Doctor insights on:
Throat probs for weeks, severe heartburn & nausea for days, cardiac r/o. Insufficient relief w/protonix,bmx, zofran, Zantac, (ranitidine) pepto, & avoidances.
Ruq pain, history open chole 2012, gerd, ibs, hbv, htn, protonix (pantoprazole) 40 mg bid, hyperlipidemia, sob.
Bad acid reflux 18months, self medicating with 75mg of ?Ranitidine? Every 12hrs. Celiac test negative. Family history of IBS and crohnes.
I have acid reflux & mild gastritis--looking for best OTC med--am on Dexilant (dexlansoprazole) & Carafate (temp)...will be traveling & need convenience (no Carafate).
Not at all: No they are all, as you said PPI's and appear to provide similar relief. Some are more expensive than others and drug companies would like you to believe their PPI works better than the generic. It is my belief that in general, you should stick with generic medications. Do not fall for the marketing hype. ...Read more
Stubborn weight problem meds are omeprazoe certirizine senna simvastatin have IBS and GERD had endometriosis hysterectomy no HRT due to cancer family ?
Metabolic problem: Many people that are overweight have a problem with their metabolism. If you are on all of these drugs, than there is a good chance that you have a metabolic problem underlying your weight gain. A few common imbalances include hypothyroid, low testosterone, low progesterone, high cortisol, high insulin, high estrogen, high leptin, low msh. You should see your doctor to check these out. ...Read more
Taking 40mg prescription Prilosec daily and have breakthrough GERD which required zantac (ranitidine). Do i need a new ppi?
Maybe...: If you are following strict dietary and lifestyle modifications routinely recommended to patients with gerd and are compliant with taking your Nexium (esomeprazole) it may be time to either try a different ppi or double the dose of nexium (esomeprazole). 30 - 40% of patients with gerd will require a double dose of ppi for control of symptoms. Make sure you are followed by a GI specialist. Good luck! ...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
Have gastritis since last may. Been on prevacid (lansoprazole) 30mg x6 month. Negative h-pylori. No: alcohol, smoke, caffeine, carbonation, citrus, spicy, nsaids. ?
Diagnosed with reflux 2 mo ago, no tests or exam. Tried Prilosec & Zantac (ranitidine) & major diet changes, & heartburn started while on them.Why do I feel worse?
Need to be seen: Maybe you do or maybe you don't have reflux. Can't tell what you have here. Need follow up with doc. You need an exam, and likely some testing, blood tests, maybe radiology/sono, and/or endoscopy to check on other possibilities, including gallbladder issues. ...Read moreSee 1 more doctor answer
Good choices: Depending on the cause of the ulcer those drugs are often good choices. ...Read more
Endoscopy shows chronic gastritis due to acid. Have tried prescription Prilosec, Dexilant, (dexlansoprazole) and Protonix at max dosage. What would next step be?
Gastritis: Hi, it depends if you have infection with h pylori or not, if u do then Antibiotics treatment is the next step, if not then PPI and life style modification are the answer to ur problem, also u can try Mastic gum 500mg twice a day for 14 days, u can buy it from whole food store. ...Read moreSee 1 more doctor answer
Diagnosed through upper gi gastritis moved from omeprazole to oesmaprole nexium (esomeprazole) 20mg past 6wks any advice after this?
Sure, but consider: PPI's differ as to duration of action, side effects, tolerance, cost/insurance coverage. All PPI's are equally efficacious, so what options exist after you complete your course of esomeprazole depends on your therapeutic response (e.g. symptom resolution, persistence, recurrence?) as well as the cause of your gastritis (e.g. if H.pylori was found, has it been treated to eradication?) ...Read more
What best meds for severe grade4 reflux disease.Dr has tried pantorazole, nexium, (esomeprazole) ranitindine. Will be having nissen eventually. ?
Needs further eval.: What is nissen? If you have not responded to all those meds, something more complex is going on than just reflux. There are new strength drugs, such as dexilant, (dexlansoprazole) but most important is finding what else going on. Barretts's esophagus? Zollinger-ellison syndrome, super high acidity state, huge hiatal hernia. Maybe it's not even the GI tract is the problem. Maybe heart, gall bladder, pancreas... ...Read moreSee 1 more doctor answer
Is taking proton pump inhibitors safe if taking for 2 weeks for acid reflux issues ? Any dependency issues ?
For GI issues. Taking Ranitidine , Carafate , Compazine, (prochlorperazine) and GasX... any contradictions interactions to watch out for ? Medications by primary dr. and Gastroenterology dr.
Ok: These medications all have different mechanisms of action and I don't think there are contraindications or interactions to worry about. In situations or questions like this, your pharmacist, who has access to information about almost all medications, can be very helpful. ...Read moreSee 1 more doctor answer
Diagnosis of barretts esophagus recently but prevacid (lansoprazole) + tagamet not helping after 3 months. What next?
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 moreSee 1 more doctor answer
After gastroscope I have suffered endless acid reflux. Didn't have prior. Endoscope found h.pylori. Treated with Prevacid, (lansoprazole) Cravit and Amoxycillin?
Gerd and hpylori: very interesting case. H pylori can lower acid production by inflaming gastric acid producing cells so they don't make as much acid. When h pylori is treated, the cells recover and you make more acid (back to normal). It is not the egd that made your reflux worse, it is the h pylori treatment.you will have to discuss with your doctor about needing reflux medication. ...Read more