Although most are confirmed to have gerd when evaluated, 7-10% of patients are found to have a “primary esophageal motility disorder” these conditions can cause symptoms similar to gerd, but will not respond to ppi drugs since the symptoms are not caused by gerd. Gerd medication not working. What if my acid reflux medication is not working? you may not find over-the-counter h2 blockers effective for moderate to severe heartburn if the reflux disease is severe enough, it may require increased medication dosing or a prescription-strength h2 blocker.
gerd medication not working
However, if you have a high pretest probability of gerd, test on the ppi medication if reflux monitoring (ph testing) is negative, the ppi can be stopped if ph monitoring validates acid reflux, and if ppi therapy and timing are optimized, surgical and pharmacologic options remain. Occasional heartburn usually isn’t a cause for concern. it can be managed with lifestyle changes and over-the-counter (otc) medications. however, if heartburn becomes more frequent or stops. Proton-pump inhibitors (ppis). they do not work better than placebo as silent reflux treatment. still, they get prescribed like crazy. most doctors simply take what works for gerd and tell people with silent reflux to use the same. what are proton-pump inhibitors? proton-pump inhibitors are massively reducing the acid production of your stomach..
