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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Barret S Esophagus. Chest Pain And Bad Taste In Mouth From Medication. Remedy?

Hi I have been diagnosed with Barrett's esophagus and was told to take pantoprazole sodium40mg and it gave me chest pain then was given pantoprazole magnesium 40mg the taste in mouth was bad so I have taken ranitidine 300mg , then,pantoprazole magnesium 40mg, to no avale then esomeprazole nexium 40mg, then rabeprazole 20mg These meds either give me bad taste in mouth or chest pain either one ocurs what is the best meds. for this barretts
Mon, 24 Jun 2013
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General & Family Physician 's  Response
hi,
thank you for query.

In Barrett's esophagus, normal tissue lining the esophagus -- the tube that carries food from the mouth to the stomach -- changes to tissue that resembles the lining of the intestine.

One of the primary goals of treatment is to prevent or slow the development of Barrett's esophagus by treating and controlling acid reflux. This is done with lifestyle changes and medication.

Lifestyle changes include taking steps such as

1.Make changes in your diet. Fatty foods, chocolate, caffeine, spicy foods, and peppermint can aggravate reflux.
2.Avoid alcohol, caffeinated drinks, and tobacco.
3.Lose weight. Being overweight increases your risk for reflux.
4.Sleep with the head of the bed elevated. Sleeping with your head raised may help prevent the acid in your stomach from flowing up into the esophagus.
5.Don't lie down for 3 hours after eating.
6.Take all medicines with plenty of water.

some drugs that can be used-
1.Proton pump inhibitors that reduce the production of stomach acid
2.Antacids to neutralize stomach acid
3.H2 blockers that lessen the release of stomach acid
4.Promotility agents -- drugs that speed up the movement of food from the stomach to the intestines

thank you for your query.
hope this information helps.
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Diagnosed With Barret S Esophagus. Chest Pain And Bad Taste In Mouth From Medication. Remedy?

hi, thank you for query. In Barrett s esophagus, normal tissue lining the esophagus -- the tube that carries food from the mouth to the stomach -- changes to tissue that resembles the lining of the intestine. One of the primary goals of treatment is to prevent or slow the development of Barrett s esophagus by treating and controlling acid reflux. This is done with lifestyle changes and medication. Lifestyle changes include taking steps such as 1.Make changes in your diet. Fatty foods, chocolate, caffeine, spicy foods, and peppermint can aggravate reflux. 2.Avoid alcohol, caffeinated drinks, and tobacco. 3.Lose weight. Being overweight increases your risk for reflux. 4.Sleep with the head of the bed elevated. Sleeping with your head raised may help prevent the acid in your stomach from flowing up into the esophagus. 5.Don t lie down for 3 hours after eating. 6.Take all medicines with plenty of water. some drugs that can be used- 1.Proton pump inhibitors that reduce the production of stomach acid 2.Antacids to neutralize stomach acid 3.H2 blockers that lessen the release of stomach acid 4.Promotility agents -- drugs that speed up the movement of food from the stomach to the intestines thank you for your query. hope this information helps.