Question 1

I've been on these PPI meds for over a year now - dexlansoprazole 60mg daily, esomeprazole 40mg daily, and levosulpiride 75mg daily - but I'm still dealing with acid reflux, esophagitis, and gastritis. What are the long-term side effects of staying on PPIs this long? Is it safe to keep taking them beyond a year? Are there any surgical options that could help cure this instead? I can share my endoscopy report if needed.

Accepted Answer

Long-term PPI use is generally safe but may cause low magnesium, B12 deficiency, and gut flora changes. Surgery (like Nissen) may help if you're not responding. Share endoscopy for detailed advice.

Question 2

My brother has grade 2 internal hemorrhoids with 3 columns and also fatty liver grade 2 with bilirubin at 2.38. He gets slight bleeding during constipation should he consider surgery for the hemorrhoids or is there another way to manage it?

Accepted Answer

Grade 2 internal hemorrhoids can often be managed with diet, hydration, and meds‚Äîsurgery if bleeding persists.

Question 3

I'm experiencing this on-and-off dizziness and it's really concerning me. I also have an acute acidity problem. Do you think the dizziness could be related to my acidity, or could it be an issue with my neck? I'm not sure what's going on and would appreciate your advice.

Accepted Answer

_Lemon and Water for Bloating: Benefits, Side Effects, and Precautions_

Drinking lemon and water in the morning is a popular remedy for bloating, but its effectiveness and potential side effects vary from person to person.

_Benefits_

1. _Digestive stimulation_: Lemon juice may stimulate digestive enzymes and improve gut motility, which can help alleviate bloating.
2. _Hydration_: Drinking water helps maintain proper hydration, which is essential for digestive health and reducing bloating.

_Side Effects and Precautions_

1. _Increased gas and bloating_: As you've experienced, lemon juice can sometimes exacerbate gas and bloating, especially if you're sensitive to citrus or have underlying digestive issues.
2. _Acid reflux and heartburn_: Lemon juice can irritate the esophagus and worsen acid reflux and heartburn symptoms.
3. _Tooth erosion_: Regular consumption of lemon juice can erode tooth enamel due to its acidity.

_Recommendations_

1. _Start with small amounts_: If you're new to drinking lemon and water, begin with a small amount (e.g., 14 lemon slice) and gradually increase as needed.
2. _Dilute the lemon juice_: Mix the lemon juice with a larger amount of water (e.g., 1:10 ratio) to reduce its acidity and potential side effects.
3. _Monitor your body's response_: Pay attention to how your body reacts to drinking lemon and water. If you experience persistent discomfort, bloating, or other adverse effects, consider alternative remedies or consult a healthcare professional.
4. _Consult a healthcare professional_: If you have underlying digestive issues, acid reflux, or other health concerns, consult a healthcare professional before starting any new remedies, including lemon and water.

Take sitz bath and include fibre in your diet

More Gastroenterology/GI medicine Health Queries

My brother has grade 2 internal hemorrhoids with 3 columns and also fatty liver grade 2 with bilirubin at 2.38. He gets slight bleeding during constipation should he consider surgery for the hemorrhoids or is there another way to manage it?

I'm experiencing this on-and-off dizziness and it's really concerning me. I also have an acute acidity problem. Do you think the dizziness could be related to my acidity, or could it be an issue with my neck? I'm not sure what's going on and would appreciate your advice.

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