Gastritis pain is back

I am 79 years old and I have Gerd acid reflux hiatal hernia and I get gastritis a lot I have taken name brand Prevacid 30 mg twice a day for at least 25 years I just had an endoscopy done and I did not have any cancer but I do have gastritis which is chronic I cannot take the Protonix it does not work for me at all I take Prevacid twice a day morning and night to keep from getting Barrett's esophagus

Its a long one sorry. I've had them for 30+ years, first they would come and I would take the PPIs for around 1 year and then I'd be ok for 2-4 years. Then bang, back worse, another year on PPIs etc etc. So I started when I was 28ish. Each time it came back worse then before. When I was 55 I had a really bad time.  No HP was ever found. No gallstones, nothing in blood tests, nothing in ultrasounds, nothing in CAT scans with contrast.  I do now have a large HH but theres no way I'd have the operation for that. Don't worry about getting cancer via PPIs, the problem is  IF YOU DONT TAKE THEM!!! Chronic (long term) gastritis and reflux can/does lead to cancer.    I take the same PPI as you, Pantoprazole (protonix). And can happily inform you that this is the best PPI I've ever taken (for me). Of course no-one wishers to take any form of meds long term and all have side effects and that's a fact. With Pantoprazole you half the dose compared to Omeprazole, so 40 mg/day = 20mg/day of Omeprazole.   You dose is the standard med dose, 40mg twice a day is the standard dose to start with, yet you read the test results and 40mg/day healed the same as 80!!!  I take 20mg/day which = 10mg omeprazole dose for years now. And yes I do have probs and have to move over to 10mg Omeprazole for a few months.  Like I said the pain when you lie on your side is due to all your stomach etc moving about and the tenderness of damaged areas. Imagine this, whan you have a mouth ulcer does it hurt?? They are tiny, now although your stomach is not ulcerated it is inflamed and may be very red (leaking very small amounts of blood even).  You don't know how bad because they did not inform you.  First lesson learnt, ALWAYS ask what, where and how bad.  Now, your stomach still has to perform its daily job. It takes time my friend and sorry but time and meds is all you have.  It WILL get better if you continue to take the Pantoprazole. Once your healed and like I said it could be 12 months you'll then have to look how you manage the problem long term because sadly it has a nasty habit of reoccurrence.  Some people make too much acid period, have you had indigestion for years prior to this???  But I will inform you that after spending years on different site such as this one, I'm starting to put 2+2 together and this pain when laying on your side COULD, I say could be down/partly down to FL.  Every single case I seen where people have experienced this pain they've also had FL.  Now, what do we all do when we have tummy probs?? Stop drinking all alcohol, a few month later the pain goes!!!  Is it the meds for the old tum or a reduction in fat around the liver or both??  I don't know!! But you will improve slowly but surly and don't panic over PPIs for 12 months, there no need to. Like I said I've years reading papers etc on PPIs and whilst being no expert I can read and see theres very little evidence to conclusively that PPIs can give you cancer.  Yes some do develop cancer but they might have anyway, because they have tum probs to start with. Information is power, read and read if your worried. Its like eggs, don't eat eggs the are high in cholesterol and now, oh don't worry, dont even count it!!! The worlds gone mad

arr just read your first thread, no mate I doubt very much you have tum probs. The  endoscopy? would show anything up.  I've heard of this before, someone mentioned what it was called but I forget, its was due to muscles around the diaphragm. Sorry cant help you more with that one.  Search on here, it will come up. 

Like I said I have taken Prevacid 30 mg in the morning in the evening for several years 20 some years I do have gastritis I just had all the testing done and I have polyps removed and they've tested all of it for gastritis and he said that just come in every so often and get the test done again he's not worried about cancer just watch your diet and take probiotics because they put the good bacteria back in the stomach which creates a lot of pain if you don't have good bacteria to digest your food so you might go and get a very good strain of probiotics or you might make your own kefir to start them out slowly as they can be very gassy a third of a drink is where you start at and you can buy them in the yogurt aisle in glass bottles and you can drink them or you can make your own you start using these and you will see that your stomach pain will be much much better but just don't down a whole bottle because that's not how you do it

Although I do agree that diaphragm and abdominal muscles are involved in my case but the pain comes from my stomach it sort of balloons up and is like a severe cramp like feeling in upper left stomach. Pressing the area does not cause pain but pressure and cramp like feeling can be felt inside stomach. putting pressing and immediately releasing it gives slight cramp like feeling like you get when you get punched. 

I cant no sorry, it was on a normal thread re medication I think, similar to this one. Its sounds like reflux??  Do you then burb and the pain goes??? Sound too simple though.  I know when I get it bad sometimes the pressure seems really bad until I get the wife to bang my back and a good burb releasers the pressure and away goes the pain.  I don't think yours is the same is it?? 

