@thegastrogingerpa: GERD (gastroesophageal reflux disease) aka heartburn, aka reflux, aka acid reflex (😜) is one of the most common diagnoses that we manage in the GI world! The medications that often are used to treat this are known as PPIs or Proton Pump Inhibitors. As with everything in life and definitely in healthcare there are always 2 sides to every coin. There are benefits and risks to any and all things. Here are my thoughts on these sorts of medications! #guthealth #gerd #healthcare #thegastrogingerpa #primarycare

Joshua Smith, PA-C
Joshua Smith, PA-C
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Region: US
Tuesday 09 September 2025 16:38:23 GMT
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couplesmidsizefashion
couplesmidsizefashion :
what’s your thoughts on PPI and EOE? How does it work to help with eoe (patho)?
2025-09-10 01:19:55
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whitneyyrushingg
whitneyyrushingg :
New grad NP here. Your videos are so helpful thank you!
2025-09-09 23:11:25
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bik4dc
Bik4dC-Moore :
I have Barrett’s and take famotidine instead of
2025-09-10 10:00:50
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sarahsmithhtown
Sarah :
Can PPI increase risk of iron deficiency or anemia from your experience?
2025-09-09 21:49:04
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buddahmommy1985
kylie :
Im on Omeprazole, but not for GERD, I have gastroparesis and throw up a lot. The way they explained it is that if I am going to throw up its would be helpful to my esophagus to have it not be so acidic.
2025-09-10 03:13:07
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user6133655454985
user6133655454985 :
Thank you, Josh!! ( Downey here) I am on Omneprozole… and it helps!
2025-09-09 16:52:24
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le8622148
user4012311032600 :
Great video! The increased risk of osteoporosis and vitamin deficiencies is theoretical but hasn’t actually been reproduced in the studies. They have shown a very small increased risk of interstitial nephritis, however, so should be used with caution in those with severe kidney disease
2025-09-09 19:09:14
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katiecubs87
Katie 캐이팅 :
Started on pantoprazole, upped to omeprazole and now on esomeprazole. If I forget too many times, my reflux will LOUDLY remind me at the most inconvenient times. It’ll probably be a lifelong med for me with achalasia treated with POEM.
2025-09-09 22:48:37
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karenfarra
kkf :
Thank you, super helpful
2025-09-09 18:22:28
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k.p.g97
K.P.G97 :
Omeprazole exacerbated depression and anxiety. Any suggestions on a different ppi?
2025-09-10 04:13:50
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rebeccanorton18
Becky 🆘🇺🇸 :
I have tried and tried to get off PPI’s for 26 years, since I was pregnant with my son. I can’t even go for 1 day missing a dose. When I lost health insurance, I tried to push past to see if it would level out and the reflux was so bad it was like severe chest pain. After that, I just bought Vit D and calcium. If I demineralize, it’s better than esophageal cancer. 🤷🏼‍♀️
2025-09-09 19:29:45
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