Nexium for duodenal ulcers

Common Questions and Answers about Nexium for duodenal ulcers

nexium

In general, Nexium and Prilosec are very similar. There is very little chemical difference between them. Some studies suggest that Nexium is an improvement on Prilosec, but those have been done on a lower dose of Prilosec. They are both effective in treatment of GERD, ulcers and repairing damage due to these conditions. There may be different tolerances to the medications, but that is patient dependent. These questions can be discussed with your personal physician.
HI all For years I've sufffered from gerd, stomach ulcers, and general inflammation and severe discomfort which flares and then dies down but never goes away completely. Been taking Zantac effervescent regularly and have tried every other drug known to man but the doctor suggested we try 20mg Nexium a day to see if that helps. It has, but after 10 days now I seem to be getting worse again. Also started taking Gaviscon (again) before meals. The question is how long do we take the Nexium?
Severe reflux...off the charts Bravo survey. Small erosions, not typical, found in the Duodenum on edoscopy, actively bleeding slightly at the time. By not typical I mean he stopped short of calling them ulcers...saying they were "ulcer like" but very small. Doc said he was surprised to see them because I had been on Aciphex, Nexium and most recently Protonix leading up to the scope. (Stopped them a week before the scope though). Biopsy negative for cancer and H.Pylori.
I have been off Zantac several times, but I have severe acid rebound the first week off it, then a great week, then back to pain! So I'm sticking it out for now. My doctor is going to try me on Nexium this week. I expect I'll suffer again as PPIs are very effective at acid reduction! I suffer from pain located directly below the breastbone. Either a "sore" pain or bloated feeling.
Also sometimes my legs feel weak and I feel lightheaded occasionally, I thought that may be because I can't eat much (I have lost 10 lbs.) I have been on Nexium for 2 months and Prevacid for 1 month and I still have nausea a lot of the day. I am so tired of feeling sick and thought someone might have some suggestions. Also I make it worse on myself from worrying that something else worse is wrong with me, I am a 25 year old male. Thanks for your help!
Some of my other health hx is ankylosing spondyloses, joint arthritis, 30% atherscerlorotic stricture R renal artery, barretts esophagus, duodenal ulcers, duodenal diverticulum, GERD, antral ulcers, and strictures. My upper GI problems have been under control for about four years. I take 40 mg of Nexium BID and ranitidine 150mg BID. The latest concern, this considerable weight loss, is what I am trying to address right now.
They commonly occur in the stomach and duodenum. Stomach ulcers cause pain on eating and duodenal ulcers cause pain on fasting (2-3 hrs after eating). Peptic ulcers are eroded areas in the lining of the digestive tract usually in the stomach and duodenum. The two common causes for this are: infection with helicobacter pylori and use of nonsteroidal anti inflammatory medications (NSAID).
Stomach ulcers cause pain on eating and duodenal ulcers cause pain on fasting (2-3 hrs after eating). Peptic ulcers are eroded areas in the lining of the digestive tract usually in the stomach and duodenum. The two common causes for this are: infection with helicobacter pylori and use of nonsteroidal anti inflammatory medications (NSAID). If your symptoms are worsening or are not improving consult your doctor for an evaluation. Regards.
This followed after about a year of daily drinking which was causing starting to cause stomach pain. I took nexium for eleven weeks, took a break of a month, then took aciphex for a month. After this I had an endoscopy. This revealed 'multiple small non-bleeding erosions in the duodenal bulb and a gastric mucosal abnormality in the antrum characterized by erythema." I also had an x-ray, ultrasound, CT scan, h. pylori biopsy and emptying test which were all normal.
I eneded up going to a specialist hopeing to find a true answer. He did an endoscopy and did find that I had two duodenal ulcers. He started me back on the Nexium. For a time I did feel better. About a week before christmas I ate a bad egg and was horribly ill for weeks far longer then I should have been. I went back to my gastro to see what was wrong now. I was seeking further answers as to what is going on. I never got them. I was even told that I still could not have an ulcer.
Biopsies should gastritis and duodenitis and were negative for h. pylori. Antibodies were negative for h. pylori as well. Started on nexium and reglan with not much improvement at all. Ultimately those were stopped. Symptoms flared occasionally, but in general were consistent every day. Not particularly related to meals one way or another. A CT scan was negative, mild duodenal inflammation, No lymph nodes, no obvious pancreatitis.
Chronic GERD and heartburn symptoms can be examined with a 24-hr pH study, which would be the most definitive test. I agree with the Nexium as treatment for these symptoms. If GERD is present despite appropriate medical therapy, you can consider surgical options as the next step. If this approach is non-revealing, imaging the abdomen with a CT scan or ultrasound can be done to exclude liver or gallbladder diseases. These options can be discussed with your personal physician.
I've been taking nexium for over 7 years now and they were prescribed by my GI. My ALT's are normal now which were high before nexium. My VL was 2.000.000 then and now is 565.000, so I would not worry about raising anything and take medicine. I also have a hiatal hernia and Gerd. My test results over the years which I get often tell me that nexium (same drug as prilosic) are not causing any problem at all.
