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Waking up with nausea and squeeze stomach. Is this due to Gastritis?

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General & Family Physician
Practicing since : 2008
Answered : 3584 Questions
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Hello Dr XXXXXXX : Hope Your Doing Good !!! Got A Question !!! Its Been Over A Month That Ive Been On Dexilant And Im Still Wakeing Up With Nausea And Queezy Stomach Everyday , Is It Still The Gastritis You Thank Causeing It !!! I Am Very Tired Of Wakeing Up Sick !!! I Wake Up , I Take 1 Dexalint With Water On An Empty Stomach , Then , I Take 1 Zofran , Then 1 Half Of Xanax , Then 1 metatrolol Blood Pressure Pill !!! I Finally Get Some Releaf Then , Sometimes It Goes Away Most Of The Day And Sometimes Comes Back That Afternoon !!! What Could Be Happening , Do You Think !!!! Please Can You Give Me Some Advice And Explain What Maybe Going On !!!! Thanks Alot For The Help !!! Waiting On An Answer Or Reply Please !!!! Sincerely XXXXXX!!!!!!!!
Posted Sat, 7 Dec 2013 in General Health
Follow-up: Waking up with nausea and squeeze stomach. Is this due to Gastritis? 14 hours later
Hello Dr XXXXXXX : Hope Your Doing Good !!! Got A Question !!! Its Been Over A Month That Ive Been On Dexilant And Im Still Wakeing Up With Nausea And Queezy Stomach Everyday , Is It Still The Gastritis You Thank Causeing It !!! I Am Very Tired Of Wakeing Up Sick !!! I Wake Up , I Take 1 Dexalint With Water On An Empty Stomach , Then , I Take 1 Zofran , Then 1 Half Of Xanax , Then 1 metatrolol Blood Pressure Pill !!! I Finally Get Some Releaf Then , Sometimes It Goes Away Most Of The Day And Sometimes Comes Back That Afternoon !!! What Could Be Happening , Do You Think !!!! Please Can You Give Me Some Advice And Explain What Maybe Going On !!!! Thanks Alot For The Help !!! Waiting On An Answer Or Reply Please !!!! Sincerely XXXXX!!!!!!!!
 
 
Answered by Dr. Raju A.T 31 hours later
Brief Answer: Endoscopy Detailed Answer: Hi, Thanks for your query. Considering the failure of the antacids like PPIs(Dexilant) I would recommend you to get a Upper Gastrointestinal endoscopy. Endoscopy would surely provide detailed information on the problem you have. Based on the details a specific treatment can be planned. Regards,
Above answer was peer-reviewed by
 
Follow-up: Waking up with nausea and squeeze stomach. Is this due to Gastritis? 2 hours later
Dr. XXXXXXX : Hello , A Question Please !!! What is It Called When They Send You To The Hospital And You Drink Somekind Of Solution And Xray Your Stomach !!! Please Explain This To Me In Detail If You Would Please !!!! Thats What My Gastrointestinal Doctor Is Going To Do Soon !!!! Thanks XXXXXX!!!!!!!!!!!!!!!!
 
 
Answered by Dr. Raju A.T 1 hour later
Brief Answer: Barium swallow Detailed Answer: Hi, It is a test called barium swallow, here barium containing syrup or food is given which coats the esophagus and stomach lining. Then xray of the chest is taken where in the area coated with barium is seen clearly. Regards,
Above answer was peer-reviewed by
 
Follow-up: Waking up with nausea and squeeze stomach. Is this due to Gastritis? 13 hours later
Ok . Thanks !!! Will See About Getting This Done In The Next Week Or 2 !!! Hello , A Question For You Please !!!! IVe Had Prostate Trouble For many Years , Last Year I Had the Lazer Test Done , Not The Total Rim Job , As I Call It , I Cant Remember The Name Of It , Theres 2 Kinds Of Prostate Procedures You Can Have Done , But he Done The One In His Office With A Lazer , You Know what Im Talking About Im Sure !!! Anyway My Question Is , I Still Cant Pee Good At All , Hard To Start , Then Dribbles Alot , Off And On !! I Was On Flomax For A Good While Then I Stoped It !!! I Want To Ask You Can My Prostate Be Causeing My Nausea , And Can You Tell Me If I Can Take Flomax With The Metetopolo Im Takeing , You Know Im Takeing It 3 Times A Day !!! Will It Drop My Blood Pressure To Much , I Need To Know Please , Please Explain All Of This And Answer All My Questions Here Please !!! Tell Me Your Honest Truth Opinion Please , What Do You Thank , Please Reply Back , ( ASAP ) Please !!!!!! I Had The ( TUNA ) Done On My Prostate , That Was The Procedure I Could Not Remember To The Question Above !!!! Transurethral Needle Ablation , And Still Know Better After That Long !!! Need You Help Please !!!! Please Reply To The Above Questions ( ASAP ) Please !!!! Thanks Alot !!!! Thanks XXXXX!!!!!
 
