I take Tums (calcium carbonate) every night for acid reflux..Would it be better to have an operation? Calcium citrate isn't as dependent on stomach acid, so it can be taken any time. These medications are commonly used to decrease stomach acid in conditions like: Do vitamin B12 Patches like PatchMD really work? All information is observation-only. Patients in the study may take other drugs besides Omeprazole and Calcium. Has anyone ever heard of this? All rights reserved. Do any supplements interact the same way with drugs? The phase IV clinical study analyzes what interactions people who take Omeprazole and Calcium have. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, 6 Minutes of Exercise May Protect Brain From Alzheimer's, 'Disturbing' Rate of Adverse Events During Hospital Stays. Phase IV trials are used to detect adverse drug outcomes and monitor drug effectiveness in the real world. These Vitamins & Supplements Might Interact With Your Birth Control, Studies have shown that a persons absorption of Vitamin K may be reduced when other fat-soluble vitamins such as Vitamin E and Vitamin D are taken together, says Dr. Chris Airey, M.D. I have a stomachache, used tums, (calcium carbonate) maalax, Prilosec do not work. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. As a result, he says you want to wait at least two hours before taking Vitamin C with your Vitamin B12. Tums (calcium carbonate) or rolaids didn't help at all. All rights reserved. You can use the study as a second opinion to make health care decisions. You can discuss the study with your doctor, to ensure that all drug risks and benefits are fully discussed and understood. It is created by eHealthMe based on reports of 782 people who take Omeprazole and Calcium carbonate from the FDA, and is updated regularly. Read our editorial policy. 3 users are following. Find out if turmeric/curcumin supplements can cause gastrointestinal irritability. Highly acidic environments, such as the gastric environment, help promote calcium ionization from foods or salt forms.1 The major difference between calcium supplements tends to be the salt forms. I wasn't given Omeprazole by my Rhemy at the start of PMR. All rights reserved. Can this dry wood and fire be blood pressure high after covid vaccine together, can there be some sparks After drinking the chicken soup, Jiang Wei and Lin Nanyan were driven upstairs by Su Hongying, and even the door was locked. Related story The phase IV clinical study analyzes what interactions people who take Omeprazole and Calcium have. MTM Coordinator, Clinical Pharmacist, Assistant Professor of Family Medicine, Palliative Medicine, Pharmacy at Mayo Clinic 2 semanas Enteric coated pred is only available in the UK as far as I know. Mayo Clinic, Rochester, Minn. Aug. 28, 2018. Some people have a problem with this when taking prednisone. Chronic proton pump inihibitor therapy and calcium metabolism. My GP prescribed Omeprazole, first thing in the morning, and Calcichew-D, for after my evening meal. PPIs can affect your ability to absorb certain vitamins and minerals, such as reducing calcium absorption. Your body will attempt to compensate for an overly acidic diet by pulling alkaline substances into the blood stream to bring the Ph level back to normal. stomach ulcer from aspirin/ibuprofen-like drugs prevention, ulcer of duodenum caused by bacteria Helicobacter pylori, inflammation of the esophagus with erosion, medication treatment for healing erosive esophagitis, inflammation of the stomach lining caused by H. pylori, increased stomach acid from systemic mastocytosis, bleeding from stomach, esophagus or duodenum, eosinophilic inflammation of the esophagus. a daily intake of no more than 1.4 milligrams curcucmin per pound (0-3 mg/kg) of body weight. It is also used to treat H. pylori infections. Join now to add comments and get all member benefits, including over 1,300 reviews. So here you are with your chosen vitamins (which should be properly prescribed and/or recommended by a medical professional) and you dont know whats the best strategy to take them. If you make a positive or negative comment about a product, note whether or not you have a financial interest in the product or in a competing product. They all do different things. Created for people with ongoing healthcare needs but benefits everyone. health information, we will treat all of that information as protected health I've only been on the forum for a couple of weeks but am surprised to learn that some people who've been on Pred for a while, are only just beginning to take a supplement. These Vitamins & Supplements Might Interact With Your Birth