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I too have a hiatal hernia with acid reflux. My md has me on a H2 blocker (famotidine) or Pepcid, and not a PPI. My understanding is H2 reduces stomach acid and PPIs shut down acid producing pumps. I’m curious as to why some doctors use PPI’s and others use H2 blockers. Guess it’s a question for my GI doc. Is anyone else on H2 blockers or know which could be the best long term?
Replies to "I too have a hiatal hernia with acid reflux. My md has me on a H2..."
@patti55 I’ve been on Fanotimine (Pepsid) for about a year now. I went back on this at the recommended of my GI Dr when I became aware of the risks of GERD with a MAC diagnosis. I had stopped taking Nexium and other meds a while back as I was concerned about the long term side effects however my Dr feels this is safe. I did ask about PPis but was told to stay on this without an explanation why this is preferred (at least in this practice group). I just starting splitting my dose and taking half in the am and half at night as they only last 12 hours and I was having a lot of daytime breakthrough.
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@patti55 I started on an H2 blocker (can’t remember which, because it was over twenty years ago) but my doctor decided in the PPI because the H2 blocker eventually stopped working.