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Take Protonix In Morning And Omneprozoles In Afternoon?
Question: Dr. Ajit,
Regards to our previous conversation. Could i take 1 40 mg protonix in the morning and then take 2 20mg omneprozoles in the afternoon?
Regards to our previous conversation. Could i take 1 40 mg protonix in the morning and then take 2 20mg omneprozoles in the afternoon?
Hi
Thanks for posting your query
XXXXXXX you appear well read, but as you doctor now I would prefer going for protonix twice a day
One before breakfast and one before dinner
In case you are comfortable with Omeprazole the dose is same and it should be one 40 mg capsules both the times and not two 20 mg tabs
The compliance reduces if the number of pills increase
Another observation that I have on a personal end is in patients with history of Alcohol consumption
I prefer giving them one Rabeprazole or Pantoprazole before breakfast and one 40 mg pill of Famotidine before dinner
Hope this helps
Am always there for followups
Wishing you a speedy recovery
Thanks for posting your query
XXXXXXX you appear well read, but as you doctor now I would prefer going for protonix twice a day
One before breakfast and one before dinner
In case you are comfortable with Omeprazole the dose is same and it should be one 40 mg capsules both the times and not two 20 mg tabs
The compliance reduces if the number of pills increase
Another observation that I have on a personal end is in patients with history of Alcohol consumption
I prefer giving them one Rabeprazole or Pantoprazole before breakfast and one 40 mg pill of Famotidine before dinner
Hope this helps
Am always there for followups
Wishing you a speedy recovery
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dr. Ajit Naniksingh Kukreja,
Medical History : IBS-GERD-2cm Sliding Hernia
My internist has taken me off protonix and omeprazole all together and has prescribed a Prevpac. Do you think this is a good approach to this?
SYMPTOMS: food feeling like it is stuck in the throat not digesting quickly. Feels like it just sits there. Not much chest burning or anything like that.
In 2008 after I had my Upper Endoscopy I was i diagnosed with H. Pylori and given the Prevpac. Do you think this is a good idea at this time and worth a try or would I get better results taking omeprazole 80 mg a day?
Medical History : IBS-GERD-2cm Sliding Hernia
My internist has taken me off protonix and omeprazole all together and has prescribed a Prevpac. Do you think this is a good approach to this?
SYMPTOMS: food feeling like it is stuck in the throat not digesting quickly. Feels like it just sits there. Not much chest burning or anything like that.
In 2008 after I had my Upper Endoscopy I was i diagnosed with H. Pylori and given the Prevpac. Do you think this is a good idea at this time and worth a try or would I get better results taking omeprazole 80 mg a day?
Hi
XXXXXXX thanks for your query
I would suggest going for a H Pylori test in blood or stool before going for PrevPac and if it is normal go for Protonix or Omeprazole choice is yours
Symptoms of food sticking in throat are common in Gerd that is why in the first instance I had advised you to add Domperidone once a day with PPI
Hope this helps
Do revert for followup queries
Get Well Soon
XXXXXXX thanks for your query
I would suggest going for a H Pylori test in blood or stool before going for PrevPac and if it is normal go for Protonix or Omeprazole choice is yours
Symptoms of food sticking in throat are common in Gerd that is why in the first instance I had advised you to add Domperidone once a day with PPI
Hope this helps
Do revert for followup queries
Get Well Soon
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dr. Ajit Naniksingh Kukreja,
Had a chest cat scan done yesterday and these and this is the impression:
IMPRESSION:
No evidence of acute thoracic pathology.
Dilated esophagus containing air fluid level with mild thickening of the gastroesophageal junction that can be due to underdistension. This needs to be further evaluated bu endoscopy.
Right lower lobe calcified granuloma.
Left lower lobe nodule that can be benign but needs 6 months follow - up in the absence of typical benign calcifications.
My question is what is this as this alarms me:
Dilated esophagus containing air fluid level with mild thickening of the gastroesophageal junction that can be due to underdistension. This needs to be further evaluated bu endoscopy.