Control. What is that? Patient aims to help the world proactively manage its healthcare, supplying evidence-based information on a wide range of medical and health topics to patients and health professionals. Drug interactions are reported among people who take Omeprazole and Calcium carbonate. Results of a study comparing the absorption of calcium at different pHs indicated that patients in the fasting state had impaired absorption of calcium from calcium carbonate but normal absorption from calcium citrate.2 Calcium citrate also had a 46% greater peak-basal variation and a 94% greater change in AUC for serum calcium compared with calcium carbonate.3, Additional benefit from calcium citrate use was a significant reduction in serum parathyroid hormone (PTH) levels from baseline. Should i be worried? I would be very interested to know. If you are a Mayo Clinic patient, this could Just don't take the calcium carbonate at the same time as other meds because it can hinder absorption. Preliminary results suggest that taking your medication this way may provide superior control of gastric acid secretion at night without compromising the effectiveness of omeprazole in the morning. Calcium can affect how your body absorbs iron, zinc and magnesium. While green tea isnt a supplement, it is a delicious antioxidant-infused beverage that many of us enjoy for its health benefits. Omeprazole has active ingredients of omeprazole. There was a push a few years ago to get everyone on the uncoated ones (which is how I know I can't take them) on the grounds that it was a cheaper process even with having to prescribe a PPI alongside them. Best recommended OTC drug for random heartburn? Skip green tea on days when youre taking your iron supplement and decrease your weekly consumption. This content does not have an English version. Try our Symptom Checker Got any other symptoms? ?? http://www.nap.edu/read/13050/chapter/4#37. All rights reserved. * Approximation only. Curr Gastroenterol Rep. 2010;12(6):448-457. I've heard that grapefruit juice can interact with medications because it inhibits an enzyme that breaks down drugs in the body. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Find out if melatonin supplements can help with stomach pain, ulcers, reflux and dyspepsia, or if it can cause stomach upset. Thanks. Omeprazole and pantoprazole are proton pump inhibitors, most commonly used for gastroesophageal reflux disease (GERD), ulcers, and other gastric hypersecretory conditions. These medications may interact and cause very harmful effects. any suggestions on quick relief? Many people like to take magnesium in the evening, as it can promote a sense of calm and supports muscle relaxation. 14,014 people who take Omeprazole and Calcium together, and have interactions are studied. Notes on Omeprazole and Calcium supplements, https://patient.info/forums/discuss/omeprazole-and-calcium-supplements-528203. It can take up to four weeks for prescription omeprazole to work completely. The 5mg tab is red and the 2.5mg is brown. Having a Threesome? If you experience prolonged symptoms like these, it would be best to go visit your physician. Please do not submit any type of HTML markup or scripting as it will not be accepted, nor will posts that exceed 2,500 characters. PPIs can affect your ability to absorb certain vitamins and minerals, such as reducing calcium absorption. While there are some vitamins you should avoid taking together, there are others you'll want to combine in order to support absorption. Consult your healthcare professional (e.g., doctor or pharmacist) for more in formation. Omeprazole (Prilosec), esomeprazole (Nexium), and pantoprazole (Protonix) are in a class of medications known as proton pump inhibitors. Notes on Can Omeprazole increase calcium levels, https://patient.info/forums/discuss/can-omeprazole-increase-calcium-levels-41484. You know the drill: You have a ton of vitamins to take in a day but youre not sure exactly when (or really if) you should take them all. Who can and cannot take omeprazole How and when to take omeprazole Side effects of omeprazole Pregnancy, breastfeeding and fertility while taking omeprazole Taking omeprazole with other medicines and herbal supplements Common questions about omeprazole www.barrettscampaign.org.uk www.cardcharity.co.uk Guts UK: charity gutscharity.org.uk SheKnows is a part of Penske Media Corporation. Common interactions include vomiting among females and pneumonia among males. 