Help My Mom: Addressing Side Effects of Acid Reflux Medication - Gastroenterology and Hepatology

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Please help my mom?


Hello Doctor, my mother has been experiencing a dry cough for two months and visited an ENT specialist.
The doctor diagnosed her with gastroesophageal reflux disease (GERD) and prescribed Gaviscon chewable tablets.
After taking them for three days, her cough stopped, but she seems to be seriously ill.
She has lost her appetite, is experiencing hard stools, muscle weakness, and is unable to grip with her hands.
She has difficulty turning in bed, changing clothes, and walking.
It is truly alarming.
My mother is a diabetic and has been managing her blood sugar well through exercise, but in the past few days, due to muscle soreness and weakness, she has been unable to move, and her blood sugar levels have spiked significantly.
1.
Is there an antidote for the side effects caused by Gaviscon chewable tablets?
2.
Besides discontinuing the medication, what should we do to help restore her muscle strength?
3.
Will these side effects affect her internal muscles?
Thank you very much for your assistance...
a worried child.

Xiao Yang, 20~29 year old female. Ask Date: 2016/07/23

Dr. Chen Shidian reply Gastroenterology and Hepatology


Hello, the medication for reflux should not directly affect blood sugar control.
Please visit the hospital for further examination (Metabolism Department, Neurology Department).
Changhua Hospital cares about your health.
Chen Shidian

Reply Date: 2016/07/23

More Info


It sounds like your mother is experiencing some concerning side effects after starting the medication for acid reflux, specifically the chewable tablet you mentioned. Let's break down your questions and address the potential issues.

1. Side Effects of the Medication: The chewable tablet for acid reflux, likely containing an active ingredient such as a proton pump inhibitor (PPI) or an H2 blocker, can sometimes lead to side effects. Common side effects of these medications can include gastrointestinal issues, such as constipation or diarrhea, and in some cases, they can affect appetite. However, the severe symptoms your mother is experiencing, including loss of appetite, muscle weakness, and difficulty moving, are not typical side effects of these medications. It is crucial to consult her healthcare provider immediately to assess her condition and determine if the medication is the cause of these symptoms or if there is another underlying issue.

2. Managing Muscle Weakness and Recovery: If the medication is indeed contributing to her muscle weakness and lack of energy, the first step is to stop the medication under the guidance of her physician. To help restore her muscle strength, consider the following:
- Physical Therapy: A physical therapist can design a tailored exercise program to help her regain strength and mobility safely.

- Nutrition: Ensure she is consuming a balanced diet rich in protein, vitamins, and minerals to support muscle recovery. If her appetite is low, small, frequent meals may be more manageable.

- Hydration: Staying hydrated is essential, especially if she is experiencing constipation. Encourage her to drink plenty of fluids, unless otherwise directed by her doctor due to her diabetes.

- Monitoring Blood Sugar: Since she is diabetic, it’s important to monitor her blood sugar levels closely during this time, especially if her activity level has decreased.

3. Impact on Internal Muscles: The side effects your mother is experiencing are more likely related to skeletal muscle weakness rather than internal muscle damage. However, prolonged inactivity can lead to muscle atrophy and other complications. It is essential to address her symptoms quickly to prevent further deterioration of her physical condition.

In summary, your mother's symptoms are concerning and warrant immediate medical attention. It is crucial to communicate with her healthcare provider about the side effects she is experiencing. They may need to adjust her medication or explore other underlying health issues. In the meantime, focus on supportive care, including nutrition, hydration, and gentle physical activity as tolerated, to help her regain her strength.

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