I need a guide vocal

Question:

– Hide quoted text — Show quoted text -> Gotta get a diet change, and you’ll get rid of that Acid Reflux. I had it, > and like I said, a diet change WILL get rid of it. Throw the Pepcid in the > trash. > NO  Butter or Marg….NO Milk.. NO Grease….NO Eggs….. White Rice at > least 3 times a week…scrubs you right out!!! After awhile you can resume > at moderation. > No, tomato pastes, raw onions and cola products here. > — >    O> > /() >    ^^                                                      Slidell, LA

I used prevacid. Took it for a couple of years. Stopped just for the hell of it.. about five years ago.. haven’t had a problem since. Eat whatever I want, too. Not that changing your diet wont help. I’m just saying.. if you have insureance.. the prevacid has no side effects at all that I’m aware of. Pop a capsule in the morning and forget about it. Tomatos have lycopene.. which is great against cancer of the prostate.. or put another way, which is great for not having a great rot up yer pooter which makes you piss funny, not screw, and then die. Pepcid and over the counter stuff is not really for acid reflux, it’s for when you drink too much or eat the wrong thing. Prevacid stops the acid from building up in the first place. And by the way.. get on it. I dinked around with diet and over the counter stuff and wound up doing damage to my esophagus. The acid rises up beyond the point where the body can handle it.. and burns it… I was lucky.. but I’ve seen operations on people who seriously messed themselves up by waiting to treat acid reflux.. and you don’t wanna go there. Twang!

Response:

> Gotta get a diet change, and you’ll get rid of that Acid Reflux. I had it, > and like I said, a diet change WILL get rid of it. Throw the Pepcid in the > trash. > NO  Butter or Marg….NO Milk.. NO Grease….NO Eggs….. White Rice at > least 3 times a week…scrubs you right out!!! After awhile you can resume > at moderation.

No, tomato pastes, raw onions and cola products here. —    O> /()    ^^                                                      Slidell, LA

Response:

Yup.  ;-) — Enjoy the ride, enjoy the ride. http://www.soundclick.com/bands/9/joesanchez.htm http://www.trainwreckblues.com http://www.garageband.com/artist/bigstevetrainwreck Our new CD is now for sale! —

– Hide quoted text — Show quoted text -> > "Complete dub"? > > db > Uh…that’s Bud. > > Joe. > — > Enjoy the ride, enjoy the ride. > http://www.soundclick.com/bands/9/joesanchez.htm > http://www.trainwreckblues.com > http://www.garageband.com/artist/bigstevetrainwreck > Our new CD is now for sale! > — > Are you rearranging letters? > Bud

Response:

> It’s the day before my big gig and I have acid reflux!  I know I made > fun of Ashlee Simpson for it but this really sucks!  The back of my > throat burns and the taste of bile is a constant.

You think that’s bad? I just watched "The Fly" movie. Remember when he barfs on the guy’s leg and dissolves it? Now THAT’s acid reflux. You and Ashlee come back when you can show me a melted microphone… then I might have some sympathy.

Response:

– Hide quoted text — Show quoted text -> "Complete dub"? > db > Uh…that’s Bud. > > Joe. > — > Enjoy the ride, enjoy the ride. > http://www.soundclick.com/bands/9/joesanchez.htm > http://www.trainwreckblues.com > http://www.garageband.com/artist/bigstevetrainwreck > Our new CD is now for sale! > —

Are you rearranging letters? Bud

Response:

Seconded,  Used to acid reflux myself. Vegetarian for 10 years now. No acid reflux for last ten years. Danko

– Hide quoted text — Show quoted text -> Gotta get a diet change, and you’ll get rid of that Acid Reflux. I had it, > and like I said, a diet change WILL get rid of it. Throw the Pepcid in the > trash. > NO  Butter or Marg….NO Milk.. NO Grease….NO Eggs….. White Rice at > least 3 times a week…scrubs you right out!!! After awhile you can resume > at moderation. >                                                 S. > > It’s the day before my big gig and I have acid reflux!  I know I made > > fun of Ashlee Simpson for it but this really sucks!  The back of my > > throat burns and the taste of bile is a constant.  I sure hope our > > drummer hits the right button when he cues up my guide vocals or else > > I’ll have to do a hoedown and walk off the stage. > Reverse karaoke? > Bud

Response:

> Reverse karaoke?

