do you take a Proton Pump Inhibitor?
omeprazole (prilosec)
esomeprazole (nexium)
dexlansoprazole (dexilant)
lansoprazole (prevacid)
your doctor has almost certainly not told you that it causes significant calcium and magnesium deficiencies.
and can also cause very hard-to-diagnose kidney-related issues.
primary care physicians basically do not believe these side effects exist. i went to three PCPs before i was able to get a referral to a GI specialist.
after eighteen months of having doctors gaslight me, the first GI specialist i saw told me "oh yeah, i see a dozen patients a week with the same symptoms. we really try not to prescribe PPIs any more."
your over-the-counter alternatives are mostly H2 antagonists: famotidine and cimetadine. i got about 6-10 hours of relief from the first and 10-12 hours of relief from the latter. nizatidine works a little better, though it requires a prescription.
diet and habit changes can help, but if you're a chronic illness person, you've already tried every elimination diet and every single medication you can get your hands on.
if none of these work, there are next steps. GI imaging, endoscopies, sucralfate, misoprostol, and possibly surgery.
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