Acid reflux symptoms have improved but burning tongue still here. I am taking 40mg protonix (pantoprazole) in am and 150mg ranitidine pm.

B12 deficiency? Chronic use of PPI (protonix, omeprazle) reduces vitamin B12 and magnesium absorption. You should have blood test to check out whether you are deficient in either. B12 deficiency can cause a burning tongue.

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Any reason not to try Protonix (pantoprazole) 40 in am and Ranatidine 150 before bedtime? Have sour taste in mouth overnight and appears to be due to acid reflux.

R/O GERD. GERD SX can be vague NAUSEA/BLOATING /HEART BURN. Or Severe PAIN//REFLUX/LARYNGITS/COUGH You need a history and physical. Labs including Hpylori Ab Ig G and M. Stool for hpylori x 3. I usually start with Zantac (ranitidine) 300mg THEN PPI PROTONIX/NEXIUM.. If symptoms have been longer than 8-10 weeks an endoscopy is warranted, while work up is in progress , start GF diet . GUTBLISS.COM /WHOLEAPPROACH.COM. Read more...