You can try a different PPI and/or a different H2 Pump. And if you're not doing it already, double down on lifestyle changes like losing weight, sleeping with the head of your bed elevated, eating GERD friendly meals and not eating within 3 hours of bed time. You might also try an alginate like Gaviscon Advance. It works well for some.
As I have commented many times PPIs are nasty and self perpetuate the problem. It can be a really difficult thing to get off these drugs once hooked but I seem to recall that somebody noted that Mayo Clinic had a paper on how to do that.
I have horrendous acid reflux. I have a FODMAP diet, doesnt always work but worth a try. I am with BobD on the PPI front. Worked for reflux to an extent and for a time but they caused me awful Afib episodes. My gut and heart have a love hate relationship so i have to be very careful. I would not personally take any PPI again. Many people swear by them though.
I had Ranitidine for a number of years but they were suddenly removed from the market after a scare and I assume they are still off the books. My gastric consultant and GP informed me of this separately.
I make do with gaviscon advance which works to a good extent and have been given famotidine for flare ups. There are others in the same family as famotidine but I was advised against them as a side effect was heart rhythm upset.
My diet is beyond bland and I stick with chicken, turkey, fresh veg, little to no pastry, acidic, spicy, fatty or sugary foods. Not much fun but better than reflux.
I am not suitable for a Fundoplication gastric surgery as I have failed peristalsis but some people have found the operation to be a success. Not to be entered into lightly though. Perhaps worth researching it. I certainly find the better my gastric issues are controlled the better my hear behaves. Best wishes.
I have had consultations with two top gastro surgeons re acid reflux surgery. Both said the same thing. Side effects of a Nissen Fundoplication can be Dysphagia, Flatulence, Bloating and the inability to vomit.
As the stomach is wrapped around the bottom of the oesophagus in order to stop acid reflux it isn't a small op. There is I understand a full or part wrap available dependent on personal circumstances, look it up on google. It doesn't always resolve acid reflux. Works for some not for others as most things.
I cannot personally have a Nissen Fundoplication because I have failed oesophageal peristalsis, in effect the muscles and nerves in my gastric system fail to work so it bars me from this surgery as it would make my issues far worse.
Hope this helps. Speak with your gastric consultant for their advice if you have one available to you.
When Ranitidine was banned, my GP swapped me onto Famotidine 20mg twice daily. At first, I didn't think it was as good, but it does seem to have settled down since, and that's now quite a long time ago. I'm still taking them, and have no problems.
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