Took Somac For Acid Reflux. Feeling Bloated And Gastric Discomfort. Is This Due To Prednisolone?

Posted on Tue, 26 Mar 2013

Question: hi i have very bad reflux lately i already take somac 40mgs i am bringing up my food hours later feel bloated and have gastric discomfort. i have seen the gastroenterologist recently for gastroparesis during my severe migraines but the migraine has gone but the reflux and the feeling of food going down slowly remains iam allergic to maxalon and stemetil and cant take motilium i have recently began lyrica 25mgs bd for my periferal pain and sleeplessness due to my psoriatic arthritis i was wondering if this drug might be causing my gastric symptoms i also am on a decreasing dose of prednisone am on 12 mgs now going back to my original dose of 10 sorry peripheral cant seem to change the spelling on this page?

Answered by Dr. Ajit Naniksingh Kukreja (5 hours later)

Hi

Thanks for writing in

The history provided is suggestive of reflux

But the culprit seems to be Prednisolone

I would suggest you take somac 40 mgs twice a day till you continue prednisolone

If possible add domperidone twice a day

Here are few tips which will help you control reflux :

1] Avoid spicy, fermented meals
2] Do not have heavy meals
3] Avoid smoking and alcohol
4] Wear loose clothes
5] Do not stoop
6] Do not lift heavy weights
7] Raise the head end of your bed
8] If Obese lose weight
9] If under stress - Manage stress levels by meditation and exercise

Hope this helps
Do write back in case of concern
Wishing you a healthy life ahead

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajit Naniksingh Kukreja (41 hours later)

Thank you for the reply. I will try the somac 40 mgs bd but i wonder if you could answer as to whether the lyrica can cause this?

Answered by Dr. Ajit Naniksingh Kukreja (1 hour later)

Thanks for writing in again

Lyrica is pregabalin, and as I have mentioned in my earlier reply the culprit is prednisolone

There are few medicines which are known to cause increased acid out put and result in to gastritis and reflux

Hope this clears your doubts
Get well soon

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar