Doctor insights on:
Management Of Gerd
Several treatments. : Several treatments are available for gerd. The first is lifestyle modifications. These include raising the head of your bed, avoid eating late, losing weight, and avoiding reflu inducing foods. The second is meds, including h2 blockers (zantac, pepcid) and ppis (nexium, prilosec, dexilant). The third is surgery. These include nissen fundoplication, tif (transoral fundoplication) and linx. ...Read moreSee 1 more doctor answer
What are the best treatment options for silent reflux (Laryngopharyngeal Reflux) other than acid reducing drugs or surgery?
Please help very anxious, will taking PPIs for hiatal hernia and gerd reduce the risk of developing Barrett's oesophagus?
Follow advice...: Many factors may contribute to the occurrence of Barrett's esophagus like GERD, smoking, regurgitation, etc., and PPIs may help ease GERD-related symptoms. So, it is logical to state PPIs may potentially decrease the risk of developing Barrettt's esophagus. But, how much may it help still remains unclear. Remember: Doc never cures anything, but help modify something to some degree with/without... ...Read more
TYPES OF FOOD YOU AR: Maybe due to excessive amounts acidic or spicey foods. ...Read more
Problems : The most severe symptoms of GERD would be pneumonia from reflux going in to the lungs, or massive bleeding from severe esophageal ulceration. Over the longer term, a stricture of the esophagus or the development of esophageal cancer are also quite bad. Fortunately, these are all uncommon. Unfortunately, they are not predictable for an individual. Hope this helps! ...Read more
Harvard medical school pamphlet lists hbp medication such as CCB as one of the causes for GERD and acid reflux. Any experience with your patients.?
Yes: Especially in high doses.Get a more detailed answer ›
Food: Most reflux issues are due to diet. Don't eat foods that you expect to cause heartburn. This may seem like common sense advice but needs to be said. If you continue to have symptoms however, you should be evaluated for a short course of medication and possible even a stomach scope (egd) to rule out ulcers and damage to the stomach and esophagus. ...Read moreSee 1 more doctor answer
Omeprazole, but...: The hallmark symptoms are heartburn and acid regurgitation, and there can be metallic or sour taste in the mouth, bad breath, and even cough, laryngitis and asthma symptoms. Omeprazole (aka Prilosec) OTC taken once a day for 14 days should treat routine symptoms. Any recurrence or persistence of symptoms needs to be evaluated by your doctor. ...Read more
Antibiotics: You need a doctor to evaluate the situation clinically. Depending on your age and your response to the infection you may not need to be hospitalized, but leave your mind open. It is easier to treat bronchopneumonia correctly as early as possible than it is to get you better after you have taken a turn for the worse. ...Read more
Depression treatment: Alternative treatments for depression include exercise, eating a healthy diet, therapy, herbal supplements ( 5 htp, same and st john's wort). I can't really say there is one particular treatment that is the best. Often for severe depression a combination treatment of medication and therapy is beneficial. If you are having suicidal thoughts it is recommended that you seek medical help immediately. ...Read moreSee 2 more doctor answers
What are the possible pharmacological basis of a patient's complain of non response to Sildenafil recommended for management of sexual dysfunction.
Other illness: When a medication for erectile dysfunction doesn't work, assuming the person took the medication as directed, it may be because there are other medical illnesses. Diabetes, high blood pressure, alcohol dependence, or other medications interfering with the sildenafil. Discuss all of this with your treating physician to determine the cause, and you should be able to get this cleared up. ...Read more