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I have been dignosed GERD and esophagitis last March after EGD, the symptoms were lump and tight sensation, heart burn. Before EGD, i took omeprazole and esomeprazole for several weeks, but they both didn't work for me, and doctor switched pantoprazole from esomeprazole for me for three months. After weeks of taking pantoprazol, my symptoms went away and i was free of symptoms for several months. Although, i had some recurrences latter, but i could always use pantoprazole to expel the lump feeling and heart burn.
But it's not easy for me this time. I drank strong green tea for almost two weeks since the middle of June which is last month, i had some symptoms such as heart burn, then, i started to take pantoprazole around 25th of June. The symptoms were eased up at the 4th days after i stated taking pantoprazole or i would say that i didn't have any symptoms back then. I thought that i might be OK to eat some spicy food since i didn't have any symptoms. Then, i ate spicy food for two days. bad luck for me. Symptoms just came back again, strong lump and tight feeling, heart burn. I kept me on PPI while these symptoms came back until now.
I saw my doctor last Friday and asked her if i need to see GI doctor, she said that it's not necessary to see GI doctor again because i already have done EGD last year. I also asked her if i need to switch to other type of PPI since pantoprazole seems doesn't work for me. She said that pantoprazole is a very good medicine, no need to change to others. By the way, I'm avoiding all the food that may trigger symptoms. and i'm on very plain food now.
My questions are,
- How long does it take for me to see the effect of PPI, since i still have symptoms while on PPI. According my past experience, I shold have symptoms free by now since i have been on pantoprazole for almost two weeks.
- Do i need to see GI doctor again?
- Do i need to have another EGD done again?
- Do i need to have breath test done again (For H.Pylori)? I was inffected by H.Pylori 4 years ago, and the bacteria was eradicated by the two weeks of antibiotics back then. I have done breath test last year, the result was negative. EGD also confirmed that H.Pylori was negative as well.
Thanks a lot
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