19 doctors weighed in:
I was diagnosed with GERD and I was Nexium (esomeprazole) and it helped. I stopped taking Nexium (esomeprazole) and problems came back. How do I fix it permanently?
19 doctors weighed in

Dr. Francine Yep
Family Medicine
10 doctors agree
In brief: Calm the volcano
Time for change: *stop smoking.
*avoid triggers: caffeine, chocolate [sorry!], alcohol, citrus, sour/acid foods, fatty/spicy foods, carbonated drinks, garlic, spearmint. *eat small meals. Sit down and eat slowly. *reduce stress. *after you eat, wait 2-3 hours before laying down. Get checked for h. Pylori germs, which can kick up the acid in your stomach.

In brief: Calm the volcano
Time for change: *stop smoking.
*avoid triggers: caffeine, chocolate [sorry!], alcohol, citrus, sour/acid foods, fatty/spicy foods, carbonated drinks, garlic, spearmint. *eat small meals. Sit down and eat slowly. *reduce stress. *after you eat, wait 2-3 hours before laying down. Get checked for h. Pylori germs, which can kick up the acid in your stomach.
Dr. Francine Yep
Dr. Francine Yep
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2 comments
Dr. Francine Yep
Congrats on already eating healthy – often hardest thing to do. Have you tried no dairy? No wheat? No gluten? GERD’s not so much about “being fixed,” more about getting back in balance. How’s stress in your life? What changed before your GERD started? More info here http://www.drweil.com/drw/u/ART00678/GERD-gastroesophageal-reflux-disease.html Good luck!
Dr. Francine Yep
Check out the Dr. Weil article [see link above]. Hope you're feeling better soon.
Dr. Francine Yep
Family Medicine
5 doctors agree
In brief: Prevention?
What steps have you taken to prevent gerd? Change diet? Sit down, eat slow small meals? Balance play/work.
Chill, not stress. Check out h. Pylori infection. Hope your stomach's happier soon.

In brief: Prevention?
What steps have you taken to prevent gerd? Change diet? Sit down, eat slow small meals? Balance play/work.
Chill, not stress. Check out h. Pylori infection. Hope your stomach's happier soon.
Dr. Francine Yep
Dr. Francine Yep
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1 comment
Dr. Cornelia Franz
In Chinese Medicine, gerd is a result of energy going up instead of down. Consider seeing a Traditional Chinese Medicine practitioner. You may find that it helps a lot. Nexium treats your symptoms of GERD...so when you stop the symptoms return. Chinese Medicine and Homeopathy are more geared at finding and treating the root cause of the problem. It can be surprising what is the root cause.
Dr. Jess Schwartz
Surgery - Thoracic
4 doctors agree
In brief: Surgery is an option
Patients with gerd should be formally seen by a gastroenterologist.
If a patient has relief with a ppi such as Nexium (esomeprazole) that can be continued. If despite remaining on therapy with a ppi the symptoms persist an upper endoscopy is indicated and consideration for referal to a surgeon to have an antireflux proceedure should be offered. Surgery, can often obviate the need for life long ppi treatment.

In brief: Surgery is an option
Patients with gerd should be formally seen by a gastroenterologist.
If a patient has relief with a ppi such as Nexium (esomeprazole) that can be continued. If despite remaining on therapy with a ppi the symptoms persist an upper endoscopy is indicated and consideration for referal to a surgeon to have an antireflux proceedure should be offered. Surgery, can often obviate the need for life long ppi treatment.
Dr. Jess Schwartz
Dr. Jess Schwartz
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1 comment
Dr. Slade Suchecki
I would recommend exhausting diet (ie, cut spicy and acidic foods) and lifestyle changes (ie, exercise, weight loss, eating smaller portions, eating earlier and staying upright after meals) prior to any surgical intervention. However, some tough cases do require this- ie a Nissen Fundiplication
David Miller
Family Medicine
3 doctors agree
In brief: H. pylori
Definitely get tested for h.
Pylori. In folks who are infected with this bacterium, treating it with an antibiotic cocktail can sometimes provide significant improvement in their symptoms. In the mean time, you should continue taking the Nexium (esomeprazole) as it was controlling your symptoms effectively.

In brief: H. pylori
Definitely get tested for h.
Pylori. In folks who are infected with this bacterium, treating it with an antibiotic cocktail can sometimes provide significant improvement in their symptoms. In the mean time, you should continue taking the Nexium (esomeprazole) as it was controlling your symptoms effectively.
David Miller
David Miller
Answer assisted by David Miller, Medical Student
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4 comments
David Miller
The FDA has issued a number of pronouncements that Nexium and similar drugs (the proton-pump inhibitors or PPIs) do appear to be safe for long-term use. Get your prescription refilled and put out the fire.
Dr. Mark Mattar
Make sure you get tested for H. pylori stool antigen or an H. pylori breath test to make sure the bug is gone.
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