胃酸逆流,吃PPI 藥效短暫怎麼辦 - 醫師
By Isla
at 2021-12-27T21:15
at 2021-12-27T21:15
Table of Contents
※ [本文轉錄自 Pharmacy 看板 #1XoRlO4v ]
作者: tutuism (tutu*) 看板: Pharmacy
標題: [問題] 胃酸逆流,吃PPI 藥效短暫怎麼辦
時間: Mon Dec 27 21:12:54 2021
胃酸逆流一年多了,症狀是喉嚨灼熱、燒、痛,有時嘴會酸酸的,屬於非典型(我沒有火燒
心),
照過胃鏡都正常,沒有幽門桿菌,只有胃發炎,
吃過歐克胃20mg, 耐適恩40mg, 得喜胃通60mg,都有各種副作用而沒辦法持續,包括消化不
良、乾眼、骨頭痛、掉髮
重點是,我早上七點多空腹吃藥,30分鐘到一小時之後才進食,藥效中午就沒了,中下午逆
流酸度非常酸的胃酸燒喉,
我是否完全不適合PPI ?該怎麼辦?
目前早晚吃法瑪鎮(h2 blocker)控制,胃酸酸度不高,但還是只能控制七八成,飲食也要
非常嚴謹,喉嚨仍然每天有胃酸,
醫師建議我測試酸鹼值,可是最後是否還是只有吃PPI 一途?
我覺得無助,請大家幫忙給我一點建議,謝謝各位。
--
作者: tutuism (tutu*) 看板: Pharmacy
標題: [問題] 胃酸逆流,吃PPI 藥效短暫怎麼辦
時間: Mon Dec 27 21:12:54 2021
胃酸逆流一年多了,症狀是喉嚨灼熱、燒、痛,有時嘴會酸酸的,屬於非典型(我沒有火燒
心),
照過胃鏡都正常,沒有幽門桿菌,只有胃發炎,
吃過歐克胃20mg, 耐適恩40mg, 得喜胃通60mg,都有各種副作用而沒辦法持續,包括消化不
良、乾眼、骨頭痛、掉髮
重點是,我早上七點多空腹吃藥,30分鐘到一小時之後才進食,藥效中午就沒了,中下午逆
流酸度非常酸的胃酸燒喉,
我是否完全不適合PPI ?該怎麼辦?
目前早晚吃法瑪鎮(h2 blocker)控制,胃酸酸度不高,但還是只能控制七八成,飲食也要
非常嚴謹,喉嚨仍然每天有胃酸,
醫師建議我測試酸鹼值,可是最後是否還是只有吃PPI 一途?
我覺得無助,請大家幫忙給我一點建議,謝謝各位。
--
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