PLEASE IGNORE FIRST PARAGRAPH. I meant to delete it, as I took a different approach to asking the question, plus it has typos. (I don't see a way to edit...)
Hi and welcome to the GERD forum.
We do not have a edit feature at this point....maybe in the future...no worries I think I understand your question.
I was on an RX of Prilosec for a number of yrs...then to an OTC omperazole as it was less expensive for me to go that route at the time my Medical INS was not covering the meds ....the Pharmacist, told me that we need to look at dosage and which ones were equivalent to the RX I had....it worked for a few more years then no longer helped me.
Anyway I got a new med from my Dr this one is a H2b instead of a PPI...and is working much better for me.....
As for the no heartburn, could be you have LPR also known as Silent Reflux bcuz not everyone has heartburn with it.
May I ask, have you had any PH testing?
....modify your diet and lifestyle?
Thanks for the reply selma.
I've heard of LPR, and often wondered if I might have it due to my frequent throat clearing. But the doc who did the endoscopy said that based on the appearance the esophagitis I had a few years ago that the inflamation was clearly due to acid reflux. (Although my understanding is that you can have both GERD and LPR, no?)
As for lifestyle modification, while my dieting-driven weight loss 15 years ago (from 240 pounds to 170, sustained since) was obviously a major change. That said, there is a lot more I can, and should, do in terms of better food choices, not eating as late, more exercise, and maybe other changes. But after the esophagitis I'm not inclined to cut down on the PPIs regardless 9even though long-term use does concern me somewhat).
Anyone else have experience going from Prilosec OTC to generic prescription omeprazole, or vice-versa?
LPR is acid reflux.....and could cause the inflammation...
Here is what WebMD says "Laryngopharyngeal reflux (LPR) is similar to another condition -- GERD -- that results from the contents of the stomach backing up (reflux). But the symptoms of LPR are often different than those that are typical of gastroesophageal reflux disease (GERD).
With LPR, you may not have the classic symptoms of GERD, such as a burning sensation in your lower chest (heartburn). That's why it can be difficult to diagnose and why it is sometimes called silent reflux.
At either end of your esophagus is a ring of muscle (sphincter). Normally, these sphincters keep the contents of your stomach where they belong -- in your stomach. But with LPR, the sphincters don't work right. Stomach acid backs up into the back of your throat (pharynx) or voice box (larynx), or even into the back of your nasal airway. It can cause inflammation in areas that are not protected against gastric acid exposure."
Any weight change up or down can also trigger reflux/GERD symptoms to flare.
Oops, missed your reply for awhile...Notifications don't seem to be working, and I don't see anything from medhelp in the spam folder.
Anyway, thanks for the followup. I clearly have a lot of the symptoms discussed in LPR writeups, and they do seem especially sensitive to the kinds of triggers they discuss. I'd also note that on those (infrequent) nights when I do have burning sensations, they can seem to reach up awfully high, a few times even to my nose.
Thanks again, I'll have to look into this further with my doctor, and continue the lifestyle changes. One writeup even had the surprising advice not to sleep on one's right side, which surprised me; I sleep on both sides, but will now try to stick to the left.
Would still be interested in any experiences with generic prescription omeprazole, as compared to prescription Prilosec and Prilosec OTC.