Dr. Eisner Answers Your Questions About Acid Reflux

Additionally, patients with ulcer surgery usually have smaller stomachs, and this can lead to an increase in bile refluxing into the esophagus. Bile reflux can cause similar symptoms as acid reflux, but does not respond to medications that lower acid such as Nexium. You should check with your physician about starting Carafate, which is first line treatment for bile reflux. The drug comes in both pill and liquid forms, and is taken four times a day, before meals and bedtime. If that does not give you relieve, other studies that might help include upper GI endoscopy, upper GI series and 24 hour pH studies.