And when you do need a PPI, you should take the lowest dose for as short a time as possible. More than half of the people who take PPIs probably do not need them. Simple heartburn can be treated with antacids or other drugs, plus diet and lifestyle changes.
You may only have heartburn every now and then—such as after a big, spicy meal. This may be uncomfortable, but it is not serious. If you need a PPI, taking a low dose for less than a year is probably safe.
PPIs are expensive and have been linked to higher risk of some problems. Talk with your doctor before taking them for longer than two weeks. Be sure you have a good reason to take the PPI, and take it for the shortest time possible.
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The FDA also advised consumers taking OTC ranitidine to stop taking any tablets or liquid they currently had, dispose of them properly and not buy more. They also advised patients taking prescription ranitidine to speak with their health care professional about other treatment options before stopping the medicine, as there are multiple drugs approved for the same uses as ranitidine that do not carry the same risks from NDMA. At Advanced Bariatric and Surgical Specialists , we hope to get patients off all antacids.
In addition, antacids do not stop the underlying problem, they simply reduce stomach acid which may mask the problem. One of the common procedures we perform is the TIF procedure trans-oral, incisionless fundoplication. We use a scope down the mouth to fold the stomach onto itself and tighten the valve at the lower end of the esophagus. There are no incisions with this procedure.
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