I enjoy the medical blogs on WVFC. I am concerned about the use of one drug for my reflux disorder because it could hurt my bone density.

I am 54, weigh 185 pounds and am 5'4" tall. I have terrible reflux because I am overweight, have a small hiatal hernia and have been unwilling to live without my coffee. I had an endoscopy this year and the GI doctor found nothing that looked wrong with my esophagus or stomach. As long as I take Nexium every day, I have no symptoms.

My mother and her sister had bad osteoporosis; one actually died as a result of hip fracture complications. I am three years past menopause and have worsening bone density over the last 5 years. I now have osteoporosis of the spine, but the doctor says it is early and that my hips and arm are in much better shape.

I have not been exercising because the weight causes joint pain. I take Vitamin D and I take calcium (even though the latter is constipating) . I cannot take Actonel, Fosamax or Boniva because each worsens my heartburn. I really do not want to take those IV drugs for bone loss. Continue reading for advice from Dr. Brian Landzberg and Dr. Pat Allen