By Dr Pranab Gyawali, Consultant Gastroenterologist
You’ve just watched my video on PPIs (proton pump inhibitors), the group of medicines that reduce stomach acid. Let me expand a little more on what I see in my day-to-day practice here in Dubai.
PPIs are among the most effective and widely used treatments in gastroenterology. They help patients with acid reflux, ulcers, or inflammation of the stomach and esophagus. Many of my patients have benefitted tremendously, often feeling better within days. But like all medicines, they work best when used with guidance.
Common Questions About PPIs
Q1: Are PPIs safe?
Yes, very safe when prescribed for the right reason. Millions of people worldwide take them. Short-term, they are highly effective.
Q2: Why do people worry about long-term use?
Some studies show that using PPIs for years may lower vitamin B12 and magnesium levels and slightly increase the risk of gut infections. These are rare and usually manageable, but they remind us to keep things supervised.
Q3: What do you recommend for long-term users?
Don’t panic. Many of my patients continue PPIs for years safely, but we review regularly, check blood levels when needed, and keep the dose at the lowest effective level. It’s about balance—not fear.
Conditions Where PPIs Commonly Help
If you’re wondering when PPIs are prescribed, here are some common examples:
Final Thoughts
In my experience, PPIs remain one of the most important tools we have in gastroenterology. Used appropriately, they are life-changing for many patients. The key is supervision—your doctor will know when you need them, how long to stay on them, and when it’s safe to reduce or stop.