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Doctor insights on: Nexium Cap 40mg

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Can 40mg nexium (esomeprazole) 2xday cause anemia?

Can 40mg nexium (esomeprazole) 2xday cause anemia?

Not typically: not typically. Recommend follow up with primary care doctor or gastroenterologist ...Read more

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Can i take Nexium (esomeprazole) 40mg and tums?

Can i take Nexium (esomeprazole) 40mg and tums?

Yes: These are effective adjuncts for stomach acidity and for gerd. They do not interfere with each other and can be taken together. ...Read more

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Can Barrett's esophagus stay the same over years time ? I take nexium (esomeprazole) 2x daily 40mg. 30 yo

Can Barrett's esophagus stay the same over years time ? I take nexium (esomeprazole) 2x daily 40mg. 30 yo

Yes.: Yes. Trouble is that it may become malignant. The rate is 0.25% per year. You need to be followed with yearly endoscopic examination and biopsy of suspected spots. Nexium is a good drug for Barrett's esophagus. ...Read more

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Can I take 600mg of ibuprofen 3x/day for 1 wk. if I have GERD & eosinophilic esophagitis? I take 40mg prilosec & 100mg Zoloft (sertraline) daily.

Can I take 600mg of ibuprofen 3x/day for 1 wk. if I have GERD & eosinophilic esophagitis?  I take 40mg prilosec & 100mg Zoloft (sertraline) daily.

With caution: Make sure u take omeprazol on an ampty stomach ( wait at least 60min after eating ) , for its complete absortion. 40mg is a good protection for GERD and esophagitis, but still better reduce the ibuprofen to only 400mg q8 hours. To prevent any worsening of your stomach symptoms. ...Read more

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Have haiatal hernia, reflux. On Nexium (esomeprazole) 40mg 1x a day. Taking appx.3-4 mos. Get chest pains and reflux. 1/2 hr of eating. Esophageal cancer? Tums to

Have haiatal hernia, reflux. On Nexium (esomeprazole) 40mg 1x a day. Taking appx.3-4 mos. Get chest pains and reflux. 1/2 hr of eating. Esophageal cancer? Tums to

Endoscopy: I doubt you have esophageal cancer. Your symptoms are probably from hiatal hernia. Talk to your dr about switching to another proton pump inhibitor Prilosec or prevaci for example. If you have additional worrisome symptoms consider endoscopy.Also you may benefit from checking with your cardiologist re chest pain, just to cover all contingencies . Good luck. ...Read more

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3 days ago I took 40mg omeprazole stomach hurts, on Pepcid (famotidine) 10mg and took 5 tums. Today the runs 8x stomach stills hurts burping omeprazole up. why?

3 days ago I took 40mg omeprazole stomach hurts, on Pepcid (famotidine) 10mg and took 5 tums. Today the runs 8x stomach stills hurts burping omeprazole up. why?

Severe reflux: You seem to be using multiple medications for a problem that may need more expert attention, and I have no idea how long or how severe your problem is. The first way to approach severe GE reflux is to see a GI specialist . You probably need a diagnostic study or two to find out why your body rejects anti-reflux meds and then go from there. Any treatment will involve a change of dietary habits ...Read more

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30 days on 40 mg pantoprazole, still mild heartburn, endoscopy diagnosed 3 'mild' stomach ulcers. Doc said try 40 mg panta a.M. 150mg ranitidine ?

30 days on 40 mg pantoprazole, still mild heartburn, endoscopy diagnosed 3 'mild' stomach ulcers. Doc said try 40 mg panta a.M. 150mg ranitidine ?

May need more: Infrequently, standard treatment is inadequate. I would first avoid all alcohol, coffee, tea, caffeinated beverages, and tomato sauces, as well as spicy foods. After doing that, if the heartburn is still felt, you could try the pantaprazole twice a day for at least 30 days. ...Read more

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DR said inflammation on EGD was "over read" by pathologist as Barrett's- on 40mg nexium (esomeprazole) 2x day, chance of esophageal cancer? 31 yo, pics attached

DR said inflammation on EGD was "over read" by pathologist as Barrett's- on 40mg nexium (esomeprazole) 2x day, chance of esophageal cancer? 31 yo, pics attached

Strange: Why did the doctor order an EGD? Did he bother to take a history and do a physical exam first? Why did you go to the doctor? Do you have difficulty swallowing or dyspepsia? Why are you taking Nexium (esomeprazole)? I have NEVER heard of 31 y.o. with Barrett's or esophageal cancer. Doctor's don't get paid to think. They get paid to DO THINGS to patients, such as EGD's. You should ask the doctor some questions. ...Read more

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Nexium (esomeprazole) 40mg a day still having acid reflux, any suggestions?

