Todd Eisner Acid Reflux
Q&A: Endoscopy for Ulcer?
I just got back from a Caribbean cruise on which I went to the bathroom and had watery, black stools. I was rushed to St Maarten Hospital and had an endoscopy where I was told that I had an ulcer in my stomach but that I needed to have another endoscopy when I got back to the United States. If I had an ulcer, why do I need another endoscopy?
While this question is hard to answer without knowing more details, in general, all More >
Q&A: What Are the Risks of Esophagus Dilatations?
My GERD has caused a narrowing in my esophagus that has caused difficulty swallowing, especially solids. I have undergone a few dilatations of my esophagus which has improved my symptoms. How often can I have the procedure, and does the risk increase each time?
While there is certainly a risk of perforation with a dilatation of the esophagus, that risk is very low. Some patients with narrowing of the esophagus require dilatation More >
Q&A: Insurance Company Authorizations
Insurance company authorization of medications can be challenging for both patients and physicians. Proton pump inhibitors, because of their cause are commonly affected. Thankfully, because there are generic and over the counter proton pump inhibitors available, there are options. You should check with your insurance company to see what proton pump inhibitors would be covered twice a day.
If none of the brand name medications More >
Dr. Eisner Answers Your Questions About Acid Reflux
Can Ultram cause or worsen symptoms of GERD?
Ultram is a centrally acting pain relief medication that is commonly taken for Chronic Pain conditions, specifically back pain and arthritis. Ultram has many adverse effects, including gastrointestinal side effects of nausea, vomiting and constipation. These occur in 5-15% of patients taking Ultram. The effects are due to Ultram’s decrease in gastrointestinal motility, slowing More >