 
Answered by Dr. Raju A.T 32 hours later
Brief Answer: Yes, you can take Flomax Detailed Answer: Hi, Thanks for writing back. Yes, you can take Flomax (Tamsulosin) with Metoprolol, though there are chances of the blood pressure falling down its very rare. Keep a watch on the same. TUNA (Transurethral Needle Ablation) of prostate most of times do not show good response after one sitting, I think there is need for a second episode of TUNA. Do discuss with the doctor who performed the same. Also it may take time for the response to be seen. Regards,
Above answer was peer-reviewed by
 
Follow-up: Waking up with nausea and squeeze stomach. Is this due to Gastritis? 56 minutes later
Dr XXXXXXX : You Didnt Answer One Of My Questions !!! Would Or Could My Enlarged Prostate Cause This Nausea !!!! Or Maybe My Wife Thinks I Might have A Kidney Infection Maybe , But If The Prostate Swells or Enlarges Can It Cause This Nausea !!!! Which One Is The Most Likely , The Enlarge Prostate Or The Kidney Infection Or Even The Bladder Maybe , Please reply ( ASAP ) Please With Your Best Answer Please !!!!! Thanks XXXXX!!!!!!!!!!
 
 
Answered by Dr. Raju A.T 37 minutes later
Brief Answer: None of the above Detailed Answer: Hi, Sorry, I missed one of your question. No, not prostate, kidney or bladder problems can lead to nausea. Do get a endoscopy done for a better idea on what is causing nausea. Regards,
Above answer was peer-reviewed by
 
Follow-up: Waking up with nausea and squeeze stomach. Is this due to Gastritis? 2 hours later
Dr XXXXXXX : Hello . Got Another Question Please !!! Can You Tell me Or Explain To Me What Causes Nausea Please !!!! In Your Thoughts As You Know My Situation !!!! In My Case , What Do You Think My Be Going On And Causeing The Nausea !!!!!!! Besides The Nausea , It Feels Like My Stomach Is KInda Drawing Up Sorta !!!! I Notice I Can Drink A Sip Of Liquid Antacid And For A Few Breif Moments It Goes Away , Then returns , Its Hard To Explain , Seems Like It Still Has Some Burning Of The Stomach From Time To Time !!!! But You Said You Dont Think The Umbilical Hernia Surgery I Had , Where Its Still Numb Around My Navel Wouldnt Be Causeing The Nausea , Right ? Im Still Takeing The Dexilant Each Morning 1st Thing On An Empty Stomach , Then I Take My metatopolo , Then Half Of A 1 Mg Xanax , Then a Zofran , Or If That Doesnt Help I Get Me A Phenergan Pill And Take Half Of One Of Those !!! Sometimes All This Knocks The Nausea Out Somedays And Somedays It Doesnt !!!! Please Answer Each Of These Questions In Detail Please And Explain To Me As A Doctor What May Be Causeing This Nausea And What Might be Happening Please !!!! Please Reply ( ASAP ) Please !!!!!!!! Thanks Alot : XXXXX!!!!!!!!!!!!!!!! I Had The ( TUNA ) Done On My Prostate , That Was The Procedure I Could Not Remember To The Question Above !!!! Transurethral Needle Ablation , And Still Know Better After That Long !!! Need You Help Please !!!! Please Reply To The Above Questions ( ASAP ) Please !!!! Thanks Alot !!!!
 
