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Originally Posted by singer1
I know it's a fairly new drug, but has anyone been on it long term and had problems with it?
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PS: Just a person ... no medical training.
I've been on it short term and have had side effects. The very first night I took it I had gurgling and movements in my stomach. And even today - just a couple of days later - I have more belching gas than before. From what I've read, these aren't the norm, though. I guess everyone responds differently.
A few things bother me "theoretically". I know of two functions acid performs in the stomach: helping to denature proteins so that enzymes can then get at the bonds they need to in order to start breaking the proteins down, and killing many types of bacteria. Using Nexium, a proton pump inhibitor, raises the stomach's pH a lot, which, it seems to me, would make the stomach stop performing these functions very efficiently.
Also, the duodenum "expects" to receive highly acidic chyme from the stomach, and in normal people, uses basic compounds to bring the pH up. Does the duodenum still receive/use the same amount of alkaline solutions/compounds even when the chyme coming through the pyloric sphincter is not very acidic? If it does, I would think that the duodenum would then be excessively basic, which might lead to problems over the long haul. But if the pH in the duodenum is controlled by negative feedback, then there should be no problem.