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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Gastritis, Acidity. Taken Prilosec And Nexium. Had Endoscopy And Colonoscopy. Is That Sufficient?

I am bothering with stomach acid, I have tried to take Prilosec, Dexilant, and now on Nexium. My dosage is 40mg 2x a day, Every pill always works the 1st day, then it loose its strength.

I had Endoscopy and Colonscopy done recently, everything is negative but I have sever gastritis so my doctor put me on Nexium, 40mg, 2x a day. Wonder if you have any adivse or opinion on why I have this excess stomach acid ???
Wed, 20 Nov 2013
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General & Family Physician 's  Response
Hello there!
Thank you for asking.the stomach acid also called gastro esophageal reflux disease GERD needs abit care and precautionary measures and some lifestyle and diet modifications

Here are some adaptations you need

1.lose weight ( if overweight) divide your weight to the height in meters twice and if the result is more than 25 reduce the weight.
2.Avoid alcohol, chocolate, citrus based fruits,tomato based products
3.avoid pepper mint coffe and possibly the onion family
4.eat small freequent meals rather than large meals.
5.wait at least 3 hours after the meal to lie down or sleep.
6.refrain from ingesting food (except liquids) with in 3 hours of bed time.
7.eleate te head of your bed at least 8 inches
8.avoid bending or stooping positions
9.dont use nsaids
10.dont smoke
11. have a proper sleep routine
12. use cold milk as drink avoid all hot beverages and carbonated ones

Continue your Nexium. take it empty stomach 60 minutes before meal or 3 hours after it. Not with meals. I am sure these medications would be enough to help with all the tips i gave you.
And God forbid above mentioned medications plus precautions didnt work we would need some surgical interventions to prevent reflux. But lets hope it doesn't come to that and i am sure it wont.

Hope i was of some help. take some good care of yourself.

Regards
Dr S Khan
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Gastritis, Acidity. Taken Prilosec And Nexium. Had Endoscopy And Colonoscopy. Is That Sufficient?

Hello there! Thank you for asking.the stomach acid also called gastro esophageal reflux disease GERD needs abit care and precautionary measures and some lifestyle and diet modifications Here are some adaptations you need 1.lose weight ( if overweight) divide your weight to the height in meters twice and if the result is more than 25 reduce the weight. 2.Avoid alcohol, chocolate, citrus based fruits,tomato based products 3.avoid pepper mint coffe and possibly the onion family 4.eat small freequent meals rather than large meals. 5.wait at least 3 hours after the meal to lie down or sleep. 6.refrain from ingesting food (except liquids) with in 3 hours of bed time. 7.eleate te head of your bed at least 8 inches 8.avoid bending or stooping positions 9.dont use nsaids 10.dont smoke 11. have a proper sleep routine 12. use cold milk as drink avoid all hot beverages and carbonated ones Continue your Nexium. take it empty stomach 60 minutes before meal or 3 hours after it. Not with meals. I am sure these medications would be enough to help with all the tips i gave you. And God forbid above mentioned medications plus precautions didnt work we would need some surgical interventions to prevent reflux. But lets hope it doesn t come to that and i am sure it wont. Hope i was of some help. take some good care of yourself. Regards Dr S Khan