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What causes severe heartburn after using Proton pump inhibitors?

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Posted on Fri, 29 May 2015
Question: I was prescribed protein pump meds , have been taking for one week. Now heartburn seems even worse, should I ask doc to do scope tests?
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Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
Certainly yes, try additional medicines and care too

Detailed Answer:
Hi.
Thanks for your query.
Read and understood your history about gastritis, proton-pump-inhibitors for a week, worsening hear-burn.

I would advise the following in such a patient:
Continue Proton pump Inhibitors
Add Zantac 12 hourly.
Pepcid every 3 to 4 hours when on empty stomach.
Add Domperidone or such motility regulators.
Soft bland diet.
No aerated colas / soda/ drinks.
Early dinner. No late nights.
Treatment for anxiety (as prescribed / needs a prescription by your Doctor)
Lying in a reclining position
Walk around after dinner.
Think of the factors which increased the present problem, GERD, anxiety and try to avoid.
If no relief, get Upper GI endoscopy done and get prescription for added Medicines.
EKG for the heart n a safer side to rule out cardiac problems.
This helps all my patients and should help you hopefully.

I hope this answer helps you to get a proper diagnosis, and get a proper further treatment. Please feel free to ask for more or if you need further clarifications or if you feel there is a gap of communication.
http://bit.ly/askdrtchandrakant
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19432 Questions

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What causes severe heartburn after using Proton pump inhibitors?

Brief Answer: Certainly yes, try additional medicines and care too Detailed Answer: Hi. Thanks for your query. Read and understood your history about gastritis, proton-pump-inhibitors for a week, worsening hear-burn. I would advise the following in such a patient: Continue Proton pump Inhibitors Add Zantac 12 hourly. Pepcid every 3 to 4 hours when on empty stomach. Add Domperidone or such motility regulators. Soft bland diet. No aerated colas / soda/ drinks. Early dinner. No late nights. Treatment for anxiety (as prescribed / needs a prescription by your Doctor) Lying in a reclining position Walk around after dinner. Think of the factors which increased the present problem, GERD, anxiety and try to avoid. If no relief, get Upper GI endoscopy done and get prescription for added Medicines. EKG for the heart n a safer side to rule out cardiac problems. This helps all my patients and should help you hopefully. I hope this answer helps you to get a proper diagnosis, and get a proper further treatment. Please feel free to ask for more or if you need further clarifications or if you feel there is a gap of communication. http://bit.ly/askdrtchandrakant