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Long-term NSAID usage and Acid reflex/GERD


ronnieusmc0311
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Question

Can someone point me in the right direction when it comes to medical literature or any information linking Acid reflex/ GERD to long-term NSAID usage? I am doing a supplemental to a denied secondary service claim for GERD and I'm trying to make sure my letter and my Doctors IMO are on point. Thank you!

I also take Albuterol and Prednisone, and Lorazepam (Anti-anxiety) so if you have information on those, I would appreciate it. I am also doing my own research.

Edited by ronnieusmc0311
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11 hours ago, ronnieusmc0311 said:

Can someone point me in the right direction when it comes to medical literature or any information linking Acid reflex/ GERD to long-term NSAID usage? I am doing a supplemental to a denied secondary service claim for GERD and I'm trying to make sure my letter and my Doctors IMO are on point. Thank you!

I also take Albuterol and Prednisone, and Lorazepam (Anti-anxiety) so if you have information on those, I would appreciate it. I am also doing my own research.

Not sure you do this?,,,but check on the medication you get read the side effects list of that particular medication, if it causes or is related to some of the condition that you incur,  you can use this side effect list as evidence that some medications can be related to or a cause of another condition to arise.

I had a urologist to give his medical opinion that some of the medications I take for PTSD is or can be related to my E.D.   And there's other Medications the VA Prescribes us that can cause more serious condition  that can be file as a secondary claim.

And say with sleep medications & anxiety meds for Depression or PTSD , some can be related to cause Sleep Apnea if this happens go see your sleep clinic they will give you a sleep study and if you have OSA  THEY NORMALLY will prescribe you a C-PAP MACHINE NECESSARY TO USE WHILE SLEEPING.  BINGO a secondary claim for sleep apnea again check the side effects list on all the VA Medications that you are prescribe. 

* Note  you may need to ask your PCP for a Referral to these speciality clinics.*

Edited by Buck52
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But the confusion is would taking these medications be the cause or related to these condition or symptoms? we should be able to use the side effects list as evidence  but as always its better to have Specialist to give his medical opinion  but again point to the medication list of side effects as evidence   this is what actually the va is telling us.

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I do not have that information but I know there are members on this board that have had the same problems.  They will chime in for you.

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I don't have a direct connection but the use of certain meds, IN Combination with Other Meds,  can cause adverse stomach/esophagus problems. So you first have to research the side-effects of the individual meds that you take and  go from there. The point being that it isn't an obvious cause you might be looking at, but the effects NASAID AND others in combination that can cause your disability. No doubt, NASAIDS do cause a lot of problems just by themselves. Research BVA cases and see what comes up on GERD using them.If you have Barrett's syndrome (next level after GERD), that can be rated at 30%. Rated at a current 90%, that could help you on your climb to 100% scheduler.

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I'm SC for GERD secondary to long-term NSAID usage. My C&P doc actually made the connection for me and pretty much opined that it is a generally known side effect, but did not point to any specific studies. They did some tests to rule out any other reason. First, they did a heliobacter pylori test to see if it was reflux caused by the bacteria. Next, they did an upper GI, which confirmed it. The VA rated it as hiatal hernia (because it was not bad enough to be considered to be Barret's esophagus.

§4.114   Schedule of ratings—digestive system.

Quote
7346   Hernia hiatal:  
Symptoms of pain, vomiting, material weight loss and hematemesis or melena with moderate anemia; or other symptom combinations productive of severe impairment of health 60
Persistently recurrent epigastric distress with dysphagia, pyrosis, and regurgitation, accompanied by substernal or arm or shoulder pain, productive of considerable impairment of health 30
With two or more of the symptoms for the 30 percent evaluation of less severity 10

 

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@Buck52 is correct. The symptoms and risks on the medication package inserts are helpful, but you will still need an MD, CRNP, or PA to make the connection.

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