Nexium (esomeprazole) 40mg a day still having acid reflux, any suggestions?

ConsultGastroenterol: Sometime we do prescribe PPIs in combinationwith H2 Blockers But before we do that I suggest you consult a gastroenterologist Meanwhile also modify your life style Quit Smoking,if obese loose weight,Cut down on alcohol,Dont eat too close to your bed time,avoid large fatty meals.avoid garlic&onions,tomatoes and citrus fruits etc ...Read more

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Im taking 1 omeprazole 40 mg 1x day, 1 famotidine 20 mg every 8 hours and 1 sucralfate 1gm 3 x day. Can that cause kidney pain?

Im taking 1 omeprazole 40 mg 1x day, 1 famotidine 20 mg every 8 hours and 1 sucralfate 1gm 3 x day. Can that cause kidney pain?

Unlikely: Sounds like you taking medications that target you stomach - they should not cause any damage to kidneys. Having said that, the visceral (from internal organs) pain and discomfort is often hard to localize due to referred sensation and the way our nervous system works. The best would be to get in touch with your doctor so you it can be examined and discussed in details. ...Read more

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How quick does Barrett's progress to cancer? I have Barrett's no dysplasia on EGD 10 months ago- been taking nexium (esomeprazole) 40mg BID. Panicked about this

How quick does Barrett's progress to cancer? I have Barrett's no dysplasia on EGD 10 months ago- been taking nexium (esomeprazole) 40mg BID. Panicked about this

Reason for concern: Barrett's epithelium occurs as a terminal event in those with chronic GERD. with higher risk of cancer of the esophagus, especially when Barrett's is dysplastic & replaces more & more of the esophagus lining. Barrett's warrants surveillance endoscopy, aggressive acid suppression, & maybe ablation &/or surgery. Your GI doc can help educate U, but keep in mind that not all Barrett's turns cancerous. ...Read more

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How fast does Barrett's esophagus turn to cancer? Had EGD done 9 months ago- no displasia, taking 40mg nexium (esomeprazole) BID ... Should I worry it's to late?

How fast does Barrett's esophagus turn to cancer? Had EGD done 9 months ago- no displasia, taking 40mg nexium (esomeprazole) BID ... Should I worry it's to late?

Barrett's esophagus: The changes in the esophagus associated with Barrett's progress slowly, beginning with unchanged mucosa and gradually progressing. Most people who have Barrett's never develop cancer, especially if they keep their acid reflux under control. Routine endoscopic surveillance can determine if you're likely to go toward cancer. Your doctor can determine the tappropriate intervals. Good luck. ...Read more

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31 yr old- was told possible Barrett's on EGD specimen- GI said he feels pathologist "over read" inflammation- on nexium (esomeprazole) for Gerd since EGD- ?

31 yr old- was told possible Barrett's on EGD specimen- GI said he feels pathologist "over read" inflammation- on nexium (esomeprazole) for Gerd since EGD- ?

See answer: if you were not on a PPI (i.e., nexium) at the time of the EGD which picked up Barrett's, then inflammation (esophagitis) can distort the tissue. It is advisable to repeat biopsies on PPI therapy to better distinguish the two. ...Read more

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Diagnosis of barretts esophagus recently but prevacid (lansoprazole) + tagamet not helping after 3 months. What next?

Diagnosis of barretts esophagus recently but prevacid (lansoprazole) + tagamet not helping after 3 months. What next?

prevacid (lansoprazole) and tagamet: I presume you mean this regimen isn't helping your heartburn or reflux. Follow up with local GI for further guidance. ...Read more

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Should I get 100% relief from acid reflux on Prilosec 40 mg dose?

Should I get 100% relief from acid reflux on Prilosec 40 mg dose?

Nope: Nothing is 100% in medicine. However, you can relieve your symptoms if taking the medicine properly. It's designed to be taken 30 min prior to the largest meal of the day. I usually tell my patients before the evening meal. Should be taken for only 3 months. If you still have problems after that time period, you may need a scope of your upper esophagus/stomach/duodenum. Aka egd. ...Read more

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Is etodolac 300mg cap good for osteoarthritis pain?

Is etodolac  300mg cap good for osteoarthritis pain?

An option: This is one medication that is used, but as with all medications there are benefits and risks. See: http://goo.Gl/dolko. ...Read more