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PPI necessary for Barrettes Esophogus ?

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I have Barrettes Esophgus. My doctor preformed the Halo treatment two years ago to remove all BE. I was taking Omenphazole when I heard long term use was bad for your health. I quit taking it and went through 4 months of rebound (bad heartburn). Once I got through those 4 months, I barely have heartburn now. I occasionally take Pepcid chew and that is all I need. Last week my doctor preformed an EGD and the BE is back. I think it cam back during the 4 mounths of rebound. I am very disappointed. He said right now it is an ulcer and he cannot do anything until it heals. He wants me to go back on a PPI. I do not want to do that. It was too hard to get off the PPI. I took the omephazole for 8 years and suffered tremendous IBS. I feel so much better not taking the PPI. If I am not having heartburn is it really necessary for me to take a PPI?

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replied December 19th, 2016
Acid Reflux Answer A59788
Hello and welcome
Your concern is appreciated
Yes its necessary to take PPIs as barret eaopahgus is premalignant lesion and it can change into maligancy. The hurt burn is not an indication here because you need to treat barret esophagus and the reason that hurt burn disappeared may be because the esophagus is now barret which is a mechanism to combat chronic irritation caused by acid. If you are not tolerating this PPI that can be changed with other more tolerating PPI , h 2 blockers can also be used , use milk and avoid diet like spicy food cofee and tea carbonated drinks or citrus fruits etc.

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Tags: Heartburn, Ulcer, Diet
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