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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How can GERD be treated?

I have been taking omeprazole bicarbonate (for GERD) for 20-plus years, along with clopidogrel (plavix) for more than the past 10 years due to receiving several stents and then a CABGx4 in early 2015. My Cardiologist has been aware of the reported drug interactions between these two drugs, but has kept me on the omeprazole bicarbonate because other GERD-related drugs, such as ranitidine, have not stopped my GERD symptoms. Recently, after losing my long-time Primary Care Physician (PCP), I have now been assigned a new PCP who has refused to re-authorize my long-time omeprazole bicarbonate prescription (due to the reported drug interaction with plavix. My new PCP has written a new prescription for Ranitidine, but after three weeks, I still now have GERD symptoms daily (while I had no GERD symptoms for the past several years while taking the omeprazole bicarbonate.) How do I reconcile this new disagreement between my long-time Cardiologit and my new PCP regarding which GERD drug that I should be taking? Thanks for any help! YYYY@YYYY
Fri, 23 Feb 2018
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General & Family Physician 's  Response
Change habits
Making lifestyle changes is an important part of treating symptoms of GERD. Quitting smoking, losing weight if you need to, and changing your eating habits can all help you feel better.

Take medicines
If you have been using nonprescription medicines to treat your symptoms for longer than 2 weeks, talk to your doctor. Stomach acid could be causing damage to your esophagus. If you have GERD symptoms often, or if they are very bad, your doctor may recommend that you use prescription medicines.

Be sure to continue to take medicines as instructed by your doctor, because stopping treatment will often bring symptoms back.

Avoid your triggers
An important part of treating GERD is avoiding triggers. These things can include:

Spicy foods.
Fatty foods.
Drinks that contain caffeine or alcohol.
Certain medicines.

I hope you happy with information thank you .

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