"Complete dub"? db

Response:

> "Complete dub"? > db

Uh…that’s Bud. Joe. — Enjoy the ride, enjoy the ride. http://www.soundclick.com/bands/9/joesanchez.htm http://www.trainwreckblues.com http://www.garageband.com/artist/bigstevetrainwreck Our new CD is now for sale! —

Response:

Gotta get a diet change, and you’ll get rid of that Acid Reflux. I had it, and like I said, a diet change WILL get rid of it. Throw the Pepcid in the trash. NO  Butter or Marg….NO Milk.. NO Grease….NO Eggs….. White Rice at least 3 times a week…scrubs you right out!!! After awhile you can resume at moderation.                                                 S.

– Hide quoted text — Show quoted text -> It’s the day before my big gig and I have acid reflux!  I know I made > fun of Ashlee Simpson for it but this really sucks!  The back of my > throat burns and the taste of bile is a constant.  I sure hope our > drummer hits the right button when he cues up my guide vocals or else > I’ll have to do a hoedown and walk off the stage. > Reverse karaoke? > Bud

Response:

It’s the day before my big gig and I have acid reflux!  I know I made fun of Ashlee Simpson for it but this really sucks!  The back of my throat burns and the taste of bile is a constant.  I sure hope our drummer hits the right button when he cues up my guide vocals or else I’ll have to do a hoedown and walk off the stage.

Response:

> It’s the day before my big gig and I have acid reflux!  I know I made > fun of Ashlee Simpson for it but this really sucks!  The back of my > throat burns and the taste of bile is a constant.  I sure hope our > drummer hits the right button when he cues up my guide vocals or else > I’ll have to do a hoedown and walk off the stage.

Reverse karaoke? Bud

Response:

Long Term Effects For Prevacid, etc. ?

Question:

Hello: I realize this has been touched on, somewhat, in previous posts, but would like tostart a new thread devoted to this single question, please. What is the latest research regarding the taking of Prevacid (or Nexium, etc.) indefinitely ? I guess I’m bothered by all their ads that say to take only for a maximum of approx. 8 days or so, and that it is not for long term use. My general MD (and also a Gastroenteroligist I’ve seen) wants me to take it indefinitely. Their belief is that the the research on really long term effects hasn’t been done yet, or is inconclusive, and that damage to the esophogus, etc. is by far the greater danger. Any thoughts on long term effects would be most appreciated. Thanks, Bob

Response:

– Hide quoted text — Show quoted text -> Hello: > I realize this has been touched on, somewhat, in previous posts, but > would like tostart a new thread devoted to this single question, please. > What is the latest research regarding the taking of Prevacid (or Nexium, > etc.) > indefinitely ? > I guess I’m bothered by all their ads that say to take only for a maximum of > approx. > 8 days or so, and that it is not for long term use. > My general MD (and also a Gastroenteroligist I’ve seen) wants me to take it > indefinitely. > Their belief is that the the research on really long term effects hasn’t > been done yet, or is inconclusive, and that damage to the esophogus, etc. > is by far the greater danger. > Any thoughts on long term effects would be most appreciated.

There is no study that indicates that long term use of PPIs prevent esophageal cancer. In fact, just the opposite; the alkaline reflux that results from acid suppression may be more carcinogenic that the acid reflux. HMc

Response:

Can anyone tell me what this is?

Question:

Hi, Last Thursday, I had a flu virus of some sort with chills and shakes. I noticed I could not swallow anything, not even milk without getting a terrible burning sensation in my chest. 6 days later, the chills and shakes are long gone but this stomach pain endures. This pain only happens when food passes through the esophegyal sphincter. When the muscle itself moves, it burns — a lot! I have not been able to eat anything other than cold soup, chased down with water. My doctor told me to take antacids but this made no difference since the pain does not occur from a reflux but during the contraction of the muscle itself. Can anyone tell me what the hell happened? Is it a hernia? Tissue bur? My doctor seems to think I have somehow burned the sphincter muscle, possibly with reflux while sleeping. Since this has never happened before, I find it hard to believe the first time would be so nasty. I’ve already lost 8 lbs. After 6 days, the pain has not lessened. Any thoughts on this would be appreciated. I want to prevent this from ever happening again and would like to have a better idea of what happened in the first place. Thank you so much, Shawn