Extreme pain??  You normally (but this differs so much person to person) know something is wrong prior to extreme pain, as in discomfort and diarrhoea.  Diarrhoea after eating, soon after eating is a common sign and I can conform via experience.  I just thought Oh tomatoes don't agree with me!!!   You can only feel it when the damage is done so to speak. Most people like you say will have experienced indigestion in some form though but not always. Some people have ulcers and don't know until they are admitted to hospital or poo black tar out of their rear, so yes its highly possible. My dad never had any signs until he was repeatedly admitted to hospital.  

I do not have any burning because I take Prevacid twice a day 30 mg taking it for years and I have chronic gastritis I just had an ongoing pain across the top upper part of my stomach under my breast it was just a steady pain all the time didn't burn but perhaps the Prevacid took care of the burning I don't know how I could have developed such a chronic case of gastritis when I take this antacid Prevacid in the morning and at night before meals so how I come to get all this gastritis I will never know and I don't know how I'm going to get rid of it if the previs it's not doing it what else can I take I've tried everything else

Do you think the pain is due to your hiatal hernia? Barb?? I sometimes when I've pushed working that tad to much get the same pain in the same place as you which I put down to my hiatal hernia?, but the pain goes in a couple of days. Have you thought of reducing your dose slowly??  Try it, you can always put it back.  But do it slowly.  I used to be on 40mg Omeprazole twice a day, now 1 x 20mg pantoprazole once per day. I don't like taking any meds but have come to the conclusion that I need to take it but it was me that told the docs that I wanted to reduce it, they'll just keep you on a high dose if that works. Also they'll just drop your meds!!!!! They must be aware that you have to wean yourself off the high dose slowly. It took me 3 months and I spent £100s on Gaviscon during this time. But it worked for me.  Now I'm not for one second knocking PPIs they are a God send but they do have side effects as does breathing air   I wish I could use ranitidine but it does not work for me sadly.    I even went on 1300mg/day (under the doctor) to no avail. So I liken my meds now as a diabetic would to insulin. Without my PPI I would be in so much discomfort and pain which would lead to what???? Worse than taking a low dose PPI for sure. 

Yes Dave I'm sure that a lot of this pain is from the hiatal hernia the doctor said I could try to get off some of my medication the Prevost said but he says it would be very difficult because I would continue to have severe heartburn I'm a firm believer in if it works don't change it so I have taken two Prevacid for 25 years or more twice a day I was told by a throat specialist when I was taking one a day that I would have to take these twice a day in order to keep from getting things wrong with my esophagus I don't have the burning as I said but yet it shows up that I still have the gastritis and I know gastritis is caused from the burning so I'm not feeling the burning I suppose if I didn't take any of these Prevacid tablets I would have tons of burning so I'm not sure I don't want to take all the medication either but I don't want to go through that burning I'm going through enough stuff with this terrible constipation I can't get rid of and being on linzess that's not working just blowing me up like a balloon so I don't need to add anything else to my worries but thank you so much for telling me about cutting back but I'm just afraid to risk it because my stomach doctor told me it would be very difficult to decrease it because of the burning and I don't take generic I take the name brand Prevacid

Barb I'm not a doctor but the dose you've been on for that amount of time OMG. I was put on Prevost (Lansoprazole) at just 30mg/day and after one week I was doubled up in pain and talk about constipated!!!!  Are you in the US??? I would be trying a different PPI after 25 years and see what occurs.  Have you thought after 25 years the Prevost is starting to have an effect on you?? I would have thought it would be very safe to try another one.  No need to panic about your acid levels when moving over and it might a turning point for the better???  If you don't try you'll never know. All PPIs are not the same even though they work in a very similar way.  You've got nothing to loose, if after 48 hrs even you feel acid you can up the dose (the doctor should give you the option, say take one or two tablets daily as required of whatever PPI). Look on here:  Pathological Hypersecretory Conditions Including Zollinger-Ellison Syndrome = 60mg/day do you have that?? https://www.rxlist.com/prevacid-drug.htm#description   

If I have taken these 4 years and I have tried every name brand out there and every generic brand there is and nothing worked to keep the acid down but Prevacid I just had an upper GI and he said it was a high dose but he said it was not going to hurt me and he also said if I wanted to try to get off of one of them I could but I would have all that acid and I remember how I stressed with that acid it was terrible so I don't know how I would even get off one of these like I say I'm 78years old and I've been taking these for yearsmy stomach Dr didn't seem to concerned I know if I am later than usual on my Eve dose heartburn is awful