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henge
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Quote henge Replybullet Topic: 10MG OMEPROZALE IS IT STRONG ENOUGH
    Posted: 24 Feb 2020 at 10:23am
Anyone one here taking 10mg omeprozale for their barretts , ?
ive been on 20mg for over 3 years with major issues causing severe anxiety and totally messing up my toilet issues it got so bad I kept on to my GP to reduce the dosage I started slowly by taking the 20mg one day then the 10mg the next day I currenty taking 10mg now everyday but the not sure if it is enough to supress any acid that maybe coming up bearing in mind I have never once had any issues with heartburn from the beginning only throat on and off discomfort had my endoscopy in December which showed no change , ive got the GP now at last to get me an appointment with a Gastro specialist to go through my issues god knows when this will take place im happy against my wishes taking the 10mg but is it strong enough
    
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chrisrob
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Quote chrisrob Replybullet Posted: 24 Feb 2020 at 2:10pm
Simple answer - probably.

The advice is the smallest dose that works. That usually means to suppress any acid reflux symptoms but if you don't feel any the lowest possible dose is probably sufficient.

Anxiety is common amongst those diagnosed with Barrett's. It can also exacerbate acid production.
PPIs like omeprazole have been shown to probably reduce risk of developing cancer - possibly by reducing risk of oesophagitis triggering production of more Barrett's cells which all have a very slight possibility of mutating towards cancer.

More important are the surveillance scopes every few years to confirm the Barrett's cells remain unchanged. And, the longer you've had Barrett's, the lower the risk of it mutating.
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henge
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Quote henge Replybullet Posted: 25 Feb 2020 at 8:54am
thanks for the reply Chris I honestly don't know what acid reflux feels like to be honest so I don't know if im getting my problems have all seemed to be in the throat area odd occasion at night with a very dry mouth when sleeping and a tickly weird sensation on right side of throat that's it really but I avoid triggers that I,ve read up on over the past    
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Quote chrisrob Replybullet Posted: 25 Feb 2020 at 9:26am
Those symptoms could be from reflux but not acid so 10mg omep is probably sufficient.
As to trigger foods, it doesn't sound as if you have any. No need to avoid anything. Because they appear on lists that others find are triggers doesn't mean they're pertinent to you.
This is from a recent discussion paper: "Often there is a lot of counseling about foods to avoid, and really, the evidence is against doing that. If patients identify specific food triggers for their symptoms, then great. Don't eat that stuff. But in terms of making blanket statements about foods that trigger heartburn symptoms, that counseling tends to not be useful."
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nasdaq
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Quote nasdaq Replybullet Posted: 26 Feb 2020 at 11:25am
Hi, i take 20mg Pantoprazole - I think thats the equivalent dosing to 10mg omenprazol.
Chris, is this correct?

Went to my lung-doctor because of a three month cough. Actually i have no symptoms - doesn´t matter what I´m eating or drinking. (Raise my bed about 25cm and stop eating 3-4 hours before sleep - only for dinner -> no sugar or very fatty dishes)
My barrett is about 3cm. My doc told me that I have this a very long time and I should not worry much about it. He (my doc) has a barrett too.
Just do our surveillance. If they will find any displaysia - he will burn them off....

Edited by nasdaq - 26 Feb 2020 at 11:27am
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chrisrob
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Quote chrisrob Replybullet Posted: Yesterday at 9:27am
Yes. 20mg panto = 10 omep. If you're not getting burning (heartburn) pain, it should be sufficient.

You appear to have identified the cough is from reflux and are taking lifestyle measures to reduce that. PPIs like pantoprazole do not stop the reflux, just make it less damaging.

I can sympathise as your condition sounds much as mine was 12 years ago. The cough can certainly be debilitating and is the most common symptom of reflux that has porgressed to breach the upper sphincter and aspirate into the respiratory system.

Like you, I have had my Barrett's a long time (at least 26 years and probably much longer). In my case, the doctors tried to stop my cough by increasing the dose of my omeprazole (to 80mg daily) ineffectively. I would get coughing fits daily lasting 2 hours at a time and ending with me nearly passing out. I would sit up from 2 - 4:00 every morning coughing.

Lifestyle measures were doing nothing for me, the condition was getting worse and I asked for, and eventually received, a fundollication.
All my symptoms of extra-oesophageal reflux vanished overnight.
(You may read my account of that operation
here amongst a number of others.)

Hoping you find treatment that works for you soon.
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