Response:

– Hide quoted text — Show quoted text -> Hi, > Last Thursday, I had a flu virus of some sort with chills and shakes. I > noticed I could not swallow anything, not even milk without getting a > terrible burning sensation in my chest. 6 days later, the chills and shakes > are long gone but this stomach pain endures. This pain only happens when > food passes through the esophegyal sphincter. When the muscle itself moves, > it burns — a lot! I have not been able to eat anything other than cold > soup, chased down with water. My doctor told me to take antacids but this > made no difference since the pain does not occur from a reflux but during > the contraction of the muscle itself. > Can anyone tell me what the hell happened? Is it a hernia? Tissue bur? My > doctor seems to think I have somehow burned the sphincter muscle, possibly > with reflux while sleeping. Since this has never happened before, I find it > hard to believe the first time would be so nasty. I’ve already lost 8 lbs. > After 6 days, the pain has not lessened. > Any thoughts on this would be appreciated. I want to prevent this from ever > happening again and would like to have a better idea of what happened in the > first place.

You need an EGD to assess the esophagus and stomach. Erosive esophagitis needs to be ruled out. HMc

Response:

Acid reflux questions

Want to learn more? Find for more information about acid reflux at our partner site AcidRefluxDiseaseGERD.com

Question:

  My doctor gave me a prescription/samples of  Protonix about a month ago. He thought that my chest pains were acid reflux so we should give it a try and see how it goes. He also gave me Xanax for a week becasue I was having panic attacks! I think because I was freaked out about the chest pains. I thought I was dying!(Yes, i went to ER and cardioligist and heart OK) I took the protonix for 3 weeks and then stopped becasue I had no more pains in a long time. Really a few days after I started the meds. Well Last Friday went out for mexican food and my pains started back up again Saturday. I started taking my Protonix again on Sun, I had a about 10 days worth left.   Well by Thursday my chest pains were minimal. I have been taking some Malox chewables a few times a day since Tues with the Protonix. I want to describe my symptoms to see if anybody has any advice. I was having and still occasionally have an ache or heaviness in the center of my chest that sometimes spreads wider. Usually it seems after eating. I noticed the other day that when I swallowed it kinda felt "raw" going down. So i washed it down with some cold bottled water I had it it seemed to aggravate my chest/throat more. I sometimes get a real high pressure feeling in my head and ears like im in a airplane and my ears need to pop or something and i get kinda "bristled" all over like Im panicking or something. This usually happens when im lying down. I sometimes wake up at night with this feeling. Kinda scary! Im about 25# over wieght and when i bend or squat or like when Im on my computer with my legs propped on my desk it seems to aggravate my condition. This all started Dec 30 after eating mexican food. My chest hurt BAD! i thought I was having a heart attack. It died down but since then It was a dull ache. i have been through hell since this started. I started having panic attacks and every doctor out there tried to give me Paxil, Zolft, Effexor for depression and anxiety. I feel like i was having those problems becasue I was scared to death I was dying! When i took those drugs I was completely out of my mind. They made me worse! So i quit taking those things and have been better since. However, this past fri the pains came back. Once again after mexican food! So I think my MD was on to something with the Acid reflux. Everybody else tried to treat it like was my head and I beleive it all stemmed from a physical problem i was having.   I kind of think i aggravated a wounded esophegus this past weekend. I didnt take the protonix for even 3 weeks when I stopped. Maybe I didnt heal and reaggravated it? Should i be taking the chew tabs with he protonix? Anybody experience any of this?

Response:

