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Suggest Treatment For Heartburn After Discontinuing Coumadin

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Posted on Wed, 16 Aug 2017
Question: My brother is on Coumadin and had to come off for 5 days and was bridged with Lovenox. He had a Lipthrotripsy for Kidney Stones. He has a mechanical aortic heart valve. He is experiencing mild heartburn
doctor
Answered by Dr. Ramesh Kumar (2 hours later)
Brief Answer:
Mild heartburn and gastritis due to medicine.

Detailed Answer:
Hello Dear patient,
Thanks for choosing HealthcareMagic for your query.
Have gone through your details and i appreciate your concerns.

Take a proton pump inhibitor like Esomeprazole 40 mg twice daily along with a prokinetic drug (eg.Domperidone) for 5 days. This will provide you symptomatic relief from symptoms.Use antacids like esomeprazole 40 mg before break fast.In my clinic, I suggest 40 mg before breakfast.
Using motility agents like domperidone will help with rapid stomach emptying and decreased refurge or heart burn.



Thanks.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Ramesh Kumar (1 hour later)
This isn't due to being off Coumadin (Warfarin) for 5 days?
doctor
Answered by Dr. Ramesh Kumar (51 minutes later)
Brief Answer:
follow up.

Detailed Answer:
No dear,
Warfarin neither causes nor helps in Acid peptic problem or heartburn.
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2912 Questions

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Suggest Treatment For Heartburn After Discontinuing Coumadin

Brief Answer: Mild heartburn and gastritis due to medicine. Detailed Answer: Hello Dear patient, Thanks for choosing HealthcareMagic for your query. Have gone through your details and i appreciate your concerns. Take a proton pump inhibitor like Esomeprazole 40 mg twice daily along with a prokinetic drug (eg.Domperidone) for 5 days. This will provide you symptomatic relief from symptoms.Use antacids like esomeprazole 40 mg before break fast.In my clinic, I suggest 40 mg before breakfast. Using motility agents like domperidone will help with rapid stomach emptying and decreased refurge or heart burn. Thanks.