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Prevacid to treat GERD - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   My doctor diagnosed me with GERD roughly two weeks ago...July 3 to be exact. I was given a prescription for omeprazole. I did not take these meds regularly. I went to my doctor again just yesterday and he again confirmed that based on the symptoms I had described...burning sensation in left chest..under my left arm...and in my left arm, combined with some pain in the left chest, upper left back and left arm, all seem to indicate the problem was related to GERD. Yesterday the doctor prescribed Nexium for the condition. How long exactly should these symptoms subside and life can return to normal?                                                                 
Doctor :   Hi
Doctor :   Let me read it
Doctor :   GERD if managed well can be overcome
Doctor :   in little time- a week or so
User :   managed well...meaning?
Doctor :   One must control the stomach acidity levels
User :   I'm taking prevacid in the morning and at night, and I have been placed on a high fiber diet
Doctor :   This must be done not only with medications
Doctor :   but also including good lifestyle changes
Doctor :   As you said
Doctor :   a high fiber diet
Doctor :   low or no spicy food
User :   the pain in the left chest..and left arm...are these normal symptoms of GERD?
User :   my doctor ruled out any cardiac related concerns
User :   diagnosed this as non-cardiac chest wall pain & GERD
Doctor :   Yes, they are
Doctor :   Regular timely food intake
Doctor :   Wait for half an hour atleast after dinner before going to bed
Doctor :   include yoghurt in the diet
Doctor :   get some exercise
User :   any particular doctor suggested activia
User :   I work out mon-fri and rest on the weekend
Doctor :   avoid coffee, tea, carbonated drinks, alcohol
Doctor :   chocolates
User :   oh indeed
User :   indeed
Doctor :   No particular, any sort of workout
Doctor :   Avoid smoking
Doctor :   Drink good amount of water
User :   at what point should i become concerned that symptoms have not subsided?
User :   oh yes, I have included a great deal of water in my diet as well
User :   the symptoms began on June 30, but as I stated...I did not take any medication for it and continued with a very unhealthy diet until roughly this week.
Doctor :   When you get intolerable chest pain, which dose not subside even after taking medications
Doctor :   Follow what I said, it will subside for sure
User :   okay....i must say when the problem began on June 30 it was very has subsided a great deal...but the pain in my left chest and left arm..and the burning sensation concerns me even after being diagnosed as I instinctively believe it is cardiac 24 this is very concerning
User :   should I continue taking the prevacid in the morning and at night as directed?
Doctor :   Yes you must
Doctor :   It takes some time for the acidity to normalise
User : last the actual pain being caused by the inflammation or something else that GERD has triggered?
Doctor :   The upper gastrointestinal tract- esophagus is not made to handle high acidity
Doctor :   due to reflux, the stomach acid that comes up
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