Get your Health question answered in 3 easy steps

161 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Can prolonged usage of Pantoprazole cause Vit B12 deficiency?

Answered by
Dr.
Dr. Suresh Heijebu

General & Family Physician

Practicing since :2010

Answered : 3520 Questions

default
Posted on Mon, 25 Aug 2014 in Digestion and Bowels
Question: Hi Doctor,

I have been using PAN-D for nearly 5-6 years daily. I am alcholic and smoker too. Recently I have been diagnozed with B12 deficiency and on medication. I have cut down on my alcohol consumption from 180 ml per day to 90 ml.

Still I have gastritis problems. I was going through internet and it said that due to prolonged usage of pantroprazole the stomach will lose the ability to absorb B12. What Can I do to make my stomach work normally.

Also, I have been getting itching sometimes on the right lower back where kidney resides. Is there a kidney disease. No other problem like burning sensation during urine passage etc....

Thnaks
XXXXXXX
doctor
Answered by Dr. Suresh Heijebu 4 hours later
Brief Answer:
Just quit alcohol

Detailed Answer:
Hi sir,
I have carefully read your query and understand your concern.

Pantoprazole on longterm is associated with vitamin b12 deficiency.

Pantoprazole is indicated in your case to control alcoholic gastritis and acid reflux.

Reducing the alcohol intake to 90 ml from 180 ml has no special benefits once alcohol induced gastritis has developed.

Complete cut down of alcohol is strongly need.

Longterm pantop is also associated with osteoporosis.
Hence i strongly advice you to quit alcohol and pantop and prevent all complications arising out of it.

Stomach can work normally only then.

Itching on the lower back is not associated with any kidney disorder.

Rather an investigative work up is needed to evaluate any coexistent pancreatitis and gall bladder pathology which are associated with smoking and alcohol and they can present with itching.

I advice you to undergo an ultrasound abdomen to evaluate this.

I hope this info is quite helpful to you.
wish you a good health,
thank you.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
default
Follow up: Dr. Suresh Heijebu 22 hours later
Dear doctor,

I have done a blood test for Kidney Function profile, albumin, and Thyroid tests. Hopefully all my results look normal. It looks lymphocytes percentage are a bit on the higher side. What could be the reason ? Do I need to get worried about it ? How do to get it to normal levels without any medicines. Please suggest. [Report attached]

Also I had back pain for the past two days and I consulted an ortho. His prescription are attached . Can you explain what is the problem exactly with my spine. Are these medicines having any side effects with the medicines I am already taking. What are the excercise or the posture do I need to adopt to avoid having back pain. I drive bike for 60 km 5 days a week.

Expecting your reply

Regards
XXXXXXX
doctor
Answered by Dr. Suresh Heijebu 19 hours later
Brief Answer:
Normal lab reports.

Detailed Answer:
Hi sir,

Thanks for writing back to me.

You have all test parameters in normal for your age and sex.

The lymphocyte count is not elevated but is on high normal range.so no remedy measures are needed.Its not an issue to be concerned of.
So do not worry about it.


The back pain in your case does not seem to have any underlying serious pathology.

Its just muscular and positional in nature,but not due to any drug related side effects.

It is due to long strenuous bike ride which demands excess work load on the spinal column.

Just follow your doctors prescription,its more than enough.

I hope this info is useful to you.
Thank you.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
default
Follow up: Dr. Suresh Heijebu 2 hours later
Thanks for your clarification doctor.

I have done a USG - Abdomen today and the results are attached here.

Can you please elaborate on the findings.

What does gall bladder with bilary sludge mean.

Do prescribe any medicine for the problems in the report.

Regards
XXXXXXX
doctor
Answered by Dr. Suresh Heijebu 5 hours later
Brief Answer:
Repeat ultrasound after 6 months.

Detailed Answer:
HI,

Biliary sludge is a mixture particulate solids that have precipitated from bile.

It is usually associated with alcohol intake and unhealthy dietary habits.
On long term it carries risk of forming gall stones.

Asymptomatic patients with sludge require no specific therapy.

When patients are symptomatic or develop complications,then cholecystectomy (gall bladder removal) is indicated.

Medical therapy is limited for sludge.

So i suggest you to follow it up with another ultrasound scan after 6 months.
I hope this info is helpful to you.
thank you.
take care.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  
Drug/Medication
Medical Topics

Recent questions on  Osteoporosis

doctor1 MD

i am 26 years old i have been haveing chest pain difficult breathing i almost find it better if i dont breath, when i lay down i am out and it is really hard to wake me up i am a paraplegic t7,8 9 i have only 1 kidney and no spleen, i have been diagnosed with osteoporosis endometrios and complex regional pain syndrom in my l leg i feel it is spreading my hole body feels like it is on fire burning throbbing pain, i also have harrington rods along my spine which i have bent rod in left femour i have been haveing abdominal pain bleeding from the bowel on many medications etc

doctor1 MD

I am 67 and I am an RN. I have a very health diet, but am experiencing some sciatica and joint pain. Do you believe an anti-inflammatory diet works. I also have developed some osteoporosis. I take helath supplements but I do not feel it is helping. I am active and exercise.

doctor1 MD

what do they do to prevent urinary incontinence in a patient who is going to have a colonoscopy?

patient is a female who will be 80 in may, about 5'4" and weighs about 118 lbs. Is on night oxygen. Has copd, takes lipitor for high cholesterol, bp meds, prilosec for gerd and fortical for osteoporosis.

doctor1 MD

I am a healthy 74 year old woman with ugly fingernails that have ridges and split downward, then bread or split in half. This has been going on for years. I have seen a nail specialist who says I have dry nails and offered me an RX that cost almost $300.00. I do not have any diseases other than osteoporosis. Any ideas.

doctor1 MD

I'm 27 year old female from past few days I have got joint pains . especially while climbing up and down the stairs along with the cracking sound. went to orthopedician they suggested couple of tests related to auto immune arthiritis, results are...

doctor1 MD

I am a 72 year old woman. For the past week I have been getting excruciating thigh muscle cramping thinking it was sciatica . My doc doesn't have office hours today and I want to begin taking magnesium supplement. What is the safe dosage?

doctor1 MD

If I have rheumatoid arthritis , what is safest medication that also helps osteoporosis? How can I reduce swelling in feet and hands? I'm taking high-dose fish oil for RA symptoms. It seems to have reduced pain but not swelling. Thank you. YYYY@YYYY