 
Answered by Dr. Raju A.T 23 hours later
Brief Answer: Aspirin Detailed Answer: Hi, I believe that gastritis in you could be due to aspirin you are on since long. A better way to ascertain the exact cause for nausea would be by getting a endoscopy done. Please do get the same done to identify the cause for your problem. Regards,
Above answer was peer-reviewed by
 
Follow-up: Waking up with nausea and squeeze stomach. Is this due to Gastritis? 3 minutes later
Ok , Thanks I Will !!! Thanks XXXXX!!!!!
 
 
Answered by Dr. Raju A.T 1 minute later
Brief Answer: I will wait for the same. Detailed Answer: Regards,
Above answer was peer-reviewed by
 
Follow-up: Waking up with nausea and squeeze stomach. Is this due to Gastritis? 22 hours later
Dr. XXXXXXX : Hello : Just To Let You Know I Went To My Urologist Today !!! He Took My Urine Sample !!! Give Me A Prostate Check !!! He Said The Urinary Test Was Good , Know Infections !!!! My Prostate Was Alittle Swollen !!! So He Put Me Back On Flomax At Night !!!! He Also Said , Because I Ask Him , That My Urinary Or Prostate Either Couldnt Or Maybe He Said They Wasnt Causeing My Nausea !!!! So Thats Where Im At !!!! But I Am Hopeing That Once I Get Back On My Flomax , That By Some Miricle That My Nausea May Go Away !!! Im Praying It Goes Away Soon Either Way , 3 Months Is Long Enough Everyday Haveing Nausea !!! Please Reply Back !!!! Thanks XXXXX!!!!!!!!!!!!!!!!!! As You Know Im Takeing Lipitor 80mg At Bedtime !!! Can I Take The Flomax At Bedtime Also !!! Maybe Space Them Out About An Hour Or Two Apart !!! There Should Not Be Any Problems Takeing Them Like This Right !!! Please Reply ASAP Please !!!! Hello Please Answer All 3 Of These Boxes With Questions Please !!!! Im Gonna Have To Rotate The Lipitor And Flomax !!! Lipitor Seems To make Me Queezy And The Flomax Gives Me A Headache !!! Will It Be Ok If I Take The Lipitor One Night And The Flomax The Next Night And Keep Rotateing Them Like That !!! Both Together makes me Feel Way To Bad !!!! Please Reply ( ASAP ) Please Today !!!!
 
 
Answered by Dr. Raju A.T 24 hours later
Brief Answer: Yes, Detailed Answer: Hi, Yes, you can take Lipitor and Flomax the same night with a hour of spacing. Taking flomax may not help to get rid of the nausea, but you can give it a try. Do get the endoscopy done. Regards,
Above answer was peer-reviewed by
 
Follow-up: Waking up with nausea and squeeze stomach. Is this due to Gastritis? 9 minutes later
I Have An Enlarged Prostate , So I Need To Take The Flomax To Be Able To Pee Good , Even Though It Doesnt Take The Nausea Away !!! Im Going To Have The endoscopy Done In A week Or 2 !!! I Just Cant Figure Out What is Causeing The Nausea !!! But The Phenergan Helps Get Rid Of It For Hours !!!! Then It Slowly Returns !!! Didnt You Say That The Umbilical Hernia Surgery Couldnt Be Causeing The Nausea , Im I Right ? After All Ive Told You Over The Last Weeks , Do You Have An Idea What ( Maybe ) Causeing The Nausea , Any Suggestions Or Clues What Maybe Causeing The Nausea !!! Please Reply ASAP Please !!!! ( Waiting )!!! Thanks XXXXX!!!!
 
 
Answered by Dr. Raju A.T 1 hour later
Brief Answer: Aspirin Detailed Answer: Hi, I strongly suspect aspirin t be the cause. I would wait for endoscopy to conclude on the same. Regards,
Above answer was peer-reviewed by
 
