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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Acid Reflux After Gastric Sleeve Operation, Less Dose Lansoprazole Not Enough. High Dose Causing Malabsorption Nutrients. Alternate?

Hi. I had a gastric sleeve operation 3 years ago and I am still suffering from acid reflux. I take 15mg of Lansoprazole per day, but find that sometimes it's not enough. I used to take 30mg's but was worried it was causing malabsorption of nutrients as I had low iron and had to take supplements. Is taking this drug ok after such a long period of time? Is there anything else I can do?
Thu, 18 Apr 2013
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General Surgeon,  's  Response
Hello!

Thank you for the query.

First of all you should have controlled your stomach condition. Severe acid reflux can cause stomach chronic inflammation what can lead to stomach cancer. That is why upper GI endoscopy should be performed at first. During this test Helicobacter Pylori infection will be verified. This infection can cause you symptoms and it is possible that after eradication acid reflux will go away.

It is quite common that some patients react better for Lansoprasole, others have better effect after Pantoprasol or Omeprasole. That is why, if you find Lansoprasol does not give a relief from acid reflux symptoms you should try other medicine. I suggest you to start with Omeprasole 40 mg once a day (should be prescribed by your doctor) and see how it works for you.

You should also avoid fatty foods, spicy foods, coffee, chocolate, fruit juices. Increase mineral water intake. Last meal should be 2 hours before sleeping. You may try put your head a little bit higher when sleeping.

Hope this will help.
Regards.
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Have Acid Reflux After Gastric Sleeve Operation, Less Dose Lansoprazole Not Enough. High Dose Causing Malabsorption Nutrients. Alternate?

Hello! Thank you for the query. First of all you should have controlled your stomach condition. Severe acid reflux can cause stomach chronic inflammation what can lead to stomach cancer. That is why upper GI endoscopy should be performed at first. During this test Helicobacter Pylori infection will be verified. This infection can cause you symptoms and it is possible that after eradication acid reflux will go away. It is quite common that some patients react better for Lansoprasole, others have better effect after Pantoprasol or Omeprasole. That is why, if you find Lansoprasol does not give a relief from acid reflux symptoms you should try other medicine. I suggest you to start with Omeprasole 40 mg once a day (should be prescribed by your doctor) and see how it works for you. You should also avoid fatty foods, spicy foods, coffee, chocolate, fruit juices. Increase mineral water intake. Last meal should be 2 hours before sleeping. You may try put your head a little bit higher when sleeping. Hope this will help. Regards.