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Saturday, February 12, 2022

GORD & Mucous in the Throat,

Somac - Long Term Use Side Effects

Fundic gland polyps warning: Long-term use (especially over one year) of pantoprazole can cause fundic gland polyps. These polyps are growths on the lining of your stomach that can become cancerous.


Important warnings

  • nausea or vomiting.
  • fever.
  • rash.
  • confusion.
  • blood in your urine.
  • bloating.
  • elevated blood pressure.

Somac should not be taken for longer than 8 weeks. The dose and frequency of Somac that your doctor prescribes for you depends on your medical condition. Your doctor may change the dose as your condition changes.


Although PPIs have had an encouraging safety profile, recent studies regarding the long-term use of PPI medications have noted potential adverse effects, including risk of fractures, pneumonia, Clostridium difficile diarrhea, hypomagnesemia, vitamin B12 deficiency, chronic kidney disease, and dementia.


How long can you take pantoprazole 40 mg?


Adults—40 milligrams (mg) once a day for up to 8 weeks. Your doctor may want you to take pantoprazole for more than 8 weeks for certain conditions. Children 5 years of age and older weighing 40 kilograms (kg) or more—40 mg once a day for up to 8 weeks.


What is the safest drug for acid reflux?


Proton pump inhibitors are accepted as the most effective initial and maintenance treatment for GERD. Oral pantoprazole is a safe, well tolerated and effective initial and maintenance treatment for patients with non erosive GERD or erosive esophagitis.


Q. I developed a hoarse voice and annoying phlegm in my throat and was surprised to learn that the cause was acid reflux. I've never had heartburn, so I don't know how this could have happened. Can you explain what causes acid reflux?

A. It sounds as though you have a condition called laryngopharyngeal reflux (LPR). This occurs when stomach contents, including acid and enzymes, back up into the esophagus and injure the tissues of the larynx (voice box) and pharynx (throat). The cause is malfunctioning of the upper and lower esophageal sphincter muscles. These muscles are supposed to keep food moving in the right direction, from mouth to stomach. The lower esophageal sphincter prevents stomach acid from moving up the esophagus. When it malfunctions, stomach acid irritates the esophageal tissue immediately above the stomach, causing symptoms such as heartburn and chest pain with swallowing. This condition is called gastroesophageal reflux (GERD).

Laryngopharyngeal Reflux

In adults and children, irritating acidic juices may back up from the stomach into the esophagus (swallowing passage) and throat. This is frequently called gastroesophageal reflux disease or GERD. This condition may occur at any time, but it happens more often when you are laying down. A common anatomic condition known as a hiatal hernia predisposes people to acid reflux. The most commonly recognized symptom of acid reflux is “heartburn" due to irritation of the lining of the esophagus. 

Most people do not know that acid reflux can also cause voice problems or symptoms in the pharynx (back of throat). This can happen to someone even if they are not aware of any heartburn and is sometimes called silent reflux, atypical reflux or laryngopharyngeal reflux. 

The following information is intended to help you understand acid reflux and the steps you may take to reduce this problem. It is important to realize, however, that the healing of the irritated vocal folds, throat, or esophagus will take time, and you should not expect immediate results.

Symptoms in Adults

Symptoms of acid reflux may include: 

  • Hoarseness
  • Excessive mucous or phlegm
  • Throat clearing
  • A sensation of a lump in the throat
  • Sore throat
  • Choking spells
  • Wheezing
  • A sense of post-nasal drip

Singers will often notice:

  • Increased warm-up time
  • Sluggish voice (particularly early in the day)
  • A sense of a “coating" on the vocal folds

In a small percentage of people, more serious problems result, including: 

  • Pneumonia
  • Ulcers or granulomas of the larynx
  • Vocal fold scarring or a pouch (diverticulum) of the upper oesophagus

There is also a small chance of developing cancer in the esophagus or throat due to long-term acid reflux.