– Hide quoted text — Show quoted text ->   My doctor gave me a prescription/samples of  Protonix about a month ago. > He thought that my chest pains were acid reflux so we should give it a try > and see how it goes. He also gave me Xanax for a week becasue I was having > panic attacks! I think because I was freaked out about the chest pains. I > thought I was dying!(Yes, i went to ER and cardioligist and heart OK) I took > the protonix for 3 weeks and then stopped becasue I had no more pains in a > long time. Really a few days after I started the meds. Well Last Friday went > out for mexican food and my pains started back up again Saturday. I started > taking my Protonix again on Sun, I had a about 10 days worth left. >   Well by Thursday my chest pains were minimal. I have been taking some > Malox chewables a few times a day since Tues with the Protonix. I want to > describe my symptoms to see if anybody has any advice. > I was having and still occasionally have an ache or heaviness in the center > of my chest that sometimes spreads wider. Usually it seems after eating. > I noticed the other day that when I swallowed it kinda felt "raw" going > down. So i washed it down with some cold bottled water I had it it seemed to > aggravate my chest/throat more. > I sometimes get a real high pressure feeling in my head and ears like im in > a airplane and my ears need to pop or something and i get kinda "bristled" > all over like Im panicking or something. This usually happens when im lying > down. I sometimes wake up at night with this feeling. Kinda scary! > Im about 25# over wieght and when i bend or squat or like when Im on my > computer with my legs propped on my desk it seems to aggravate my condition. > This all started Dec 30 after eating mexican food. My chest hurt BAD! i > thought I was having a heart attack. It died down but since then It was a > dull ache. i have been through hell since this started. I started having > panic attacks and every doctor out there tried to give me Paxil, Zolft, > Effexor for depression and anxiety. I feel like i was having those problems > becasue I was scared to death I was dying! When i took those drugs I was > completely out of my mind. They made me worse! So i quit taking those things > and have been better since. However, this past fri the pains came back. Once > again after mexican food! So I think my MD was on to something with the Acid > reflux. Everybody else tried to treat it like was my head and I beleive it > all stemmed from a physical problem i was having. >   I kind of think i aggravated a wounded esophegus this past weekend. I > didnt take the protonix for even 3 weeks when I stopped. Maybe I didnt heal > and reaggravated it? Should i be taking the chew tabs with he protonix? > Anybody experience any of this?

All that and your doctor hasn’t even made a diagnosis yet. That’s a shame. You need an EGD, esophageal manometry, and ambulatory pH testing. HMc

Response:

Sounds like GERD. have you tried a low carb diet.

Response:

A low carb diet made my GERD so bad that I ended up in the emergency room with severe chest pain. Low carb is not good for me, perhaps most GERD suffers because the carbs or starches help neutralize the acidity in the stomach. Smaller portions are the key to losing weight and avoiding/reducing sweet foods such as deserts.

: Sounds like GERD. have you tried a low carb diet. :

Response:

Protonix to an OTC

Question:

  My Doc gave me a months supply of free Protonix and my chest pains went away. I quit taking them after three weeks because I wasnt having any symptoms. (stupid I know) Well about a week later I chowed down on some great Mexican food and now my chest pains are back. The Doc gave me a prescrip for Protonix when I first went in but holy hell it’s $100 for a months supply! Im taking my last 7 days of the free protonix now but i cant afford $100 prescription. Do the OTC meds work as well? How about any Generics to these drugs?

Response:

>  My Doc gave me a months supply of free Protonix and my chest pains went >away. I quit taking them after three weeks because I wasnt having any >symptoms. (stupid I know) Well about a week later I chowed down on some >great Mexican food and now my chest pains are back. The Doc gave me a >prescrip for Protonix when I first went in but holy hell it’s $100 for a >months supply! Im taking my last 7 days of the free protonix now but i cant >afford $100 prescription. Do the OTC meds work as well? How about any >Generics to these drugs?

Mind if I ask why you take Protonix?  What your situation is and your symptoms? Im going for a gastric scope here next week… having chest discomfort, pain, etc…. Im afraid I have erosive esophagus and looking for info and advice. Im 46…..non smoker…. but heavy soda drinker….and drank a few beers as well.  What have you had to do to cure your problem?

Response:

 i was having chest pains… MD assumed it was Acid reflux…..plus I was having Panic attacks…I dont know which or if one was causing the other

– Hide quoted text — Show quoted text ->  My Doc gave me a months supply of free Protonix and my chest pains went >away. I quit taking them after three weeks because I wasnt having any >symptoms. (stupid I know) Well about a week later I chowed down on some >great Mexican food and now my chest pains are back. The Doc gave me a >prescrip for Protonix when I first went in but holy hell it’s $100 for a >months supply! Im taking my last 7 days of the free protonix now but i cant >afford $100 prescription. Do the OTC meds work as well? How about any >Generics to these drugs? > Mind if I ask why you take Protonix?  What your situation is and your > symptoms? > Im going for a gastric scope here next week… having chest > discomfort, pain, etc…. Im afraid I have erosive esophagus and > looking for info and advice. > Im 46…..non smoker…. but heavy soda drinker….and drank a few > beers as well.  What have you had to do to cure your problem?

