Question about Prilosec / Omeprazole?

Question

For a few weeks, I've been having what I now recognize as classic GERD symptoms: warmness in the chest area, sometimes burning in the abdomen, constant clearing of throat, constant burping up of bitter junk, especially after eating, some back pains, especially when I breathed deeply. I first spoke with a doctor at www.healthcaremagic.com and he said he is almost certain it's hyperacidity aggravating an ulcer. He suggested I take some OTC omeprazole.....He said that the way doctors diagnose Acid Reflux related problems is by hearing the symptoms (and he said mine are classic for acid reflux) and then finding out if the symptoms respond to a PPI such as omeprazole. If it does, that's what the problem is.

So I've been taking it for a week today. And around day 4, 5 and 6, my symptoms were feeling MUCH relieved. In fact, 2 of those days, I was almost able to forget anything was wrong. Today though...I had a return of the sensation of some food not being easy to swallow. It eventually went down, but within the first minute of eating it, I still felt it like it was right there at the top of my throat. I've also experienced some warmness in my chest again. (I was an hour later than usual taking it today, btw). Having said that, I'm still much closer to normal feeling than before I started the Omeprazole.

So here's my question: Should I worry that there's been a slight relapse into my symptoms today? Or does this mean there's something more serious going on?

--Rich

Answer 1

We usually trial the PPI at least a month before saying it failed. If you continue having symptoms after that, you should have an upper GI scope or EGD (esophagogastroduodenoscopy).

Avoid the spicy and greasy foods and also caffeine (causes the lower esophageal sphincter to lose tone). If your belly is on the plump side, try losing weight (the more fat you have inside your abdomen, the more pressure there is pushing stuff back up). A little aerobic exercise usually doesn't hurt. It's good for the heart and might get that diaphragm a little tighter.

Answer 2

Wait couple of days. If there are no relapses then it is OK, otherwise there can be more serious diseases, for example  hernia of esophagus. In that case you have to make some tests, for example X-rays.

May be too that you are quite sensitive to Prilosec, then you have to switch to other drug, for example these http://bisina.info/order_stomach_disease...