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Why do proton pump inhibitors have to be taken before meals? Proton pump inhibitors : better acid suppression when taken before a meal than without a meal. This might imply that stimulation of acid secretion by a meal is necessary for optimal inhibition of gastric secretion.
Why would a patient be on pantoprazole? It decreases the amount of acid produced in the stomach. Pantoprazole is used to treat erosive esophagitis (damage to the esophagus from stomach acid), and other conditions involving excess stomach acid such as Zollinger-Ellison syndrome. Pantoprazole is not for immediate relief of heartburn symptoms.
Which is better h2 blocker or PPI? Both medications work by blocking and decreasing the production of stomach acid, but PPIs are considered stronger and faster in reducing stomach acids. However, H2 receptor blockers specifically decrease the acid released in the evening, which is a common contributor to peptic ulcers.
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Is endoscopy necessary for GERD? For patients who have Barrett's esophagus, upper endoscopy is recommended every three to five years. Medication is ideal to decrease gastric acid creation in the majority of patients with classic GERD symptoms like regurgitation or heartburn.

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