Dr. K, do you have any opinion on the relative merits of different acid-reductions drugs (proton pump inhibitors?) on the market?
I had stomach ulcers, and if I recall correctly also duodenal, diagnosed by esophagogastroduodenoscopy (I can't believe anyone actually uses that word) a few months ago. Doctor said there was a 95% chance they would be cleared up in a few weeks, with Nexium. I got exacerbation of my neuropathic facial pain from the first few doses. Nevertheless I took Nexium 40mg daily for several months. The ulcer symptoms (vomiting every meal and eventually being unable to eat anything for 2.5 weeks and losing 25 pounds as a result and being unable to stand up without passing out) cleared up in a few days, but I needed to continue taking Nexium 40mg for months before I could finally get along with Nexium 20 mg once a day to once every 1.5 days.
Wow that stuff is expensive. Good thing, unlike dental care, which I have to pay cash for, medicaid pays for Nexium. However medicaid won't pay for non-prescription drugs unless they are prescribed and, catch-22, doctors here tend to be unwilling to prescribe drugs if you don't need a prescription.
I haven't been back for more esophagogastroduodenoscopy. Been too busy having excrutiating dental pain for the last few weeks now, and not eating because of that.
The physcian's info on many of these drugs mentions possible changes in the stomach lining caused by them, kinds of lesions that could possibly be pre-cancerous.
My doctor wants me to take another blood tast for gastrin, but I have been unable to find time get to the lab due to the still-painful tooth problem keeping me too week.