Reply to Esophageal eosophinilia and avoiding omeprazole bc of dementia risk?

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]I have a similar swallowing problem that got extremely bad a few years ago. I was diagnosed with silent reflux (like you, I had no serious reflux symptoms) and went on omeprazole for about 3 months while my esophagus healed and my swallowing improved. I also change my diet and used a natural acid blocker recommended by my ENT. (It’s called Reflux Gourmet and forms a barrier on top of the contents of your stomach to prevent acid from entering the esophagus.) I will occasionally go back on the medication for a short time if I feel my symptoms returning.

TLDR: you can use the medication to help alleviate your symptoms in the short term while making other long term changes. [/quote]

Thx.

I guess it’s just frustrating that my doctor didn’t suggest allergy testing.

Everything online says PPIs are the first line treatment in the US and Europe, but the PPIs don’t tend to work. Then they try food elimination. But how does elimination work when you aren’t symptomatic with reflux symptoms? My only symptom has been food getting stuck—which means I must already be pretty far down the line in terms of inflammation, etc. 
[/quote]

If this is EOE and not reflux, your only symptom might be food getting stuck. PPIs can work for EOE, but maybe not provide resolution. There is also swallowing inhaled steroids, or swallowed budesonide. There is also Dupixent. For most insurances, you need to fail PPIs for any of those.

Not all GIs will refer to allergy. Either go yourself or have your PCP refer.[/quote]

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