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Help with GERD? |
I have been Diagnosed with GERD and i take Prilosec 20 mg twice a day and here in the last few weeks i have ben experencing some pretty bad chest pains leftsided and some shooting pains in my left arm i have been to a cardiologist and they did an ekg and a echo ( the sonogram of my heart) and he said everything looked great and there was no need for a follow up the doctor keeps telling me it is my gerd i have been the to ER worried bout it and they did an ekg and chest X-ray and motintored my BP for 3 hours and they said everything was fin go home and relax does anybody else have a similair problem all the doctors are telling me its fine but it still worries me That is common with Gerd, the pain can be a bit moblie depending on where the acid may have damaged before! I have acid reflux which I think it is so simular or the same thing I am on previcid twice a day prilosec did not work for me either . Yes this happens with GERD. Not only that but depending on how long you've been dealing with this, the prilosec may not be kicking in just yet. Sometimes it takes up to 4 weeks to see a difference, and your body is probably still adjusting to the medicine. The symptoms of gastro-oesophageal reflux can resemble those of a peptic ulcer, chest pains (angina pectoris), muscle pains, back problems, constipation, irritable bowel syndrome, gallstones, pancreatic disease etc. These conditions will sometimes have to be ruled out before the diagnosis can be made. They appear to have been ruled out, according to your statement, and it is not likely that you have any of these conditions. I will make some observations that you should check out with your doctor if you have any doubt about them. Gastric acid production is at its peak immediately after eating. Most physicians recommend that patients wait 3 hours after eating before lying down in order to reduce the likelihood of acid reflux by giving the stomach time to empty. Moreover, large meals stimulate the body to slow the passage of food out of the stomach. This prolonged presence of a large amount of food in the stomach may exert upward pressure onto the LES and increase the tendency toward reflux. Smaller, more frequent meals throughout the day may help reduce GERD in patients who find that their symptoms worsen after meals. A larger meal at lunchtime and a lighter one for dinner may also be helpful. Sleeping on the left side as opposed to the right side may reduce the frequency and duration of reflux episodes in patients prone to symptoms during the night. The mechanism for this reduction is not entirely clear but has been thought to be related to an increase in the frequency of transient reductions in LES pressure in the right lateral decubitus position.This may be a difficult lifestyle modification for many patients but is still mentioned here for consideration. Chewing gum or using lozenges increases saliva production and swallowing frequency, which can help clear away acid that has refluxed from the stomach into the oesophagus. A clear reduction in acidic oesophageal reflux has been documented in patients who chewed sugar-free gum for 30 minutes after a meal. This may be a useful adjunctive treatment option for patients with mild postprandial GERD. Patients with mild symptoms are treated as needed with non-prescription remedies like antacids, a non-prescription H2 blocker, or the non-prescription proton pump inhibitor (PPI), omeprazole (brand name: Prilosec OTC). For patients with more severe symptoms, or for those who do not respond adequately to non-prescription therapies, continuous treatment with a prescription-strength H2 blocker or PPI is recommended. H2 blockers and PPIs both work by decreasing the production of stomach acid that causes many of the symptoms of GERD. In patients where GERD may be due to slow movement of food through their gastrointestinal system, the next step is to try a pro-motility agent such as Reglan (metoclopramide) that increases the rate at which food moves throughout the gastrointestinal system. Maintenance therapy with an acid suppressing agent (like an H2 blocker, PPI, or antacid), a pro-motility agent, or both may be needed to control symptoms and prevent complications of GERD. |
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