Had a chest cat scan done yesterday and these and this is the impression:
IMPRESSION:
No evidence of acute thoracic pathology.
Dilated esophagus containing air fluid level with mild thickening of the gastroesophageal junction that can be due to underdistension. This needs to be further evaluated bu endoscopy.
Right lower lobe calcified granuloma.
Left lower lobe nodule that can be benign but needs 6 months follow - up in the absence of typical benign calcifications.
My question is what is this as this alarms me:
Dilated esophagus containing air fluid level with mild thickening of the gastroesophageal junction that can be due to underdistension. This needs to be further evaluated bu endoscopy.
Hi
XXXXXXX I can understand the concern
There is nothing to worry about, because your earlier Endoscopy has been normal
Underdistension is seen in patients with small caliber esophagus or in patients with gerd and Hiatus hernia which has mild thickening of lower esophagus, precisely the last 5 cms before the gastroesophageal junction
I recollect a similar study was done in around 33 patients where 7 patients [21%] had marked esophageal thickening and these patients had findings of diffuse esophageal spasm on barium studies
So I would recommend you reassure yourself and get a fresh endoscopy done to gain more confidence, but if the last endoscopy was few months back only forget and go for a followup scan after 6 months
Apart from these I do not think the nodules need to be worried about as ClinicoPathological Correlation is not suggesting anything
I mean you have no symptoms to the nodes it is an accidental finding, and you can very well go for a followup scan after six months
Hope this helps
Am available for any followup queries
If there are no further doubts, do accept my reply and rate it
Get Well Soon
XXXXXXX I can understand the concern
There is nothing to worry about, because your earlier Endoscopy has been normal
Underdistension is seen in patients with small caliber esophagus or in patients with gerd and Hiatus hernia which has mild thickening of lower esophagus, precisely the last 5 cms before the gastroesophageal junction
I recollect a similar study was done in around 33 patients where 7 patients [21%] had marked esophageal thickening and these patients had findings of diffuse esophageal spasm on barium studies
So I would recommend you reassure yourself and get a fresh endoscopy done to gain more confidence, but if the last endoscopy was few months back only forget and go for a followup scan after 6 months
Apart from these I do not think the nodules need to be worried about as ClinicoPathological Correlation is not suggesting anything
I mean you have no symptoms to the nodes it is an accidental finding, and you can very well go for a followup scan after six months
Hope this helps
Am available for any followup queries
If there are no further doubts, do accept my reply and rate it
Get Well Soon
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
My last endoscophy was in Dec 2008. So it has been 3 plus years. Do you think this deserves immediate attention?
The having the feeling like the food sticking in the throat happened within the last 5 days and havw not XXXXXXX going on any other time then that. Do you really feel i am worried for nothing?
The having the feeling like the food sticking in the throat happened within the last 5 days and havw not XXXXXXX going on any other time then that. Do you really feel i am worried for nothing?
Hi
XXXXXXX Welcome back
Just because your endoscopy was in 2008, I am of the opinion that you should go for a fresh endoscopy to just recheck the status
When so many reports confuse a patient it is likely the the patient gets worried, even If I had been in your place I would have been concerned
But in a phase wise manner when we can rule out most of the diseases I think you should be a relaxed person by now
Just one more normal endoscopy and you should be done
I will wait for your reports and we can again discuss the matter to your satisfaction
Am really always there
Get Well Soon
XXXXXXX Welcome back
Just because your endoscopy was in 2008, I am of the opinion that you should go for a fresh endoscopy to just recheck the status
When so many reports confuse a patient it is likely the the patient gets worried, even If I had been in your place I would have been concerned
But in a phase wise manner when we can rule out most of the diseases I think you should be a relaxed person by now
Just one more normal endoscopy and you should be done
I will wait for your reports and we can again discuss the matter to your satisfaction
Am really always there
Get Well Soon
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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