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Gastroenterology  (Expert Forum)
 | 
Dyspepsia
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.

Dyspepsia

by Rebs, Jan 04, 2006 12:00AM
I have had Non-Ulcerated Dyspepsia for 3 years and also mild Proctitis.  For the last 5 weeks I have been taking Lopraz 20mg which was working for the pain however now that I have discontinued it my pain has returned.  My questions are:

Should I continue to take Lopraz? If so for how long? Could it eventually get rid of my Dyspepsia? Are there any long term side effects associated with taking Lopraz indefinitely? Are there any other alternatives you could recommend I might try instead?eg. Antepesin Sulcrafate which another doctor recommended.

I'm also incidentally currently taking 25mg of Amitriptaline which my doctor prescribed for the above condition.  What are your thoughts on the efficacy of this for my condition?

by Kevin Pho, MD, Jan 04, 2006 12:00AM
Lopraz (omeprazole) is a relatively safe medication.  Studies have show it to be safe in long-term use.  

The addition of Sulcrafate or an H2 blocker like Zantac can be considered if the symptoms continue.

You can consider further testing, like an upper endoscopy or blood tests for H Pylori to ensure that no further disease is present.

I am not aware of amytriptyline being associated with dyspepsia.

You can discuss these options with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
kevinmd_b
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