She suggested it may be peptic ulcers and gave me Nexium (acid reducer) to try and relieve the pain. However, it gives no relief. I've tried eating a blander diet and avoiding "trigger" foods or anything with acid, but its no different. Even drinking plain water causes sharp pains almost immediately and then off and on for a long time after. Sometimes the pain happens for no apparent reason.
My mom and at least three of her six brothers and sisters have the helicobacter pylorus bacterium, and all of them had significant problems with duodenal ulcers. My one uncle actually had to have part of his stomach removed when he was about 40 (not cancer, but bleeding ulcers/adhesions).
pylori (which is the most often cause of gastritis/ulcers), if positive, treatment with a combination of antibiotics for 2 weeks, and then another breath test to see success. 2. Along with antibiotics, strong anti-acid drugs, like Prevacid or Nexium - by doctor's decision. This should stop bleeding, if the cause was gastritis (ulcer). If all this won't help, well then you'll need another endoscsopy.
Further to an earlier posting on 06/12, I found that a dose of 2000mg (400mg with meals and at bedtime) a day of cimetidine was inadequate to reduce the pain in my stomach (duodenal ulcer, erosions of the stomach lining, HP-ve, not using NSAIDS) and control the heartburn (which has started since I finished helicobater treatment that I didnt need) and diarrhoea. I am now taking 30mg lansoprazole twice a day and I am taking it properly before meals to get the best results.
I was getting hearthburn despite taking two Nexium tablets a day for my duodenal ulcer. After a few weeks though the heartburn died down. I was taking the tablets an hour before eating as this is supposed to allow the tablets to work at their best. I started taking them just before eating and the heartburn went away! Maybe they had raised the PH too much. I now take them 10 to 20 minutes before my breakfast and evening meal.
I was initially diagnosed postendoscopy with multiple erosive duodenal ulcers about a month ago due to upper abdominal pain occasionally presenting as chest pain. I was taking Nexium, which looked to be working very well. Since the doctor noted that I was also incidentally chronically constipated even as a child, and diagnosed me with Irritable Bowel and he prescribed Zelnorm 6mg BID.
I went my GP and he sent me to a gastro to have an upper endoscopy done. The results were gastric and duodenal ulcers, gastritious and Grade A reflux/espophogitis. No H. Pylori and biopsies were benign. I was put on Protonix. In the next two weeks my SVT returned, so I had to have a second ablation procedure. My stomach problems continued to get worse while waiting to have this procedure, so I was switched to Nexium.
Gastritis and esophagitis can and maybe the cause of your s/s I know this, however I would probably see a GI doctor for a work up if you have not already done this for comfirmation. H-pyloric can cause peptic ulcers did you know this? It is also erradicated by antibiotic therapy which I assume you are on sometimes antibiotics can cause stomach discomfort as well, but I recommend you talking to your your doctor or going to see a GI doctor and having a complete workup if you have not already!!
This test allows the doctor to visualize the esophagus, stomach and upper third of the small intestine for any signs of malignancy, ulcers, or for any signs of irritation.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case. Kevin, M.D. Medical Weblog: kevinmd_b Bibliography: Spechler. Management of Barrett's esophagus. UptoDate, 2005.
Ive had abdominal pain on the middle and middle left side of abdomen for 18 months now. Ive had every test available and cant find nothing. I have Hep C genotype 3a since 2007. Since doctors cant find anything structurally wrong, they write it off as being my HCV. My question is, can Hep C cause abdominal pain on the left side? They call it non-specific abdominal pain. Also, if it can, will it go away after treatment? I started Peg+Rib 4 weeks ago.
The pain which you experience in upper middle abdomen, and the pain which comes with eating, is usually due to gastric ulcers and less frequently due to duodenal ulcer. Patients lose weight as they are afraid to eat and hence eat less often than required. The only confirmatory diagnosis is endoscopy (hence in my opinion you should go for this). H pylori infection is known to aggravate the ulcer and associated gastritis.
Increasing the dose of Nexium to 2 x 20mg a day may be the next step. But I'm very affraid of depending on Nexium for the rest of my life!!!! I'm very scarred actually! The main question is: if the biopsy tested negative for H.pylori it is possible that to still have infection with H.pylori? Is anyone there who reckons I should do a breath test or blood test to be 100% sure?
Endoscopy confirmed gastric or duodenal ulcers in 30 patients. In clinical trials of 27 patients, 20 patients took burdock essence; 17 (85%) recovered completely and three (15%) did not. Of the seven patients who took placebos, five (71%) did not completely recover and two (29%) recovered. In the experimental group, the ulcer wounds of the three patients who had taken burdock essence did not completely heal, but wounds were reduced in size by 30%, 75%, and 33%.
nexium, the purple pill!! it works wonders.
Male, age 40. 5'10", 190lbs. No past surgery or serious illness. Symptoms began 3 months ago. Bowel movement mixed color (brown mixed with unusually light brown/tan). Sense of pressure under middle of ribs, mild nausea no vomiting. Fatigue/Flu-like feeling, no fever. Pain persists for 2-3 weeks. BM's continue to be light in color, mucousy, strange shape, texture. Fatigue/Flu-like feeling retreats. Pain moves to mostly right side radiating to back.
I'm terrified of eating because once I do I feel sick for hours and sometimes for the rest of the day. I do not know what to do.
MedHelp Health Answers