Re: H2 Blockers or PPI's
If you have Barrett's, then you definitely need to get this under control. Sucralfate is a good suggestion. Also try the Zantac, see what happens. Sometimes folks who don't respond to one PPI do better on another one, or sometimes none of them help.
I assume you are already following some lifestyle measures: No caffeine, alcohol, mint or smoking, as all relax the lower esophageal sphincter. Avoid greasy or fried foods, as they increase acid secretion. Beyond that, use trial and error to identify your dietary triggers.
Also, posture matters. You get more reflux when lying down than when sitting or standing up straight, so remain upright during and after meals. Try to avoid bending over or putting pressure on the abdomen. Try elevating the head of the bed at night.
If none of this works adequately, you might want to consider having the hiatal hernia repaired.
Oh! I almost forgot. If you are overweight, losing weight often helps a lot. Of course, there are some normal weight people with reflux, also.
Last edited by janewhite1; 08-16-2012 at 01:36 PM.
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