2023 ConsumerLab.com, LLC. Our analysis results are available to researchers, health care professionals, patients (testimonials), and software developers (open API). A diet heavy in acidic foods might, though. The phase IV clinical study analyzes what interactions people who take Omeprazole and Calcium carbonate have. With regard to duration with pH > 4, the combination therapy was superior to famotidine alone on day 8. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. To provide you with the most relevant and helpful information, and understand which ConsumerLab.com's answer explains. Her response was: once you do have problems, it's too late. So space these at least 1 hour apart. If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date. Review/update the as being in breach of those terms. not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in Tums (calcium carbonate) and rolaids make me vomit. I don't know I do need them as such. Here are six vitamin combinations you definitely shouldnt take together. Vitamin B complex supplement recommendations, benefits and top rated brands for older people and all ages. 1,3 Patients taking PPIs may have issues absorbing an optimal amount of calcium from insoluble salt forms, such as calcium carbonate. Can zinc supplements help treat hidradenitis suppurativa? Common brand names: Prilosec, Prilosec OTC Summary of Interactions with Vitamins, Herbs, & Foods What Are Nutrient Interactions Answer: Omeprazole (Prilosec), Nexium, and other proton pump inhibitor (PPI) drugs can be affected by taking supplements. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment. Video chat with a U.S. board-certified doctor 24/7 in a minute. This can be harmful or. I try to remember to do that but usually forget. Some people take pred in the wee small hours with only a small helping of yoghurt and they seem to be fine. respect of any healthcare matters. Doctors typically provide answers within 24 hours. According to Dr. Airey, some studies have shown that Vitamin C could break down Vitamin B12 in your digestive tract, reducing your B12 absorption. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. Can I take tums (calcium carbonate) if I've taken Pepto and Prilosec tonight? Patient does not provide medical advice, diagnosis or treatment. I haven't taken any notice as to whether the pills are coated or not and wonder if this may have an impact? It by-passes the stomach and is absorbed lower down in the gut. Omeprazole is known by its brand name, Prilosec or Prilosec OTC. Select a condition to view a list of medication options. Patients in the study may take other drugs besides Omeprazole and Calcium carbonate. Common interactions include vomiting among females and pneumonia among males. information is beneficial, we may combine your email and website usage information with Calcium citrate can be taken with or without food. Find out if there are any supplements that should be avoided when taking acetaminophen (Tylenol). Calcium. The world turns round though and both varieties are now roughly the same cost. Get answers from Gastroenterologists and top U.S. doctors, Our doctors evaluate, diagnose, prescribe, order lab tests, and recommend follow-up care. Yes, I take Adcal D3 daily and also Ranitidine (similar to Omprazole which didn't agree with me). Rather a preventative than an as needed. You should also seriously consider both a calcium and magnesium supplement, or increasing those minerals intake by food adjustments while on any acid surpressing medicine. Compared with treatment with omeprazole alone, on day 1 famotidine and omeprazole in combination improved the duration of and time to reach intragastric pH > 4. I usually have it after breakfast, but I know some people eat part of their meal, take the pred, then finish the meal, sort of a sandwich effect I guess. respect of any healthcare matters. Calcium carbonate should be taken with food. Can you absorb vitamin B12 through patches? DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. If you're taking MK4, that should be taken in 3 doses, spread throughout the day, as it doesn't stay in your blood for long, so probably best to take your . I resisted as I haven't had any stomach issues with Pred. This informs us that the calcium absorption was significant enough to reduce PTH activity and diminish bone resorption.3, Calcium carbonate may be used in patients on chronic PPIs, but it must be taken with a meal to promote acid production; however, the amount of calcium absorbed is still less than what is absorbed from calcium citrate.2, Calcium citrate supplements and calcium in natural products such as cheese and milk will provide patients with greater bioavailability regardless of pH. Signs that you are still dealing with copper deficiency include fatigue, weakness, brittle bones, cold sensitivity and easy bruising. You may opt-out of email communications at any time by clicking on Advertising revenue supports our not-for-profit mission. With medical big data and AI algorithms, eHealthMe is running millions of phase IV trials and makes the results available to the public. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. the unsubscribe link in the e-mail. eHealthMe is studying from 359,941 Omeprazole users for its effectiveness, alternative drugs and more. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. All rights reserved. What to do? Green tea can actually cause iron deficiency if taken in large quantities for longer periods of time, says Dr. Tripathy. Looking for Titralac, or exact equivalent. Both drugs belong to a group of medications called proton pump inhibitors. / Omeprazole is a proton pump inhibitor (PPI) that is FDA-approved to treat certain digestive conditions, such as GERD and gastric ulcers. I found that I had this stomach trouble only if I tried taking NSAID pain killers (aspirin, ibuprofin, etc. eHealthMe is studying from 146,745 Calcium users for its effectiveness, alternative drugs and more. Please see a doctor when you can there are many other ppi's that my help control you symptoms, good luck, calcium carbonate, omeprazole, gerd, side effect, calcium. 18 December, 2018 If you experience symptoms of acid reflux or heartburn, your doctor may prescribe Prilosec (omeprazole) or Protonix (pantoprazole) to decrease the amount of acid produced in your stomach 1 2. Accessed Aug. 28, 2018. It is often taken once daily for four to eight weeks or longer. I am controlling any feelings of acid with Gaviscon. As I have to take it separate from Pred, separate from my AM thyroid meds and separate from my noon vitamins (which also include Vit D and calcium) I often forget. CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. Iron and calcium supplements can interfere with how your body absorbs thyroid medications. However, since no one set amount works for everyone, you should talk to your doctor before trying herbal supplements that contain turmeric or curcumin. Additionally, she says to refrain from taking calcium, magnesium or zinc together as they will compete for absorption., While Dr. Jaydeep Tripathy says taking calcium and magnesium helps prevent osteoporosis, in order to maximize the benefits, take them two hours apart. While omega-3 fish oil supplements are great for heart health and gingko biloba can be used to aid cognitive impairment, according to Dr. Tripathy, both have blood-thinning potentials and taking both together can increase risk for uncontrollable bleeding or inability to clot., If you are taking copper supplements because of copper deficiency, avoid taking zinc at the same time, says Dr. Airey. Are there supplements I should avoid, or be taking, due to this drug? 782 people who take Omeprazole and Calcium carbonate together, and have interactions are studied. Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. https://www.icsi.org/guideline_sub-pages/osteoporosis/adequate_calcium_intake/. This is because acid suppression is associated with a reduction in calcium absorption, which can lead to decreased bone density.1,2, By creating an environment without acid, there is a significant increase in pH that may affect intestinal absorption of calcium and result in a negative calcium balance within the body. Looking to level-up your post-workout self-care? See our, 7 Supplements That May Help Treat Peptic Ulcers and 3 To Avoid. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. I accidentally did this. Personalize this study to your gender and age, Malaise (a feeling of general discomfort or uneasiness), Esomeprazole Magnesium and Feeling Of Body Temperature Change, Remeron and Postural Orthostatic Tachycardia Syndrome, Platelet Aggregation Inhibition and Insomnia. The 2.5mg is only available as a coated tab. These medications are not usually taken together. Take bismuth, metronidazole, and tetracycline at least 1 hour before or 2 hours after you eat or drink foods that contain calcium, such as dairy products and calcium-fortified juices and foods. No one ever suggested I needed more than food to protect my stomach from pred. Can take together with a quick-acting antacid (like Maalox or Tums) for quick relief. Chronic proton pump inhibitor (PPI) use has been linked to an increased risk of hip, wrist, and spine fractures. . But this may have nothing to do with excess calcium in your blood. The phase IV clinical study analyzes what interactions people who take Omeprazole and Calcium carbonate have. Had a upper GI and it came back with hypertrophic gastritis. Thats the basic schedule. Learn how to enable it, PPIs can affect your ability to absorb certain vitamins and minerals, such as reducing calcium absorption. Still looking for answers? Read More other information we have about you. pimozide. Any info would be helpful. 