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Acid peptic disease medication - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2308 Questions
User :   hello
User :   I have been having very bad stomac pain and bloating for three months
Doctor :   Ok, Do you have nausea associated with the same ?
User :   some times
Doctor :   Ok, Is there any relation of your symptoms with intake of food ?
User :   no it dosent matter what i eat, iv tried differnt ways to see if it helps and it doesnt
Doctor :   Ok, Have you taken any medication for the same ?
User :   iv been to the er twice they did a ct scan and blood work and everything came back fine they gave me so loratabs for pain i took them for a week, other then that I take prolesec everyday
Doctor :   Since when are you on Prilosec ?
User :   for three monthes
User :   since it started
Doctor :   Ok, Has prilosec showed any improvement ?
User :   no not really any change
Doctor :   I do suspect it to be acid peptic disease with high severity needing a n endoscopy
Doctor :   also you may have to switch on to better Proton pump inhibitor than Prilosec
Doctor :   along with a antispasmodic
User :   what would be better then prilosec
Doctor :   Like Lansaprazole and Itorpide
Doctor :   Lansaprazole is a better fast acting and long acting portent antiacid
User :   is that otv
User :   otc
Doctor :   No , Its not an OTC you may need a written prescription for the same
User :   is there any otc that would be better then prilosec, I dont have inshurance to get a scrip
Doctor :   Well Prilosec is alone OTC amongst the group of antacids
Doctor :   You can ask your nearest primary physician for it he can help you in getting them
User :   if it was peptic disease wouldnt the prilosec help even a lil? because there has been no change
Doctor :   I agree with you. But Prilosec is a drug of low potency which may not help in long term, acid peptic diseases
Doctor :   The symptoms you have are very typical of the APD
User :   is there anything i could get otc? I have no way of going to see a doc
Doctor :   Ok, you could also try Pan 40 ( Pantaprazole )
User :   and that is otc
Doctor :   You may get it with without prescription
Doctor :   Not as potent as Lansaprazole but surely much better than Prilosec
Doctor :   Yes,
User :   how much should i take
Doctor :   Yes, one tab early in the morning before food for 15 days , You will see a good change
User :   does it start working very fast
Doctor :   It may take a week for its action to be witnessed but its long lasting effect
User :   is there anything else that would help along with taking that
Doctor :   You can take TUMS on occasions where you have the symptoms aggravated by any kind of food or stress
User :   ok i do that now, the pan 40 is that in stores or do you have to order it
Doctor :   It will be available in the stores
User :   ok i called my local store and they dont have it
Doctor :   Try asking for other brand names.. the ingredient is Pantaprazole 40 mg
User :   oh ok so as long as the ingredient is pantapazole
Doctor :   Like : Protonix
Doctor :   Yes,
User :   is pepto ok to take i have a few times and felt a lil better
Doctor :   yes, you can take it
User :   if its not apd what else could it be
Doctor :   If i am not wrong it contains BISMUTH SUBSALICYLATE, which does help in acid peptic diseases
Doctor :   The other possibilities could be of Malabsorption syndromes
User :   what is that
Doctor :   Its a illness where a specific type of food material do not get digested instead create gas and cause intestinal mal motility causing pain, Well its seen more towards diary products and is a rare illness
User :   what could i take for that
User :   diary does make it worse
Doctor :   Identifying and avoiding such foods is the only treatment established for such an illness
User :   is it like being lactose intolerant
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