Response:

> i was having chest pains… MD assumed it was Acid reflux…..plus I was >having Panic attacks…I dont know which or if one was causing the other

I see So you really don’t know what is going on for sure?   I mean you have not been gastric scoped to confirm that in fact you have gastric reflux??

Response:

no

– Hide quoted text — Show quoted text -> i was having chest pains… MD assumed it was Acid reflux…..plus I was >having Panic attacks…I dont know which or if one was causing the other > I see > So you really don’t know what is going on for sure? > I mean you have not been gastric scoped to confirm that in fact you > have gastric reflux??

Response:

Google my recent postings on inositol. It may well stop your panic attacks. If you are uninsured consider the OTC Prilosec twice a day which is double the recommended dose per the label but the same as a presciption Prilosec or Nexium dosewise.

– Hide quoted text — Show quoted text -> i was having chest pains… MD assumed it was Acid reflux…..plus I was > having Panic attacks…I dont know which or if one was causing the other > >  My Doc gave me a months supply of free Protonix and my chest pains went > >away. I quit taking them after three weeks because I wasnt having any > >symptoms. (stupid I know) Well about a week later I chowed down on some > >great Mexican food and now my chest pains are back. The Doc gave me a > >prescrip for Protonix when I first went in but holy hell it’s $100 for a > >months supply! Im taking my last 7 days of the free protonix now but i > cant > >afford $100 prescription. Do the OTC meds work as well? How about any > >Generics to these drugs? > Mind if I ask why you take Protonix?  What your situation is and your > symptoms? > Im going for a gastric scope here next week… having chest > discomfort, pain, etc…. Im afraid I have erosive esophagus and > looking for info and advice. > Im 46…..non smoker…. but heavy soda drinker….and drank a few > beers as well.  What have you had to do to cure your problem?

Response:

>If you are uninsured consider >the OTC Prilosec twice a day which is double the >recommended dose per the label but the >same as a presciption Prilosec or Nexium >dosewise.

Is it safe to take two Prilosec a day? Im now only taking one… and that is in the morning right after i get up. If I stick with one Prilosec only… is it best to take right before bed so as to keep acid production at min levels while laying in prone position?  Or is it still best to take one only in the AM after getting up?    Bottom line…. what is bets "timing" for taking only one pill?

Response:

> i was having chest pains… MD assumed it was Acid reflux…..plus I was >having Panic attacks…I dont know which or if one was causing the other > I see > So you really don’t know what is going on for sure? > I mean you have not been gastric scoped to confirm that in fact you > have gastric reflux??

It is important to know that an EGD may not diagnose GERD. A normal upper GI endoscopy does NOT mean that the patient is NOT having GERD. It only means that the GERD hasn’t caused enough esophageal damage (stricture, esophagitis, Barrett’s esophagus) to be visible while scoping. The only way to diagnose or rule out GERD with certainty in the face a normal EGD is by ambulatory pH testing. If the endoscopist see stricture, esophagitis, or Barret’s esophagus, then he/she can conclude that the patient has GERD. If the EGD is negative, the patient may still have severe GERD. HMc

Response:

>If you are uninsured consider >the OTC Prilosec twice a day which is double the >recommended dose per the label but the >same as a presciption Prilosec or Nexium >dosewise. > Is it safe to take two Prilosec a day?

OTC (over the counter/nonprescription) strength Prilosec  (20 milligrams) is half the dose of the common acid reflux dose  (40 milligrams) one gets from the physician. Higher dosages are used in patients with hyperacidic stomach conditions. I suspect the OTC form time release method is somewhat inferior to the prescription form. So I suggest since to it takes two to get to the higher prescription level, it would much sense to take the med at twice a day for a total of 40 milligrams. The result is $1.20 compared to several dollars per day for the Prilosec. > Im now only taking one… and that is in the morning right after i get > up.

One what? OTC 20 milligrams or 40 milligram prescription? > If I stick with one Prilosec only… is it best to take right before > bed so as to keep acid production at min levels while laying in prone > position?  Or is it still best to take one only in the AM after > getting up?    Bottom line…. what is bets "timing" for taking only > one pill?

