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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All the answers published in this website are written by Verified medical doctors, therapists and health experts. The Content has been moderated by iCliniq medical review team before publication. Post your medical clarifications on iCliniq by choosing the right specialty and get them answered. Your medical queries will be answered 24/7 by top doctors from iCliniq.

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 »

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...  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 »

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 bee...  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 »

How to get rid of recurrent acidity, burping, and gas?

Query: Hello doctor, I have severe acidity, excessive burping, and gas for the past few weeks. It gets better but comes back again. I took Cyra D, Pan D, and now Mucaine gel. It relieves the symptoms, but it starts again in a few days, sometimes in a few hours. Please help.  Read Full »


Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hello, Welcome to icliniq.com. I can imagine the level of your frustrations, especially for such recurring symptoms of acidity and burping. You see the medications you are taking, like Pan D (Pantoprazole) and Cyra D (Rabeprazole). Both of these medications are acid suppressant medications. H...  Read Full »

How long should I take Pantoprazole for Barrett's esophagus?

Query: Hello doctor, I am diagnosed with Barrett’s esophagus before few years. Endoscopy and colonoscopy found two benign, precancerous polyps. Doctor prescribed 40 mg Pantoprazole for 30 months. Since taking, I have noticed greasy, floating, dark brown stools, along with hip, gluteal, and lower bac...  Read Full »


Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hello, Welcome to icliniq.com. Well, your concern regarding the 30-month prescription for acid suppressant medication (commonly called proton pump inhibitor-PPI) is very much genuine. The current American Gastroenterology guidelines have not suggested a specific period when should stop PPI in a pa...  Read Full »

What could be the reason for my symptoms like stomach ache, burping and chest heaviness?

Query: Hi doctor, I am 25 years old. I am suffering from stomach ache with burping sounds. Sometimes food also comes back into the mouth from the throat. I have pain in the ribs and chest more during the night and early morning. I feel like something is stuck in my chest with feels heavy, and I am unable ...  Read Full »


Dr. Mian Shah Yousaf

Medical Gastroenterologist

Answer: Hello, Welcome to icliniq.com. You are suffering from gastroesophageal reflux disease (GERD). All your symptoms are very typical of GERD. Kindly follow the following management plan and you will be doing well.  Read Full »

Which is the best probiotic for acid reflux?

Query: Hi doctor, I have acid reflux since 10 years. My H.pylori test is negative. I already overused Pantoprazole and it caused side effects like vitamin B12 deficiency, muscle weakness, etc. So, I would like to discontinue it. I heard that probiotics may heal my problem. Can I use probiotics? If so, th...  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. Your symptoms are suggestive of irritable bowel syndrome. Yes, probiotics play a wonderful role in this. In fact the famous probiotic for this purpose available in market are Darolac-IBS and VSL-3 (lactic acid). You can take them twice a day. For further ...  Read Full »

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