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Hey doctors, I am a psychiatrist active on the psych forum and was asked a GI question from a patient I’m seeing and wanted your help if possible since I’m not up to date on the current guidelines.
I have a patient, 28 year old male with no PMHx aside from mild anxiety which is stable at this time without medications, however he has been on Prilosec 20 mg daily for the last 13 years..he started it at 15, he notes he had an endoscopy at that time and they said it was GERD and was started on Prilosec which got rid of all his symptoms. He has tried coming off it and switching to h2 blockers but anytime he does his GERD symptoms recur, he has no alarm symptoms or really any other symptoms at this time aside from the heartburn when he stops the Prilosec but if he takes it he has no symptoms. I told him to talk with PCP he doesn’t have a GI but he asked my advice about whether he can be on this forever and I wasn’t sure what you guys typically recommend?
I have a patient, 28 year old male with no PMHx aside from mild anxiety which is stable at this time without medications, however he has been on Prilosec 20 mg daily for the last 13 years..he started it at 15, he notes he had an endoscopy at that time and they said it was GERD and was started on Prilosec which got rid of all his symptoms. He has tried coming off it and switching to h2 blockers but anytime he does his GERD symptoms recur, he has no alarm symptoms or really any other symptoms at this time aside from the heartburn when he stops the Prilosec but if he takes it he has no symptoms. I told him to talk with PCP he doesn’t have a GI but he asked my advice about whether he can be on this forever and I wasn’t sure what you guys typically recommend?