I noted on the Medscape web site a continuing medical education article that some physicains were prescribing an additional H-2 blocker ( Pepcid, Axid) in addition to a full strength proton pump inhibitor drug such as Prilosec to prevent acid break thru. The article claimed PPI meds fail to fully prevent this acid release though they are much more effective drugs for the rest of day than H-2 blockers. At regular time a half hour before a meal or so I understand. Warning I am not a physician. These suggests are just what I’ve read somewhere or I might think I know about. It wouldn’t hurt to ask your Doc. When I retire, I leaving the United States.

Response:

>It is important to know that an EGD may not diagnose GERD. A normal upper GI >endoscopy does NOT mean that the patient is NOT having GERD. It only means >that the GERD hasn’t caused enough esophageal damage (stricture, >esophagitis, Barrett’s esophagus) to be visible while scoping.

Good point Howard. Thanks!

Response:

>I suspect the OTC form time release method >is somewhat inferior to the prescription form. >So I suggest since to it takes two to get to >the higher prescription level, it would much >sense to take the med at twice a day for >a total of 40 milligrams. The result is $1.20 >compared to several dollars per day for the >Prilosec.

Your last sentence above confuses me.  Are you saying that is would be OK to take TWO Prilosec pills a day?  But you are saying that is MORE expensive than Prilosec?  Im not understanding above paragraph at all. It sounded like conflicting advice

Response:

>> Im now only taking one… and that is in the morning right after i get > up. >One what? OTC 20 milligrams or 40 milligram prescription?

Im only taking one Prilosec pill a day for now.  And wondering if taking two is OK Or…. wondering if it bets to take the one Prilosec a day but take it at bed time rather than in morning.

Response:

>I suspect the OTC form time release method >is somewhat inferior to the prescription form. >So I suggest since to it takes two to get to >the higher prescription level, it would much >sense to take the med at twice a day for >a total of 40 milligrams. The result is $1.20 >compared to several dollars per day for the >Prilosec. > Your last sentence above confuses me.  Are you saying that is would be > OK to take TWO Prilosec pills a day?  But you are saying that is MORE > expensive than Prilosec?  Im not understanding above paragraph at all. > It sounded like conflicting advice

I don’t see why. You should be able to infer what I mean. I’ll try again. Think in terms of number of milligrams of the drug per day and not in terms of number of "pills". The use of the term pills, by the way, is somewhat derisive. Two over the counter strength TR (time released) tablets add up to 40 milligrams for a total drug cost of $1.20 per day. One prescription strength TR capsule of 40 milligrams results in a total of 40 milligrams per day at cost of several dollars per day. My estimate of the costs for you are contingent on you not having drug coverage, since with drug coverage the net prescription costs for you may well be lower than the OTC drugs costs.. If you still don’t understand, go talk to your primary care provider as I counseled earlier and see how much time he or she will give you. 20  + 20 = 40 milligrams   60 CENTS + 60 CENTS = $1.20 40 = 40 milligrams     $3.00 = $3.00

Response:

> >> Im now only taking one… and that is in the morning right after i get >> up. >One what? OTC 20 milligrams or 40 milligram prescription? > Im only taking one Prilosec pill a day for now.  And wondering if > taking two is OK > Or…. wondering if it bets to take the one Prilosec a day but take it > at bed time rather than in morning.

For what it is worth, I have been taking Protonix  for about 2 years now.  It does work and as you know very expensive.  After the first year I noticed it being less effective.  So I stopped taking it but continued buying it as long as I am insured.  I recently started using Prilosec OTC.  I have kept a log of when I take it (before dinner), what I eat and how well I slept that night.  I found that Prilosic OTC has me sleeping much better at night.  I now use it for 14 days at a time and am currently trying to learn if there are health reasons that will prevent me from using EVERY day.  They say use it for 14 days but why not more than that?

Response:

– Hide quoted text — Show quoted text -> >> Im now only taking one… and that is in the morning right after i get > >> up. > >One what? OTC 20 milligrams or 40 milligram prescription? > Im only taking one Prilosec pill a day for now.  And wondering if > taking two is OK > Or…. wondering if it bets to take the one Prilosec a day but take it > at bed time rather than in morning. > For what it is worth, > I have been taking Protonix  for about 2 years now.  It does work and > as you know very expensive.  After the first year I noticed it being > less effective.  So I stopped taking it but continued buying it as > long as I am insured.  I recently started using Prilosec OTC.  I have > kept a log of when I take it (before dinner), what I eat and how well > I slept that night.  I found that Prilosic OTC has me sleeping much > better at night.  I now use it for 14 days at a time and am currently > trying to learn if there are health reasons that will prevent me from > using EVERY day.  They say use it for 14 days but why not more than > that?

