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Old 01-08-2013, 01:02 PM   #1
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Prevacid twice daily?

My 20 yo daughter has fought acide reflux since she was 15. OTC meds helped until about 6 months ago. Her FP doc put her of Prevacid 30 mg twice daily for 3 months. This helped with the pain high in her stomach but she still has breakthrough acid reflux, typically when she wakes. She go to sleep propped up but awakens on her back. The dr was pretty surprised that she still had some break through reflux so she is going to see a GI dr next week. Her FP doc doesn't want her on the Prevacid too much longer as it can damage bones and she already has damaged knees from sports. She wants to be a typical 20 yo and hates taken so much medicine. Any advice?

 
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Old 01-08-2013, 01:36 PM   #2
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Re: Prevacid twice daily?

I'm so sorry to hear about your daughter's problems. Some people still get acid reflux despite taking Prevacid.

These are some of the things I'm trying:

Weight loss helps, by encouraging the muscular valve at the lower end of the gullet to remain shut rather than lie open.
Raising the head of the bed by 5-10cm employs gravity to keep stomach contents where they should be when you are lying down.

Avoidance of late meals also prevents food and other digestive juices, such as bile, from refluxing and causing just as much bother as acid.

Some people find particular foods give them more reflux than others – you need to experiment a bit to find what you should avoid. I'm keeping a food diary. Food and drink commonly reported to trigger symptoms includes fizzy drinks, spicy foods, high-fat foods, citrus fruits, peppermint, tomatoes, garlic and onions. Caffeine in coffee, tea and cola and theobromine in chocolate have been reported to worsen symptoms, and alcohol and excessive amounts of vitamin C (from supplements) can also increase acid secretion. Chocolate and caffeine are definitely triggers for me.

Probiotics for reflux, as there is some suggestion they might be helpful. Eating smaller more frequent meals.

 
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Old 01-08-2013, 01:53 PM   #3
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Re: Prevacid twice daily?

At 20, she's not good at food diaries or making good food choices (and she's stubborn!) but she does know some triggers so she avoids them. She could lose a few pounds but not much. She just seems way too young for these issues!

 
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Old 01-08-2013, 02:04 PM   #4
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Re: Prevacid twice daily?

Quote:
Originally Posted by katyop View Post
At 20, she's not good at food diaries or making good food choices (and she's stubborn!) but she does know some triggers so she avoids them. She could lose a few pounds but not much. She just seems way too young for these issues!
I completely understand what you're saying. She's been dealt a rough deal. I think it's very difficult to stick to lifestyle changes, not matter what age you are, but at 20 even more difficult. She has my sympathies, it's not fair.

 
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Old 01-08-2013, 07:29 PM   #5
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Re: Prevacid twice daily?

I as on Prevacid twice daily for years. My GI doc had me supplement with Gaviscon or Zantac as well.

I agree with Jana's advice as well.
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