Pierre Patenaud had a long history of dyspepsia with fair control on 20 mg of omeprazole. A few months ago, he started getting worse. My first response was to check for changes in his lifestyle and increase his dose to 40 mg. When that didn’t work, I added famotidine 40 mg twice a day. He … Continue reading When I Escalated His GERD Treatment, My Patient Got Worse. Now I Know Why