Protonix/pantoprazole and Prilosec/omeprazole or Aciphix/rabeprezole are all proton pump inhibitors. The list of adverse effects listed for each are rather similar. Prilosec/omeprazole is approved by the FDA for treatment of acid reflux disease. Many people take it a daily basis and per physicians orders take continuously. Prilosec and Nexium are quite similar. Nexium contains only the best stereoisomer found in Prilosec which contains more than one stereoisomer. What research I’ve seen indicated that it isn’t a big improvement over the older Prilosec and Aciphex is still the most effective of the PPI meds. Does this mean, I think Aciphex is best? Not exactly. I suspect that it the best drug to get healing but it may have a little higher risk of side effects. This is because the marketing departments of the drug companies don’t provide enough different dose possibilities to patients and physicians. Being that the FDA is in part a creature responsive to the drug companies and a creature given to blind bias and inertia , this will not change. Ideally compounding pharmacies would be provided with the time release granules so that physicians could titrate the drug dose so that the maintenance dose would be less likely to result in adverse effects, IMHO. Though it pretty clear most physicians couldn’t bothered at least currently with such titration of medication scheme. But with a little research from the drug companies and with some promotion I think this would be feasible. Yes, I know, this will never happen. Getting back to OTC Prilosec, understand the OTC Prilosec contains half the dose of the drug as it is commonly prescribed. Further, I suspect that timed released feature of the OTC form is inferior (if indeed it has it) to the prescription forms. So if you double dose with OTC form to reach the prescription level the drug, I’d suggest taking the tablets every 12 hours, rather than together. Understand this is against the directions on the packaging, but I say "so what". Use the money you save, to have your esophagus scoped every several years. The other nice thing about OTC form over the prescription form is that the patient can dail the dose up or down. Three times a day if they get in trouble or once a day to lessen adverse effects such as dizziness, dry mucous membranes, and abdomen pains. Now this is an idea that will upset some orthodox quacks/physicians IMHO:-) Warning I am not a physician!!

Response:

I have taken prilosec for seven years with no side effects.  20mg. once a day has been the standard dosage  prescribed by doctors. For me through trial and error anything stronger than 20mg adds no additional relief and anything less than 20mg a day has no effect. All proton pump inhibitors are timed release so you may take it any time of the day. Prilosec over the  counter $17.00 per month from Walmart. Prilosec by prescription for me previously if I did not  have insurance, $110.00 per month retail.  Nexium was developed by the drug company so they could still have a high price prescription drug It is no more effective than over the counter prilosec

Response:

>I have taken prilosec for seven years with no side effects.  20mg. once >a day has been the standard dosage  prescribed by doctors. For me >through trial and error anything stronger than 20mg adds no additional >relief and anything less than 20mg a day has no effect. All proton pump >inhibitors are timed release so you may take it any time of the day. >Prilosec over the  counter $17.00 per month from Walmart. Prilosec by >prescription for me previously if I did not  have insurance, $110.00 per >month retail.  Nexium was developed by the drug company so they could >still have a high price prescription drug It is no more effective than >over the counter prilosec

OK…. well its good to hear that one can take Prilosec long term like you have.  I really didn’t know if it was considered a long term choice or not. Im sorry you had to pay so many months back when it was still prescription only and cost so much more!

Response:

Propulsid???

Question:

My doctor has suggested I try to get ahold of some propulsid or cisapride, which next I travel, which I do quite regularly. In which countris is propulsid or cisapride legal to be sold? Thanks. —

Response:

> My doctor has suggested I try to get ahold of some > propulsid or cisapride, which next I travel, which I do > quite regularly.

Are you sure?  Propulsid has some pretty serious risks and contraindications. — Richard W Kaszeta http://www.kaszeta.org/rich

Response:

> > My doctor has suggested I try to get ahold of some > propulsid or cisapride, which next I travel, which I do > quite regularly. > Are you sure?  Propulsid has some pretty serious risks and contraindications.

