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Those aged 55 years or over: With new onset of symptoms within the last year Where symptoms are worsening or changing People of any age with heartburn where there is: Unintentional weight loss Difficulty or pain on swallowing Vomiting, particularly if there is blood in the vomit Previous gastric ulcer or surgery Jaundice Those sufferers who have had to take an antacid or acid suppressor continuously for four or more weeks in order to control their symptoms.

Those who have taken an indigestion or heartburn remedy for two weeks with no relief of symptoms. When to consult a doctor If a person is not sure about their symptoms or has never seen a doctor about acid problems it is best to see a doctor face-to-face.

If symptoms improve with treatment, but come back when it is stopped, your regular doctor may want to test for H. Pylori , which is a bacterial infection of the stomach associated with reflux symptoms. Pylori test is positive, a course of antibiotic eradication treatment is usually prescribed. Some medication can produce irritation in the stomach and gullet, most notably anti-inflammatory medications. Where a person is taking these drugs they should see their GP to discuss possible alternatives.

Anybody taking regular medication should let their regular doctor know they are taking occasional Losec Omeprazole or Zantac Ranitidine. Are the tannins in amla similar to the tannins in black tea? I am concerned about the tannin content. I'm sensitive or allergic to the tannins in black tea. Several hours after drinking black tea I get a pinched nerve in my neck- every time. I know it isn't a caffeine reaction because green tea doesn't bother me, and coffee actually relaxes my neck.

In contrast, black tea tannins are mostly catechins. Benefit and uses, why take it, who can benefit Although Ayurvedic doctors have a great deal of experience with its use, little human research is available in the West. In rodent studies, amla has been found to be helpful as an antioxidant, for cholesterol and blood sugar control, for memory, and its was helpful in delaying development of diabetic cataract in rats.

Various pharmaceutical potentials for amla have been reported in studies including antimicrobial, antioxidant, anti-inflammatory, analgesic and antipyretic, adaptogenic, liver protective, antitumor and anti-ulcer activities. Allergic rhinitis Anti-inflammatory activities of aller-7, a novel polyherbal formulation for allergic rhinitis. Int J Tissue React. Allergic rhinitis, a state of hypersensitivity, occurs when the body overreacts to a substance such as pollens or dust.

Our results demonstrate that this novel polyherbal formulation Aller-7 is a potent anti-inflammatory agent that can ameliorate the symptoms of allergic rhinitis.

Antioxidant benefits Chemical and antioxidant evaluation of Indian gooseberry emblica officinalis, phyllanthus emblica supplements. Indian gooseberry has a distinguished history in Ayurveda medicine and is ascribed a number of medicinal properties and as a dietary supplement.

It is thought that its beneficial properties are a function of its antioxidant potency. The study investigated the chemistry and antioxidant properties of four commercial amla fruit extracts in order to determine if there are any qualitative-quantitative differences.

All extracts produced positive responses in the total phenol, total flavonoid and total tannin assays. The presence of predominantly poly phenolic analytes, e. Despite ascorbic acid being a major constituent of amla fruits, the furanolactone could not be identified in one of the samples.

Emblica officinalis extracts reduce oxidative stress in streptozotocin-induced diabetic rats. This squamous epithelium has a pearly white appearance, whereas the lining in the stomach and intestines has a more salmon pink color because it is a columnar epithelium rather than a squamous epithelium. The squamous epithelium is made up of flat squamous cells, which are similar to skin cells. The stomach or gastric lining consists of taller columnar cells as seen under the microscope.

The junction of the squamous epithelium of the esophagus and the gastric columnar epithelium occurs at the junction of the esophagus and stomach where, as you recall, the lower esophageal sphincter is located. The common border interface of these two linings is often referred to as the Z line, because when examined during an endoscopy, it has a zig zag appearance. With progressive injury to the esophagus, metaplasia occurs and the metaplastic tissue moves up the esophagus for a distance which varies from person to person, usually from about 0.

The type of cell that gives rise to the metaplastic tissue is not known. Barrett's esophagus often is categorized into short- or long-segment Barrett's, based on the length of the esophagus that is affected. Short segment Barrett's generally refers to involvement of 3 centimeters or less while long segment means involvement of more than 3 centimeters of the esophagus.

Interestingly, once Barrett's esophagus is diagnosed in a patient, the metaplastic lining does not seem to progress further up into the esophagus if the patient is being treated for GERD.

Thus, over time, the length of involvement with Barrett's generally remains the same. However, we do not routinely biopsy normal appearing Z lines to look for this change, nor do we do surveillance when we find it there. The reason is that limited intestinal metaplasia of the gastroesophageal junction region in GERD seems to occur with similar frequency in women and African Americans as in white men, yet the risk of overt Barrett's esophagus is much less than in white men.

Therefore, the presence of metaplasia on a routine biopsy of a normal appearing Z line in GERD should not lead to any change in management. What's more, the finding of goblet cells in this context should not be labeled, as some have suggested, as ultrashort segment Barrett's. The main reason for not labeling it as Barrett's is that the term Barrett's implies an increased risk of cancer, and there is no evidence that this finding is associated with an increased cancer risk.

What about the cancer that occurs in Barrett's esophagus? Adenocarcinoma of the esophagus The type of cancer that occurs with Barrett's esophagus is adenocarcinoma. Cancer arising from the squamous lining of the esophagus is called squamous cancer or carcinoma. Among Caucasians, the rate frequency over time of squamous cancer is decreasing relative to Barrett's-associated adenocarcinoma.

