Definitely pantoprazole is one of the drug of choice in management of heart burn or oesophagitis. But how long will you take that drug? It is advices to take the drug for a week, 10 days, 15 days or a month’s time. Taking pantoprazole beyond one month or two months will definitely have its own adverse effects. Any drug if it is taken for a long time it has its own disadvantages along with the advantages the drug can give. I can advice the patient not to drink and smoke when you have oesophagitis and parallely have a decent meal so that the heart burn is significantly reduced even without medications. Pantoprazole is a proton pump inhibitor. The gastric mucosa is designed in such a way that it will secrete hydrochloric acid. It is normally secreted in every other person. But in such patients we induce the proton pump to be inhibited so that the hydrochloric acid secreted should reduce in quantity so that the acidity in stomach comes down. Even if there is some amount of reflux the acids which is there will not burn the oesophagus. This is the concept of usage of pantoprazole. But if it is used for a longer time the proton pumps will gradually understand that this person may not require this much amount of hydrochloric acid and may be atrophic gastritis may set in. It should be taken under the supervision or advised as per the doctor or the surgeon.