Proton-pump Inhibitors

Proton pump inhibitors (PPIs) are drugs that are used to reduce the amount of acid produced by the stomach lining. They are used in the treatment of heartburn or gastroesophageal reflux disease (GERD), gastric ulcers, and to prevent damage to the lower esophagus. Omeprazole, Lansoprazole, Rabeprazole, and Pantoprazole are some of the commonly used drugs of this group.

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I underwent GERD surgery. Should I have to take PPI life-long?

Query: Hi doctor, I am concerned about my husband's health. He is taking PPI medication for ten years now called Omeprazole. We think he has to quit the medication. Could you please recommend to us what to do? How to start? I am also extremely worried about his liver. I know about the damage PPI may cause...  Read Full »


Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hello, Welcome to icliniq.com. Well, there are very few indications of lifelong PPI (proton pump inhibitors). 1. Patient has GERD with Barrett's esophagus and premalignant findings such as dysplasia 2. Post fundoplication (GERD surgery) if the patient on follow-up has Barrett's esophagus or evid...  Read Full »

Blood in vomit after drinking too much alcohol. Kindly help.

Query: Hello doctor,I am a 20 year old male. About three days ago, I vomited bright red blood after consuming excessive alcohol. This is the first time I have consumed more than one beer and I was also unconscious. I have not been having any pains or any other symptoms. After the first vomit of blood, I pu...  Read Full »


Dr. Ashaq Hussain Parrey

General Medicine Physician, Internal Medicine Physician, Rheumatologist

Answer: Hello, Welcome to icliniq.com. I went through your post. At this age, bleeding with vomiting is likely due to an injury to the lower esophagus because of the force of the vomit. If the bleeding was severe, then an upper GI (gastrointestinal) endoscopy is necessary for two reasons. Alcohol drinking ...  Read Full »

What should I do to prevent my recurring GERD symptoms?

Query: Hello doctor, I was diagnosed with eosinophilic esophagitis, GERD, and hiatal hernia three years back through an endoscopy. My symptoms during the period were non-cardiac chest pain (all cardiac tests were negative), infrequent regurgitation, and muscle tightness in my abdomen and shoulders. The do...  Read Full »


Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hello, Welcome to icliniq.com. Well, the biopsy report (attachment removed to protect patient identity) does not show eosinophilic esophagitis, nor it showed that you have Barrett's esophagus. You have a sliding hernia and had significant reflux related esophagitis. I feel that this is again the ...  Read Full »

How to treat a swollen and sore throat?

Query: Hello doctor, For six weeks, my throat has felt swollen, constricted, and I have an odd kind of soreness on the right side of my throat and sometimes the upper right side of my sternum. I feel the constriction all the time, but the soreness only when I swallow. The soreness begins at the top of my ...  Read Full »


Dr. Mohammed Osama Aboborda

ENT Otolaryngologist

Answer: Hello, Welcome to icliniq.com. I think that it is the effect of reflux. I advise you to stop Famotidine and start Omeprazole 40 mg, which is a proton pump inhibitor. It is more effective than Famotidine, especially in severe persistent cases like your case. You can start with two tablets before b...  Read Full »

What can cause bloating, irregular bowel and watery stool?

Query: Hi doctor, I am suffering from irregular bowel. I feel burning sensation in the stomach and anus. If I eat anything spicy, I need to go to restroom immediately. My poop smells and is semisolid, sometimes watery but not like diarrhea. I am suffering with this condition for past one year. I am tak...  Read Full »


Dr. Anshul Varshney

Criticalcare Physician, Diabetologist, General Medicine Physician, Internal Medicine Physician, Medical Gastroenterologist, Nephrologist, Pulmonologist, Rheumatologist

Answer: Hi, Welcome to icliniq.com. You are suffering from a condition known as irritable bowel syndrome (IBS). Your history is a classical suggestive of that. However, IBS is a diagnosis of exclusion. So, we need to be sure it is not anything else like ulcerative colitis, thyroid disorder or autonomic neu...  Read Full »

Kindly suggest a permanent remedy for my long-term acid reflux problem.

Query: Hi doctor, I have suffered from reflux for over 10 years now, but usually quite manageable. It waxes and wanes. There are periods where I can have no symptoms, eat trigger foods without problems, and take Gaviscon now and then, and there are periods where I have to take 40 mg of PPI daily to keep ...  Read Full »


Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hello, Welcome to icliniq.com. I have read your history and seen the report of gastric scintigraphy (attachment removed to protect patient identity). You do not have gastroparesis, a fraction of 25% at 2 hours post-meal within the stomach is a normal finding. Ideally, it should have been done for...  Read Full »

Why am I having irritation in lungs and throat?

Query: Hi doctor,I have a nagging tickle or irritation on the top of the lungs and at the bottom of the throat. It causes me to cough occasionally. I have this problem for two months with no other symptoms. I shout at some people during work and I sing frequently. I am curious whether I have damaged my voi...  Read Full »


Dr. Shyam Kalyan N

Allergy Specialist, General Practitioner, ENT Otolaryngologist, Family Physician

Answer: Hi, Welcome to icliniq.com. Please mention whether you had a sudden onset or whether it was gradual. Please mention the duration of this onset, had any associated pain, any difficulty in breathing, any change in voice, any allergies, any aggravating factor, and relieving factors. I think that you ...  Read Full »

I have red bumps under my tongue with something stuck on my throat. What to do?

Query: Hi doctor, I am 38 years old with a weight of 69 kilograms and a height of 5 feet 7 inches tall. Before six months, I had a severe dry cough and it got better within a week. I did not take any medicine for it. I also had some ulcers in my mouth and it also got resolved within a week. At that time, ...  Read Full »


Dr. Shyam Kalyan N

Allergy Specialist, General Practitioner, ENT Otolaryngologist, Family Physician

Answer: Hi, Welcome to icliniq.com. I have gone through the picture (attachment removed to protect patient identity). The bumps present in the tongue are circumvallate papillae. They are present in everybody and in some peoples, it looks apparent in the mirror. The next problem you are facing is due to re...  Read Full »

I still have gas and bloating issues after a normal gastroscopy. Why?

Query: Hello doctor, I am 29 years old. I was having stomach pain, acidity and bloating since a year. So, I did an endoscopy as advised by my doctor. The report showed H.pylori positive. I finished the full course of medication as directed by the doctor and I felt better. Then, I switched to a new place. A...  Read Full »


Dr. Ajit Naniksingh Kukreja

General Surgeon, Medical Gastroenterologist, Medical Oncologist, Paediatric Surgeon, Surgical Gastroenterologist, Surgical Oncologist

Answer: Hi, Welcome to icliniq.com. Having gone through your reports (attachment removed to protect patient identity), it appears that you have lower esophageal sphincter laxity (LOS laxity). Also, you might be having chronic gastritis and colitis. The gas and bloating is usually secondary to these patholo...  Read Full »

Why am I experiencing weight loss, stomach burn, and throat pain?

Query: Hi doctor, I feel nausea and painful throat. It is paining inside the throat and some coffee color blood came out from the throat while spitting. I am experiencing unexpected weight loss for the last four months. I also have nausea, chest pain and stomach burning. I had an endoscope and a blood test...  Read Full »


Dr. A K Srivastava

ENT Otolaryngologist

Answer: Hi, Welcome to icliniq.com. I have gone through your query and attached files (attachment removed to protect patient identity). It appears that you are suffering from erosive gastritis. This in turn leads to gastroesophageal reflux disease. I suggest you antacid with PPI (proton-pump inhibitors). Co...  Read Full »

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