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Doctor insights on: Pepcid Ulcer Disease

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Medicine on acid peptic disease?

Rescue vs controller: Acid reflux medications, aka heart burn meds, fall into two main groups: rescue meds that quickly neutralize acid, and controllers that block/reduce acid production in the stomach. Antacids like tums, rolaids and maalox are rescue meds. Zantac, Protonix (pantoprazole) and Prilosec are controllers, among others. Talk to your dr about gerd at your next visit. ...Read more

Ulceration (Definition)

Exact synonym so far as this pathologist is concerned. An ulcer is a lesion on a body surface (outer or inner) in which the epithelium and at least some of the underlying connective tissue has been lost specifically to necrosis (cell death) rather than just mechanical or chemical injury. All ulcer craters ...Read more


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Can patients with peptic ulcer disease pud have pernicious anemia?

Can patients with peptic ulcer disease pud have pernicious anemia?

Hopefully not: If you are managed with chronic acid reducing medications, you run the risk of low B12 levels in your blood. Get tested and supplement if recommended. You should not experience B12 anemia if under medical care. ...Read more

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Can losec (omeprazole) eliminate celiac disease?

No: Losec (omeprazole) aka Omeprazole or Prilosec (omeprazole) is a proton pump inhibitor that decreases production of stomach acid. It has no effect of celiac disease. If losec (omeprazole) is helping you then you either don't have celiac disease or you have both celiac disease and a hyperacid state causing peptic ulcer, duodenal ulcer, or esophagitis. ...Read more

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Can peptic ulcer disease lead to cancer?

Rarely: Peptic ulcers and stomach cancer are both caused, in part, by helicobacter infection. A stomach cancer may present as an ulcer. A bona fide peptic almost never turns into cancer. ...Read more

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Crohns disease, gastroesophageal reflux disease, barrett's esophagus, esophagitis. 2010 had a fundoplication. Why isn't it working anymore?

Crohns disease, gastroesophageal reflux disease, barrett's esophagus, esophagitis.  2010 had a fundoplication.  Why isn't it working anymore?

Many possibilities: See your surgeon and your gastroenterologist. The surgery may have failed, or your symptoms are not related to reflux. If you had barrett's esophagus, all the more reason to be seen by your physicians. ...Read more

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What is reflux or Peptic disease?

What is reflux or Peptic disease?

Reflux: Reflux is when stomach contents- either acid or base, go into the esophagus. Continued irritation of the esophagus can lead to changes in the lining of the esophagus. People with reflux do well with small meals and not eating within three hours of bedtime. ...Read more

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Is gluten bad for ulcer healing? (Stomach ulcer)

That depends: Upon whether or not you have a gluten sensitivity/allergy, celiac sprue or not. If you are someone who suffers with celiac sprue (gluten allergy) then yes, you need to avoid products containing gluten. If you have an ulcer due to Helicobacter pylori infection then you will need to heal up with treatment and time. Assuming you have had an endoscopy. Be sure to discuss with your gastroenterologist. ...Read more

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Is peptic ulcer disease also related to having pernicious anemia?

Is peptic ulcer disease also related to having pernicious anemia?

Ulcer/infection: Vitamin B12 requires intrinsic factor secreted by the stomach in order to be absorbed. If enough of the stomach cells have been damaged by ulcers, a lack of intrinsic factor secretion could lead to a decreased absorption of B12 and pernicious anemia. Infection with helicobacter pylori can lead to chronic gastritis which can also lead to both ulcers and anemia. ...Read more

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How does a gastroenterologist treat GERD (gastroesophageal reflux disease)?

How does a gastroenterologist treat GERD (gastroesophageal reflux disease)?

Same: eat small meals, loose wt., no smoking, no caffein. soda and avoid fatty meals. ...Read more

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Is acid reflux disease curable?

Is acid reflux disease curable?

Sometimes: Acid reflux can be treated medically such as with Omeprazole or with surgery. It is possible to 'cure' the acid reflux if the surgery is successful. ...Read more

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Gastro esophageal reflux disease diet recommedations?

Gastro esophageal reflux disease diet recommedations?

Many Possibilities: If this is chronic and not a new problem may need to consider your diet such as things like coffee, smoking, spicy foods, and alcohol intake. Also there can be a chronic infection of the stomach that can cause this called h. Pylori which can be tested for by blood and stool tests. This is treatable with antibiotics. Also try otc meds like Zantac (ranitidine) and Prilosec with maalox. Try changing diet as well. ...Read more

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How can people with ulcer desease, gastritis, or GERD take Plavix (clopidogrel)?

How can people with ulcer desease, gastritis, or GERD take Plavix (clopidogrel)?

Yes, but: They can but there is an increased risk of bleeding from the stomach. Moreover, meds like omeprazole, often used to treat those conditions, adversely interacts with plavix (clopidogrel) so is best avoided if possible. ...Read more

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8 weeks of Nexium&Protonix40mg for severe esophagitis & eritemous pangastritis.Now erosive antral gastritis, no esophagitis. Causes & treatment?

8 weeks of Nexium&Protonix40mg for severe esophagitis & eritemous pangastritis.Now erosive antral gastritis, no esophagitis. Causes & treatment?

Possible Causes: Sounds like you have had a series of endoscopic studies and likely biopsy studies to rule out infection with H. Pylori, Barrett Disease, and Eosinophilic Gastritis. Consider serum Gastrin level, parietal cell antibodies and B12 level. No antiarthritic meds incl. aspirin. No Tums because of acid rebound(looks likes acid is being suppressed) Take Nexium (esomeprazole) in early morn Consider Nexium (esomeprazole)+Carafate+Pepcid ...Read more

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Can Nexium (esomeprazole) heal gastritis anthrum?

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 more

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Can Crohn's disease cause stomach ulcers?

Can Crohn's disease cause stomach ulcers?

Yes: Crohns disease can affect any portion of the GI tract from the mouth to the rectum. ...Read more

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Dr. Scott Bolhack
2,092 doctors shared insights

Ulcer (Definition)

An ulcer is a discontinuity or a break in a body membrane that impedes the normal functioning of the organ of which that membrane is a part. Ulcers are further classified by their location. Ulcers are usually caused by infections, excessive acid production, stress, ...Read more


Famotidine (Definition)

This is a drug that belongs to the h2 blocker group. By blocking the h2 receptor in the stomach it leads to a reduction in the production of acid. This beneficial effect is what makes it useful in the treatment of gastritis, ulcers ...Read more