Other racial groups for example, African Americans however, have not experienced the same rate of decline in squamous cancer relative to adenocarcinoma. Smoking and excessive alcohol ingestion are definite risk factors for squamous cancers. They also are risk factors for adenocarcinoma seen in Barrett's esophagus. In this situation, however, it is not clear if smoking and alcohol increase the risk for adenocarcinoma by making GERD more severe or if smoking and alcohol have a more direct cancer-causing effect, as occurs in squamous cancer.

Squamous cell cancers have become increasingly less common, while adenocarcinoma diagnoses have risen. Adenocarcinoma incidence in white males has risen more steeply than in other ethnic groups. Throughout the remainder of this section, the term esophageal cancer will refer to adenocarcinoma arising from the Barrett's esophagus.

Connection with cancer of the gastroesophageal junction cardia Cancer of the gastroesophageal junction is also called cardia cancer because the region where the esophagus meets the stomach is called the cardia. This cancer, like Barrett's-associated adenocarcinoma, is found predominantly in white males, is apparently increasing in frequency at the same rate as esophageal cancer, and is associated with chronic GERD. Therefore, it has been speculated that cardia cancer starts from short segments for example, cm of Barrett's.

By the time the diagnosis of cancer is made, however, the tumor may have spread beyond the short segment of Barrett's and may appear to be in the cardia. This speculation about the origin of cancer of the cardia, however, remains to be proven. Increasing cases of Barrett's-associated cancer and cancer of the cardia An increase in the frequency of esophageal adenocarcinoma has been observed for at least 20 years, primarily in white males. One clue to the reason for this trend may be related to a decrease in the frequency of H.

In other words, people with Barrett's cancer, including cardia cancer, seem to have lower rates of H. It is a very common infection worldwide and causes no symptoms in the vast majority of affected people. However, some people with H. These ulcers are treated by eliminating the bacteria, which in turn, prevents relapse of the ulcers. In many areas of the world, this infection is decreasing in frequency, presumably because of better public health measures.

Therefore, it is possible that the protective effect such as decreased acid production of chronic H. In other words, with less H. At the same time, we are more predisposed to reflux in our senior years. If you stop taking Losec Do not stop taking Losec without first talking to your doctor or pharmacist. If you have any further questions on the use of this medicine, ask your doctor or pharmacist. Possible side effects Like all medicines, this medicine can cause side effects, although not everybody gets them.

If you notice any of the following rare but serious side effects, stop taking Losec and contact a doctor immediately: Sudden wheezing, swelling of your lips, tongue and throat or body, rash, fainting or difficulties in swallowing severe allergic reaction. Reddening of the skin with blisters or peeling. There may also be severe blisters and bleeding in the lips, eyes, mouth, nose and genitals.

Yellow skin, dark urine and tiredness which can be symptoms of liver problems. Other side effects include: Common side effects may affect up to 1 in 10 people Headache. Effects on your stomach or gut: Feeling sick nausea or being sick vomiting. Benign polyps in the stomach. Uncommon side effects may affect up to 1 in people Swelling of the feet and ankles. Changes in blood tests that check how the liver is working. Skin rash, lumpy rash hives and itchy skin.

Generally feeling unwell and lacking energy. Rare side effects may affect up to 1 in 1, people Blood problems such as a reduced number of white cells or platelets. This can cause weakness, bruising or make infections more likely. Allergic reactions, sometimes very severe, including swelling of the lips, tongue and throat, fever, wheezing.

Low levels of sodium in the blood. This may cause weakness, being sick vomiting and cramps. Feeling agitated, confused or depressed. Eyesight problems such as blurred vision. Suddenly feeling wheezy or short of breath bronchospasm.

An inflammation of the inside of the mouth. Liver problems, including jaundice which can cause yellow skin, dark urine, and tiredness. Skin rash on exposure to sunshine. Joint pains arthralgia or muscle pains myalgia. Severe kidney problems interstitial nephritis. Very rare side effects may affect up to 1 in 10, people Changes in blood count including agranulocytosis lack of white blood cells.

Seeing, feeling or hearing things that are not there hallucinations. Severe liver problems leading to liver failure and inflammation of the brain. Sudden onset of a severe rash or blistering or peeling skin. This may be associated with a high fever and joint pains Erythema multiforme, Stevens-Johnson syndrome, toxic epidermal necrolysis.

Not known frequency cannot be estimated from the available data Inflammation in the gut leading to diarrhoea.

If you are on Losec for more than three months it is possible that the levels of magnesium in your blood may fall. Low levels of magnesium can be seen as fatigue, involuntary muscle contractions, disorientation, convulsions, dizziness or increased heart rate.

If you get any of these symptoms, please tell your doctor promptly. Low levels of magnesium can also lead to a reduction in potassium or calcium levels in the blood. Your doctor may decide to perform regular blood tests to monitor your levels of magnesium. Rash, possibly with pain in the joints. Losec may in very rare cases affect the white blood cells leading to immune deficiency. If you have an infection with symptoms such as fever with a severely reduced general condition or fever with symptoms of a local infection such as pain in the neck, throat or mouth or difficulties in urinating, you must consult your doctor as soon as possible so that a lack of white blood cells agranulocytosis can be ruled out by a blood test.

It is important for you to give information about your medicine at this time. Reporting of side effects If you get any side effects, talk to your doctor or pharmacist. You can also report side effects directly via the Yellow Card Scheme at:

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