Follow-up: Waking up with nausea and squeeze stomach. Is this due to Gastritis? 12 minutes later
Ok Thanks !!! I Was Thanking The Same This !!! Even If Its Only 81 Mg , It Can Cause Stomach Problems Cant It ? Right After My Heart Attack On XXXXXXX 7th They Started Giveing Me 320 Mg Aspirin , I Took That For weeks , Thats When It Started Dont You Believe So To !!!! Please Reply ASAP Please !!!!! Have A Good Weekend !!! Thanks XXXXX!!!!!!!!!!! Hello Please Answer This Question !!! I Noticed This Morning When I Got Up , I Didnt Take My Dexilant And Since Last Night Ive Drank Only Water !! Now Everyday I Did Drink Sprite And Ginger Ale All Day Long , Now Could The Drinking Of Thoses Two Drinks All Day Be Hurting My Stomach And Or Can Or Could The Dexilant Be Causeing My Stomach To Hurt And Be Nauseated ? Because So Far This Morning As Of From 9:00 To 11:30 My Stomach Has Know Nausea And Not Hurting ? Please Explain All Of This In Detail ? Please Reply Today ( ASAP ) Please !!!!! Could I Have Been On The Dexilant Long Enough And Its Hurting My Stomach ? Or Could The Sprite And Ginger Ale Drinking All Day Be Causeing the Hurting And Nausea ? Ive Taken 3 Flomax 1 Per Day For 3 Days Now !!! Could Or Is It Possible The Flomax Is Releaveing The Nausea !!! What Do You Thank Please !!! Please Reply ASAP Please !!!!
 
 
Answered by Dr. Raju A.T 23 hours later
Brief Answer: Answers are below Detailed Answer: Hi, Though the Sprite And Ginger Ale are not good for stomach, I suspect aspirin you are on to be the cause for nausea. No, Dexilant does not cause nausea. No, FLomax does not cause nausea. Please get back to me after an endoscopy. Regards,
Above answer was peer-reviewed by
 
Follow-up: Waking up with nausea and squeeze stomach. Is this due to Gastritis? 1 hour later
Dr XXXXXXX : Waiting On A Reply Please !!!!!!!!!!!!!!!! Please Answer : Because Of My Heart Attack Back In XXXXXXX My Doctor Put Me On Aspirin , I Take The 81 Mg Coated , What Can I Do Or What Do You Suggest Drinking Before Or Eating Before I Take The Aspirin To Help With The Nausea Please !!! Like Something To Coat My Stomach before I Take The Aspirin ? And Will That Help Keep The Nausea Down Or Away Completely ? Until I Can Get The endoscopy Done Please !!! Please Leave Me A Detailed Answer Please !!! Reply ( ASAP ) !!!!! Please !!!! Thank You XXXXXX!!!!!!!!!!!!!!!!
 
 
Answered by Dr. Raju A.T 15 hours later
Brief Answer: Sucralfate Detailed Answer: Hi, You can take Sucralfate suspension to get rid of the aspirin induced gastritis. Soon after taking the aspirin. I suggest you to start medication after the endoscopy for better expected success of the treatment. Regards,
Above answer was peer-reviewed by
 
Follow-up: Waking up with nausea and squeeze stomach. Is this due to Gastritis? 3 hours later
Ive Got Some Carafate My Regular Doctor Give Me Back In August !!! I Quit Takeing It I Believe because It Was Causeing me Constapation !! All I Know Is , Im Tired Of Being Sick Everyday All Day !!! If Its Gastritis Causeing This , Ive Got A Bad Case Of It !!!! Im Still Takeing The Dexilant , Should I Add Takeing The Carafate Or What Would You Suggest Takeing !!! Ive Had This Nausea For Over 3 Months Now !!! I Need Help With This !!!! Can Gastritis Cause This Much And Long Of Nausea ? Please Reply And Explain In Detail , What You Think And What You Would Take And What You Would Do , If You Were me Doctor XXXXXXX : Please !!!! Reply Back ASAP Please !!!! Thanks XXXXXX!!!!!! Got Another Question Alone With The One Above !!! The Only Way I Can Get Rid Of The Nause Is To Take 1 Phenergan Pill !!! Ive Got Plenty Of Them Plus 2 or 3 More Refills !!! If I Need It is It Ok To Take 1 Pill Everyday if It Helps me !!!!! Please Reply To This And To The Question Above Please !!!! ASAP !!! ( Waiting On A Reply Please ) !!!!!!
 
