Doctor insights on:
Gastritis: Yes Nexium (esomeprazole) is a proton pump inhibitor designed to reduce acid production in stomach and facilitate healing of gastritis and ulcers. May want to be checked for h. Pylori, a bacteria associated with gastritis, ulcers and other stomach related issues. ...Read moreSee 1 more doctor answer
The answer...: ....To what will help with a distended abdomen depends entirely on the cause of the distention. Probiotics are helpful with a lot of digestive issues, if you take them regularly. The two meds you mention reduce stomach acid and are unlikely to help with distention. If this is happening often, look to your diet for a solution. This problem is often diet related. ...Read more
Barrett's esophagus: Treating people with reflux may help prevent Barrett’s esophagus and esophageal cancer. Often, reflux is treated using drugs called proton pump inhibitors (PPIs), such as esomeprazole (Nexium®). Avoiding tobacco and alcohol, balanced diet and healthy body weight do help also. ...Read more
Why?: What are you trying to treat? If your symptoms are not controlled with one drug, it is time to see your doctor. ...Read more
Hoarseness 6 mo, ENT scope neg, Prilosec bid, Zantac (ranitidine) od, video stroboscopy neg...What next?
Voice rehab?!?: Before jumping to expensive tests, please make sure that you see an ENT who is trained to recognize and treat voice disorders- a fellowship trained laryngologist is a good start. Diagnoses such as atypical reflux should be considered in a more nuanced manner. After that, the minimum intervention should be a referral to a speech pathologist for voice rehabilitation followed by a rehabilitation. ...Read moreSee 3 more doctor answers
Yes sometimes needed: it can be done at the same time (different scopes!). by performing both, you get anesthesia only once but get two procedures done, minimizing risks of future anesthesias. This is only done if both are medically needed (regardless of physician reimbursement), no need to do them always together. ...Read moreSee 2 more doctor answers
My upper endoscopy showed everything normal except mild gastritis...no H. Pylori. I have acid reflux and take Omeprazole. Why gastritis?
False -ve H.P common:
Worldwide the most common cause of gastritis is H. pylori infection.
.Recent studies using histology alone in select patients have suggested that H. pylori-negative gastritis may be common.These data suggest that H. pylori is a possible pathogen for duodenal ulcer by duodenal colonization probably via gastric metaplasia.The use of PPIs masks H. pylori infection, increase intestinal metaplasia. ...Read more
Erosive esophagitis : How long it takes for erosions in the esophagus to heal depends on how large they were to begin with. It can take that long, but they often heal more quickly. People often need to stay on Nexium (esomeprazole) even after erosions are healed, to prevent the GERD that caused the erosions in the first place. Many people need long-term maintenance medications. Good luck. ...Read more
Does Zantac (ranitidine) works for acid reflux? Would you recommend Zantac (ranitidine) for acid reflux?
Zantac (ranitidine) works 4 GERD: Zantac (ranitidine) was the leading drug in the world when introduced in the early 1980's to treat indigestion. Conventional prescription doses were 300mg twice daily. The drug is effective in suppressing acid, but when used longterm can promote tolerance (so that larger doses are needed over time to block acid). Current over-the-counter dosing is 75mgs. Take along with behavior & diet aimed at reducing gerd. ...Read moreSee 1 more doctor answer
Many: But none terribly common or serious. Read the supplies information for each drug. ...Read more
Bile reflux-acid reflux, being treated for acid reflux 40mg Pepcid (famotidine) and 40mg pantaprozole each 2/aday. But symtoms of bile reflux..Wrong meds?
Bile or acid reflux?: If you have acid reflux disease and are having symptoms despite high dose acid-reducers and acid-blockers, then either your reflux is more severe and other treatment options should be considered, or the reflux is not acid-related but possibly gall bladder/liver related. ...Read more
Epigastric pain, neg H pylori but pos FOBT. Colonoscopy normal but endoscopy showed gastritis. Cause of gastritis?
Causes of gastritis: The suffix "itis" means "inflammation". The prefix "gastro" means "stomach." the term "gastritis" thus means an "inflamed stomach." The term is often used imprecisely to mean stomach upset, which can derive from both acid & non-acid causes, slow emptying of the stomach, H.pylori infection, atrophic & hypersecretory problems. Start with acid blockers, diet modification, avoid alcohol/tobacco. ...Read more
PPI Choices: Nexium, dexilant, (dexlansoprazole) protonix, prilosec, Omeprazole are all in the family called proton pump inhibitors or ppis. In theory, all of these drugs should work equally well and most hospitals stock only one and interchange them. However, occasionally, there is the rare patient that responds to one better than others in the same ppi class. However, i consider the drugs therapeutically equivalent. ...Read more