Sir aapne itne mehnat aur dedication se itna achha vdo banaya hai aur views itne kam. Anyways thanks for the wonderful teaching and best wishes for your success.
You might look at recent studies on long term PPI use because of the side effects, it is suggested to use an H2 blocker instead. There are also studies suggesting that not enough acid in the stomach to stimulate tight closure of the sphincter as a cause of GERD and an acid supplement can help.
Thank you for sharing this information. I will surely look up. 😊 Current guidelines recommendations are that Proton pump inhibitors are accepted as the most effective initial and maintenance treatment for Gerd. H2 blockers treat symptoms but are not effective for healing esophagitus.
FDA ordered to stop one of H2 blocker drugs called Rinitidine because its been seen a carcinogenic substance that is why its being suspected to use this drug group. Even in most african countries they stopped using it after this alarm from FDA.
