Whether it’s belching, burping, pain in the abdomen, feeling of early fullness though you’ve not eaten much – call it gastroesophageal reflux disease [GERD], Indigestion [Dyspepsia], it may have an underlying cause of ulcers – Peptic Ulcer Disease [PUD] or the very rare Zollinger-Ellison Syndrome [ZES] – it’s all because of acidity, and can be treated effectively with Nexium [Esomeprazole]. While Esomeprazole alone is enough to take on GERD and Dyspepsia, it is given in combination with other medications to treat PUD and ZES
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Whether it’s belching, burping, pain in the abdomen, feeling of early fullness though
you’ve not eaten much – call it gastroesophageal reflux disease [GERD], Indigestion
[Dyspepsia], it may have an underlying cause of ulcers – Peptic Ulcer Disease [PUD] or
the very rare Zollinger-Ellison Syndrome [ZES] – it’s all because of acidity, and can be
treated effectively with Nexium [Esomeprazole]. While Esomeprazole alone is enough
to take on GERD and Dyspepsia, it is given in combination with other medications to treat
PUD and ZES.
Nexium has for its compound, Esomeprazole magnesium trihydrate, which is a
Proton Pump Inhibitor [PPI] that prevents the enzymes in the stomach from secreting
gastric acid. The treatment is given when there is an acidity-related problem, because
those enzymes are working overtime in churning up acid. Nexium is available as capsules,
tablets, and oral suspension.
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When there’s less acid in the stomach, there can be a reflux – a throwback of the food
contents from the stomach to the esophaegus, which can cause pain, inflammation and
perhaps damage the esophageal lining. When there’s more acid, it can lead to the
formation of ulcers, in the stomach or duodenum where, too, the problem manifests
itself as belching, pain in the abdomen, burning sensation in the throat or chest, or a
feeling of early satiety.
Nexium is successful in controlling most acidity-caused ailments that occur from 1-year
olds to adults. Even babies experience GER – the reason why mothers hold the baby
upright after a feed and press its back so that the milk/food goes down and there is no
reflux. While most small babies get over their burping/possetting/dribbling within the first
year, if it continues, then the pediatrician takes over and treats them for GERD. If adults
experience belching or heartburn, or if GER shows up without heartburn often during a
week as a dry cough, asthmatic symptoms, or difficulty in swallowing, and these
symptoms show no sign of letting up, then it is obviously GERD. The Nexium dosage
differs in babies, children and adults.
Dyspepsia – commonly referred to as Indigestion – could be a gastric problem, but it
could be hiding some ulcers. Helicobacter pylori, a bacteria that lives in the stomach is
often associated with this ailment. Esomeprazole is effective in overcoming this bacteria
also.
Sometimes, ulcers develop in the small intestine and/or stomach as well, which is PUD.
2. Ulcers are extremely painful; these are sores that are created when the intestinal and/or
stomach lining is eroded by the gastric acids. If these ulcers are not located in time, and
remain masked under symptoms of acidity, they can bring dangerous consequences. But
if detected on time, these can be treated with medications like Nexium, which may be
combined with other antibiotics, and administered for 7-14 days.
An excessive amount of gastric acid secreted in the stomach can lead to a rare disease,
the Zollinger-Ellison Syndrome, in which ulcers occur inside the lining of the duodenum.
Nexium comes in handy here, too, though again it may be combined with another
medication.
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When seeking relief from any acidity-related problem, be sure to inform your physician
about your medical history, any ailments or allergies you have [particularly if there has
been a liver or stomach problem before], all the medications – prescribed or OTC,
including nutritional supplements and herbal products – you may be taking, so that the
doctor can prescribe the correct dosage and tell you which medicines have to be left out,
if any, as Nexium interacts strongly with certain medications, while certain conditions,
such as surgery [even if it is dental] or pregnancy, may not be the right time to take this
medication.
Take Nexium exactly as prescribed by your physician, with or without food. If you can
swallow the whole capsule, take it with half a glass of water, drinking more water to push
it right down; otherwise, you can sprinkle the contents of the capsule onto cool
applesauce or yogurt and eat it immediately. The medicine should be taken exactly as
prescribed; if you miss a dose try to take it as soon as you can, but do not double the
dose. Never share your medicine with anyone else.
While treatment with Nexium [Esomeprazole] is likely to be of great benefit to you,
you’ll have to give up smoking, drinking alcohol/alcoholic drinks and beverages with
caffeine, pizzas, spicy or fatty food, chocolates, peppermint, and citrus fruits/juices.
Sleeping with your head raised by placing a wooden board under your bed to give you a
raised position by 6”-8”, will prevent a reflux. For the same reason, it would also help if
you ate your food and had that hot cup of milk, 2-3 hours before your resting time so that
there’s ample time for the food to go right down to the stomach. Wearing loose-fitting
clothes will also give some relief.
There could be side-effects, mostly minor, such as headache, gas, nausea, diarrhea,
constipation, stomachache, or dryness in the mouth. If these become worse or you have
other uncommon symptoms such as dark vomit, dark/black stools, dark urine, severe
pain/tenderness in the stomach/abdomen, a tingling sensation or numbness of the hands/
feet, then its time to seek emergency medical help.
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Nexium has to be stored ideally at a temperature of 25oC [generally between
15oC-30oC], in a dry, cool place, and out of reach of children and pets.
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