3. Try our Symptom Checker Got any other symptoms? All rights reserved. Stopped 40mg of omeprazole 2 days ago - when do side effects stop? Omeprazole delayed-release capsules are a proton pump inhibitor (PPI) indicated for the: Treatment of active duodenal ulcer in adults ()Eradication of Helicobacter pylori to reduce the risk of duodenal ulcer recurrence in adults Treatment of active benign gastric ulcer in adults ()Treatment of symptomatic gastroesophageal reflux disease (GERD) in patients 2 years of age and older () Never disregard or delay professional medical advice in person because of anything on HealthTap. Can vitamins help prevent a heart attack? J Bone Miner Res. DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. We comply with the HONcode standard for trustworthy health information. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. 2. Check out our favorite recovery essentials. With medical big data and AI algorithms, eHealthMe is running millions of phase IV trials and makes the results available to the public. Created for people with ongoing healthcare needs but benefits everyone. Calcium carbonate is an insoluble salt form, while calcium citrate is a soluble salt form.2,3 Insoluble calcium salts require a lower pH to help facilitate the release of ionized calcium from the complex.1,3 Patients taking PPIs may have issues absorbing an optimal amount of calcium from insoluble salt forms, such as calcium carbonate. Use of the forums is subject to our Terms of Use Dosage of drugs is not considered in the study. Patient does not provide medical advice, diagnosis or treatment. Calcium is best absorbed when it's taken in smaller doses (typically less than 600 milligrams at one time). They all do different things. People can use OTC omeprazole tablets to treat frequent heartburn that occurs two or more times per week. Yes, timing matters. Calcium is primarily absorbed in its ionized form in the upper small intestine. There are patients who are unable to take either calcium or the PPI due to other medical conditions. Available for Android and iOS devices. Tums neutralizes acid , Zantac block a histamine to slow down and weaken acid and omeprazole shuts the acid pump off. If you still aren't sure about the best time to take calcium supplements, check with your doctor or pharmacist for guidance. How much magnesium do I need and how much magnesium from supplements is too much? Common interactions include dyspnoea among females and fatigue among males. Stomach acid produced while eating helps your body absorb calcium carbonate. I have taken a pill of Prilosec and extra strength tums (calcium carbonate). Always speak to your doctor before acting and in cases of emergency seek Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Nutritional Supplements at Mayo Clinic Store. 3 The FDA issued a strong warning against using omeprazole and esomeprazole with clopidogrel because of the potentially decreased effectiveness for clopidogrel. Info on the most common, potentially dangerous, interactions between drugs & supplements, including Lisinopril interactions and others. Vitamin B12 plays an important role in red blood cell production and the proper functioning of your nervous system, and B12 deficiency can lead to poorer nerve health and affect red blood cell development and function., While the mixing of supplements can be overwhelming at first, Stokes says the most important aspect of a supplement regimen is to keep it simple, to set yourself up for success. If you are on Omeprazole, I'm sure you have already been told to reduce acid foods. Bloomington, Minn.: Institute for Clinical Systems Improvement. Common interactions include dyspnoea among females and fatigue among males. Consult your healthcare professional (e.g., doctor or pharmacist) for more in formation. Is there a home remedy that will relieve heartburn. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use. If a patient cannot afford calcium citrate, however, they can use calcium carbonate as long as they are properly counseled to take it with meals (specifically breakfast) to promote better absorption. Phase IV trials are used to detect adverse drug outcomes and monitor drug effectiveness in the real world. Most turmeric products recommend about 500 milligrams daily. Depending on the season, I may add in extra zinc and vitamin D3, which I take with lunch. Should I avoid certain foods while taking Omeprazole? Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. No problem: These 2 meds can be taken together. Thankfully, there are no harmful side effects, however Dr. Airey says its simply not efficient to take them together as your bodys ability to absorb the vitamins will be reduced if you take them together. Always speak to your doctor before acting and in cases of emergency seek 1. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. R. Reading the discussion, I am wondering what the difference is between coated and uncoated pred? If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date. So one of the side effects of long term use is osteoporosis, even in young people. https://naturalmedicines.therapeuticresearch.com. 2010;25(12):2786-2795. I take Calcichew twice a day and Alendronic acid once a week both to counteract the effect of steroids on bone density, which apparently can make women in particular more susceptible to osteoporosis. Total daily dose. Our clinical information meets the standards set by the NHS in their Standard for Creating Health Content guidance. Posted A diet heavy in acidic foods might, though. What are sypmtoms. If. information highlighted below and resubmit the form. This survey is being conducted by the WebMD marketing sciences department. Call your doctor or 911 if you think you may have a medical emergency. ConsumerLab.com name and flask logo are both registered trademarks of ConsumerLab.com, LLC. . Find out how much magnesium you should be getting on a daily basis, signs of magnesium deficiency, and how much magnesium is too much, particularly from magnesium supplements and laxatives containing magnesium. Continue to take this medication even if you feel well. Unless a person has another stomach problem or has reacted to prednisone, I don't think Omeprazole is given as a matter of course with prednosone. The Centers for Disease Control and Prevention says No. Accessed Aug. 28, 2018. You may experience issues such as gas, constipation, nausea and diarrhea while taking the medication. To learn more, please visit our, These are effective adjuncts for stomach acidity and for. Who can and cannot take omeprazole How and when to take omeprazole Side effects of omeprazole Pregnancy, breastfeeding and fertility while taking omeprazole Taking omeprazole with other medicines and herbal supplements Common questions about omeprazole Page last reviewed: 18 November 2021 Next review due: 18 November 2024 Skip 1 day acid reflux returns.Is it safe to continue taking ? appropriate medical assistance immediately. Been told I have silent acid reflux. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other commonly abused medications. Select one or more newsletters to continue. appropriate medical assistance immediately. I ran out of usual med prilosec. Other drugs that have the same active ingredients (e.g. CYP3A4 inhibitors, such as grapefruit, can interact with certain medications by inhibiting the liver enzyme that metabolizes many drugs. 6 years ago, Tums neutralizes acid , Zantac block a histamine to slow down and weaken acid and omeprazole shuts the acid pump off. You can use the study as a second opinion to make health care decisions. Our phase IV clinical studies alone cannot establish cause-effect relationship. Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. I take Prilosec and Tums (calcium carbonate) but i still have pain in throat and chest everytime after i eat how do u know if your esophagus id damaged. Registered in England and Wales. Can having vitamin D deficiency cause high blood pressure? Association of long-term proton pump inhibitor therapy with bone fractures and effects on absorption of calcium, vitamin B12, iron, and magnesium. 9 years ago, 2023 eHealthMe.com. Generic and over-the-counter options available. Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. Omeprazole oral capsule can interact with other medications, vitamins, or herbs you may be taking. There is a problem with Drug interactions are reported among people who take Omeprazole and Calcium. In contrast to prescription PPIs, OTC PPIs. Peptic ulcers caused by H. pylori infection are typically treated with antibiotics, but certain supplements may also help. Omeprazole has active ingredients of omeprazole. Try calcium citrate instead (citracal). Drug interactions are reported among people who take Omeprazole and Calcium. As far as I know, Omeprazole is not a supplement, it is a drug taken to prevent irritation of the stomach. I have been diagnosed with a hiatal hernia and had a endo scope done.

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