Doctor insights on:
What Is The Best Ppi To Take For Gerd
Not true!: PPIs DO NOT prolong the QT interval. They are safe. The recent safety concerns over PPIs are related to their interaction with platelet inhibitors following percutaneous intervention, not due to arrhythmias. Other safe drugs include the histamine 2 blockers like ranitidine/Zantac. Antacids (like Mylanta and TUMs (calcium carbonate) and Rolaids) are also safe. ...Read more
Are there any other medications normally prescribed with PPIs for GERD? Can you just take the PPI only?
I take ppis for GERD since 13 yrs. Will this affect mg absorption? Should I use mg supplements? If yes, what type and dose would be right? Tyvm
Get tested: Ppis can also affect your vitamin B12 so rather than just supplement, get your blood levels to know if you are deficient. Among the best food sources of magnesium are nuts and they are very healthy and far less fattening than most people think. So test and then eat nuts if you need more mg. ...Read moreSee 1 more doctor answer
No: Although there is a lot of talk about iron absorption while on PPIs on the Internet, the practical aspect of it is that the effect of PPI's on this is very minimal. There is no reason to take extra iron supplements. If you need to be on PPI's for years, it might be reasonable to check a blood count every year or so. Otherwise, you are unlikely to have problems. Good luck. ...Read more
Due to my severe GERD severe heartburn when I take antibiotic pills despite being on PPIs. Do all antibiotics come in injectibles as well? tyvm
GERD: Many antibiotics do come in injectable forms. However, if your heartburn is that severe, I would encourage you to speak with your provider. If not already done, you would benefit from an upper endoscopy to see what's going on in the upper GI tract. You might also need twice daily PPI for a period of time. You should have this checked. ...Read more
What is a good alternative to prilosec for gerd. I dont want to take anymore ppis , weaning off prilosec caused me to many polyps in stomach! ?
Can GERD that was not treated for 1.5 months with ppi's actually cause barrett's? Or would it take longer to develop and can on ppi's?
Don't wait for sxs: Barrett's epithelium occurs as a terminal event in those with chronic gerd, but gerd may be "silent" for years. Don't wait to feel sick since barrett's leads to esophagus cancer. Poorly treated barrett's can progress by replacing more ; more of the esophagus lining, ; can become dysplastic. Barrett's warrants surveillance endoscopy, aggressive acid suppression, ; maybe ablation ;/or surgery. ...Read more
Not necessarily: With long term use of ppi's, may be worthwhile to check a B12 level after 10-15 yrs of use. Thereay be a rational to check a baseline magnesium level if you have diarrhea or other electrolyte problems. I would not take either supplement unless you knew you were deficient in either. ...Read more