For the last month I've had a GERD flare after switching birth control pills (I have since gone off hormonal BC altogether) and have not been able to get ahold of it since. At the time of the flare, I had been taking 20 mg of omeperazole with good result, but after the BC pill switch caused a GERD explosion, even when I doubled my dose to 40 mg and even when I switched to 40mg of a different PPi, pantaprazole, I am still getting frequent, painful heartburn. It's been over two weeks since I switched to 40 mg of pantaprazole and I have added 3 150 mg zantac a day on top of it. Still heartburn.
Desperate, I did a consult with a surgeon who told me that studies seem to show that after a point, PPis simply stop working, and when that happens, switching PPis won't do much or make much difference and that I am screwed. He said my body had either figured out a way around PPis or I was suffering from bile reflux. He didn't have an answer about why birth control pills would have sparked it off.
I am seriously considering the LINX. I am 29 years old and do not want to be on PPis forever, especially if said PPis are not working very well or at all. BUT I wouldn't mind delaying the surgery for a while to give surgeons more of a bank of experience to draw from when it comes to LINX before getting one myself.
Is it true that switching PPis may be a waste of my time? Two of them, anyway, have failed to work almost entirely at 40 mg...
Thank you for your help,