could I have Scleroderma, scared PPI wont work! ?
Try the PPI. : Give it 1-2 weeks.Tell ur doc.Get a more detailed answer ›