 
Answered by Dr. Raju A.T 2 hours later
Brief Answer: Endoscopy is necessary to comment on Detailed Answer: Hi, Yes, gastritis can cause such long term nausea. Dexilant taken for more than a month would be less to cure a gastritis sometimes. I would get an endoscopy done to rule out possible causes of nausea in the stomach. No, do not take Phenergan. This may cause serious side effects in you. Regards,
Above answer was peer-reviewed by
 
Follow-up: Waking up with nausea and squeeze stomach. Is this due to Gastritis? 40 minutes later
Ok : Doctor XXXXXXX : Ive Been Taken Alittle Phenergan For A Little While Now !!! My Doctor Perscribed It For me ? I Have Zofran , Can I Take That Often As I Need It ? Will That be Ok ? Please Reply Back Tonight Please !!!! ASAP !!!! If Phenergan Isnt Good For You , Why Would My Doctor Perscribe It To me !!! It Helps With The Nausea , And makes me Alittle Sleepy , But Other Than That It Doesnt Bother me !!! Please Explain What Serious Side Effects It Can Bring On Please ? Please Reply ASAP Please !!!!! I Have To Have Something Like This To Stop The Nausea ? Thanks XXXXXX !!!!!!!
 
 
Answered by Dr. Raju A.T 19 hours later
Brief Answer: Take Zofran Detailed Answer: Hi, Thanks for writing back. You can take Zofran instead of Phenergan, Phenergan is known to cause serious addiction problems. This is the reason it is not used regularly. Zofran is a bit safer drug compared to Phenergan you can take it for nausea. Regards,
Above answer was peer-reviewed by
 
Follow-up: Waking up with nausea and squeeze stomach. Is this due to Gastritis? 44 minutes later
Dr. XXXXXXX : A Question For You Please !!! My Doctor Has me On 1 4mg Zofran , But The 1 4mg Zofran Doesnt Take The Nausea Completely Away !!! Dont You Think It Would Be Ok If I Took 2 4mgs Of Zofran At The Same Time , That Wouldnt Be But 8 Mg , And They make A 8 Mg Of Zofran , Because I Need It To Completely Get The Nausea Away !!! I Dont See Know Harm , Do You !!!! If Not I Will Have To Use Some Phenergan !!!! Please Reply Back Today ( ASAP ) Please Before Night So I Will Know !!!!! Thanks So Much XXXXX!! This Goes Alone With The Question Above !!! My Doctor Told me To Take The Zofran Every 4 To 6 Hours !!! If I Take 2 Pills At The Same Time , Would I Still Wait The Same Time Before Taken 1 Or 2 More !!!! Please Answer Both Questions In Detail Please !!!!! Please Reply Back Tonight , ( ASAP ) Please !!!!
 
 
Answered by Dr. Raju A.T 3 hours later
Brief Answer: No Detailed Answer: Hi, Do not over dose yourself. Zofran will help but it does take time to end the symptoms completely. Regards,
Above answer was peer-reviewed by
 
Follow-up: Waking up with nausea and squeeze stomach. Is this due to Gastritis? 15 hours later
Dr XXXXXXX : Hello : After Takeing Dexilant For Over 40 Days , I Still Have A Hurting Feeling All Around My Belly Where My Umbilical Sergery Was And A Full Feeling , Also Like A Gawing Feeling , Plus The Nausea !!! I Belch All The Time To Get Releaf From The Full Feeling !!! Can You Tell Me To The Best Of Your Ability , What In The World Do You Really Thank Is Going On With My Stomach , Please !!!! Please Give A Detailed Disscription Please !!!! Ive Been Sick To Long Now !!!! Im Tired Of Being Sick Everday Of My Life !!!! And Also How Would You Suggest Takeing My Meds !!! I Quit The Dexilant 2 Days Ago And Started Back On The Nexium My Doctor Give Me !!! He Had Said To Take The Dexilant For 3 Or 4 Weeks Then Go Back To Nexium , So Thats What Im Doing To See What Happens , Is There Something Im Not Doing Right Or Can My Gastritis Be That Very Bad !!!! Anyway Please Explain All Of This And I Am Going To Get An endoscopy Done Shortly Also !!!! Waiting On A Reply Please ( ASAP ) !!!!! ThanksXXXXX Hello Heres Another Question For You Alone With The One In The Box Above , Please Answer All !!!! Could I Have An Ulcer , And If So What Is The Best Medicine To Cure Or Heal It Completely !!!! It Must Be A Big One , The Way My Stomach Aches And Burns Sometimes !!!! Im Takeing Nexium Now , I Switched Back To The Nexium , Is It For Ulcers Or Will It Cure Or Heal Them , Or Is There Something Better And Or Something That Works Quicker , Please Reply Back ( ASAP ) Please ? Tonight Please !!!!
 
