10/30/2025
🔥 Let’s Talk About Uncontrolled Reflux (GERD)
Do you find yourself reaching for heartburn meds every day?
You’re not alone — but it’s important to understand **why reflux happens**, and how long you should really be taking those **proton pump inhibitors (PPIs)** like omeprazole, pantoprazole, or esomeprazole.
💡 **What’s Happening:**
Reflux (GERD) occurs when stomach acid backs up into the esophagus, causing:
* Burning in the chest or throat
* Bitter taste or chronic cough
* Hoarseness or trouble swallowing
When it’s frequent, it can **damage the esophagus** and increase risk for complications like **Barrett’s esophagus** over time.
⏱️ **How Long Should You Take a PPI?**
PPIs are meant for **short-term use (usually 4–8 weeks)** to heal irritation and reduce acid — not as a lifelong daily medication unless directed by your provider.
Long-term, unsupervised use can lead to:
⚠️ Low magnesium, B12, or calcium
⚠️ Increased infection risk (C. diff, pneumonia)
⚠️ Rebound acid overproduction if suddenly stopped
🌿 What You Can Do Instead:
✅ Avoid eating 2–3 hours before bed
✅ Limit caffeine, carbonated drinks, and high-fat foods
✅ Elevate your head when sleeping
✅ Maintain a healthy weight
✅ Discuss step-down therapy or H2 blockers with your provider
If your reflux isn’t controlled after 8 weeks on a PPI, it’s time to re-evaluate the cause— not just keep refilling the bottle. You may need further testing or a medication change.