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Zantac vs PPI

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Posted 4/30/2015 10:09 PM (GMT 0)
I just came back from my doctors, and I told him my symptoms, the non stop burping, and the really bad bloating with occasional acid reflux.
He prescribed me Tecta, a form of PPI, but i truly am super scared. I just dont know why but i dont feel like i need it as bad as others may need it. the bloating is starting to hurt and is feelign extremely pressurized, but i dont know if thats just because i was on antibiotics for 5 days and needs extra time to recover from that damage. but other than that, i just am super scared to try it.

ive read on here that people wean off ppis and then turn to zantac cos its alot easier on the body. why didnt my doctor just let me start with that? obviously a little too late to ask him now..

also he wont prescribe a specialist until i know for sure the tecta isnt working.
Posted 5/1/2015 12:18 AM (GMT 0)
Seems that a lot of doctors like to go straight to the "big guns" when tackling these sorts of issues. Mine did the same thing...and it really helped fight back the symptoms and make me feel better and get better. I was prescribed Nexium 40.

Long term is another story.

I also have backed it off to Zantac and just today a doctor consulting me said she would recommend Zantac for me now, after a year of Nexium and things appear better.
Posted 5/1/2015 12:18 AM (GMT 0)
Your symptoms, excessive burping, bloating, and GERD are symptoms of delayed gastric emptying where food is staying in the stomach too long. PPI's can cause delayed gastric emptying along with other medications. When food stays in the stomach too long, it will cause GERD/LPR, bloating, excessive burping, and in worse cases vomiting. If you have delayed gastric emptying the PPIs will make the problem worse. You might want to be tested for delayed gastric emptying before starting either medication.

Post Edited (CAGU) : 4/30/2015 6:40:28 PM (GMT-6)

Posted 5/1/2015 9:56 AM (GMT 0)
Forgot to mention, If your delayed gastric emptying test ends up being normal, then you might want to be tested for H. Pylori, which can have similar symptoms as delayed gastric emptying. Also a test for food sensitivities. Your allergist can test you for at least ten different common food items.

Sadly, many GI doctors do not test for these things before pushing medication. The focus always seems to be more on treating symptoms.
Posted 5/1/2015 1:53 PM (GMT 0)
Drs usually skip Zantac because its effectiveness reduces over time. After a couple of weeks on it, its less than 50% as effective as when you start taking it. PPIs don't suffer the same drop off, your body cannot compensate for blocked proton pumps.

It sounds like your problems could be better treated with diet in the first instance though, a PPI is more of a last resort imo.
Posted 5/1/2015 7:37 PM (GMT 0)
I agree with Andy, I think you should work on your diet and food journal first. Your symptoms are very recent, although I know it probably feels like you've been suffering forever. I wouldn't jump into taking medication unless you've tried everything and still don't get relief. I took protonix for years, had no side effects, and didn't suffer from rebound symptoms when I stopped taking it. I would also start taking some anti-gas medications as well as probiotics.

Sharon
Posted 5/1/2015 8:24 PM (GMT 0)
Thanks guys.
the bloating is the worst part but this only came with the antibiotics I took so I dont wanna jump to conclusions and blame it all on the acid, though my doctor says thats what excess acid can do. although it just feels os sudden, and it hurts.

This may be TMI, but today (2 days after my antibiotics finished), i have had chronic diarrhea, and since about 2 days ago the bloating is very bad. It feels like my stomach is rock hard, and cant expand. and so heavy. this is what my doctor says is the acid, but i never had these symptoms until the antibiotics, and especially not diarrhea (this is for sure the antibiotics, because ever since they ended, ive been taking probiotics and ive been told that it could also be 'die off' symptoms, which can cause your body to feels nauseaus/vomitting/etc. although diarrhea is not a symptom i saw much of online.


Has anyone with GERD ever had these extreme bloating pains? or is it likely to be a result of the antibiotics?
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