 
Answered by Dr. Raju A.T 6 hours later
Brief Answer: There are many other causes Detailed Answer: Hi, I suspect strongly that the cause for your nausea is gastritis and I wanted to rule out the same first by an endoscopy. Only after ruling the gastritis out I could consider other causes. You can take Nexium, some PPis work differently in some. You can give it a try. Do consult a Gastroentrologist after you get the endoscopy done. Get well soon. Regards,
Above answer was peer-reviewed by
 
Follow-up: Waking up with nausea and squeeze stomach. Is this due to Gastritis? 2 hours later
Dr. XXXXXXX : Please Answer !!!! Besides The Nexium For The Gastritis , What Medicine Would You Or Do You Recomend For Healing Gastritis Please !!!! I Truly Need Something That Will Deffinently Work To Heal It !!!! Please Give me Your Best Answer In A Medicine To Heal The Gastritis Please !!!! Please Reply Back Tonight , ASAP , Please !!!!!!!!!!!!!!!!!!! I Need A Sure Cure , All The Medicine In The World Today , I Know Theres Got To Be A medicine That Can And Will Heal This Gastritis Quickly Or In A Few Days To 2 To 4 Weeks Maybe !!!!! Know Body Knows Nothing , Thats Not Right !!! Please Help Me Dr XXXXXXX !!!!!!!!!!!!!! Please Reply Back Tonight !!!!!!!!!!!! Thanks XXXXX !!!!!!!!!!!!
 
 
Answered by Dr. Raju A.T 18 hours later
Brief Answer: Endoscopy needed Detailed Answer: Hi, To plan a better management, first I would consider it essential to confirm the diagnosis. Kindly get back to be after the endoscopy test. Regards,
Above answer was peer-reviewed by
 
Follow-up: Waking up with nausea and squeeze stomach. Is this due to Gastritis? 3 hours later
Dr XXXXXXX : My Doctor Called Me Today And Scheduled Me For A endoscopy Next Thursday The 21st At Around 2:00 !!! Wish Me Luck , Im Hopeing He Want Find Nothing Bad !!!! Im Praying !!! I Will Let You Know What They Find ASAP !!!!!! Thanks For Everything !!!! XXXXX!!!!!!!!!!!!
 
 
Answered by Dr. Raju A.T 25 minutes later
Brief Answer: Will be waiting Detailed Answer: Hi, Wish you good luck. I too pray nothing turns out bad. Wish you good health. Regards,
Above answer was peer-reviewed by
 
Follow-up: Waking up with nausea and squeeze stomach. Is this due to Gastritis? 21 hours later
Dr XXXXXXX : A Question For You !!! Since Ive Taken Dexilant For 40 Days , And Now The Last 4 Days Ive Switched Back To Nexium , That My Stomach Is In The Healing Process !!! Since I Started Taken The Nexium 4 Days Ago , My Nausea Has Been Nothing , Its Like Maybe The Dexilant Was Hurting My Stomach Or Maybe Makeing Me Nauseated ? I Have Felt Better Today Than I Have In Weeks ? Please Give Me Your Theory Of This Please !!!! What You Thank Sir !!!! Reply Back ASAP Please !!!! O , And By The Way My Doctor Up My Zofran To 8 Mgs Instead Of 4 Mgs !!!! But I Havent Needed Any Zofran Today At All !!!!!! Waiting On A Reply Please !!!!!! Thank You XXXXX!!!!!
Follow-up: Waking up with nausea and squeeze stomach. Is this due to Gastritis? 25 hours later
Dr XXXXXXX : Please Answer All Questions In The 2 Boxes Above Also !!! Is It Ok To Drink Milk When You Have Gastritis ? Does It Make It Worse Or Does It Irritate The Gastritis More ? Please Reply Back Tonight Please ( ASAP ) !!!!!!!!!! Thanks Alot XXXXX !!!!!!!!!!!!!!!
 
 
Answered by Dr. Raju A.T 42 hours later
Brief Answer: Both are same Detailed Answer: Hi, Sorry for the delay in my response, Both Dexilant and Nexium contain medications of same class having similar mode of action. Only the side effect profile of the drugs differ and is subjective. That could be the reason for the failure of dexilant in you. You can drink milk, there is no harm and does not aggravate gastritis. Regards,
Above answer was peer-reviewed by
 
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