I’m sure he told me to….  He did have me get an EKG first to verify that my QT level (whatever that is), was within normal limits. But I’m not sure I should do it although I’m having a pretty bad time with reflux and throat problems even at 60mg of Prevacid per day and pretty rigorous dietary controls, bed raised etc. He led me to believe that it is legal and accepted medical practice in most countries, save the US and Canada.  I know it’s available in Mexico but I’m wondering if anyone knows what other countries consider it safe.  How about western Europe for example? I’m not sure at all – but it’s very tempting and I don’t know who to trust. Louise —

Response:

– Hide quoted text — Show quoted text -> > My doctor has suggested I try to get ahold of some > > propulsid or cisapride, which next I travel, which I do > > quite regularly. > Are you sure?  Propulsid has some pretty serious risks and contraindications. > I’m sure he told me to….  He did have me get an EKG first > to verify that my QT level (whatever that is), was within > normal limits. > But I’m not sure I should do it although I’m having a > pretty bad time with reflux and throat problems even at > 60mg of Prevacid per day and pretty rigorous dietary > controls, bed raised etc. > He led me to believe that it is legal and accepted medical > practice in most countries, save the US and Canada.  I know > it’s available in Mexico but I’m wondering if anyone knows > what other countries consider it safe.  How about western > Europe for example? > I’m not sure at all – but it’s very tempting and I don’t > know who to trust.

Prokinetic agents like propulsid or metaclopramide (Reglan) aid in esophageal clearing of reflux. They are best used in conjunction with anti-secretory drugs like Nexium. The difference between Propulsid (which is off the market in the US) and Reglan are not that great in practical use. If Reglan doesn’t help you for whatever your problem is, then I doubt the Propulsid will either. At least not enough to justify the risk or go the hassle of importing it. HMc

Response:

> Prokinetic agents like propulsid or metaclopramide (Reglan) aid in > esophageal clearing of reflux. They are best used in conjunction with > anti-secretory drugs like Nexium. The difference between Propulsid (which is > off the market in the US) and Reglan are not that great in practical use. If > Reglan doesn’t help you for whatever your problem is, then I doubt the > Propulsid will either. At least not enough to justify the risk or go the > hassle of importing it. > HMc

Reglan does have some nasty psychological side-effects in some people though. My gastro sited that 15% of those who take reglan will develop side-effects from severe insomnia to extreme depression. It seems it also can cause parkinsons like symptoms… "Reglan is a neuroleptic medication used to treat gastrointestinal problems that have had many cases of Tardive Dyskinesia reported in response to it. Reglan is supposed to increase the stomach and small intestine contractions to help the passage of food. As every medication, Reglan has side effects associated to it and some of them are very serious. In February 1996, the FDA warned that Reglan causes an increased risk of Parkinsonism. Reglan can also cause people to have mild to severe depression, so patients that already suffer depression may want to consider an alternate treatment plan to Reglan. Tardive Dyskinesia has been most often linked to the use of antipsychotic drugs, but the potentially permanent muscle disorder has also been reported side effects of Reglan. Especially older Reglan patients should first consider the risks and benefits of Reglan since elders have a higher incidence of suffering Tardive Dyskinesia." http://www.tardive-dyskinesia.com/reglan/

Response:

> My doctor has suggested I try to get ahold of some > propulsid or cisapride, which next I travel, which I do > quite regularly. > In which countris is propulsid or cisapride legal to be > sold? > Thanks.

Does your doctor know that there is a limited access program for propulsid? The prescription medication PROPULSID

Too much alkaline foods

Question:

Is it possible to eat and drink so much alkaline at one time that the pH level of your stomach actually gets to 7 or higher?  Things like pure caffeine and other alkaloid substances tend to be basic.  I don’t think a couple of tums will have much of an effect, but anything stonger could have very noticeable effects. In my experience whenever I took a lot of pure caffeine (not coffee, which could sometimes have acidic properties), my stomach felt upset with symptoms of gastritis.  I’m wondering if the reason behind this is the stomach’s attempts to compensate for the high pH level by making lots of acid even after the need for it has disappeared. Although many people take alkaline substances regularly, I guess to drive the point home, I would like to think about any long term damage to the stomach by taking very high levels of alkaline substances.  For one thing, the acid level could be reduced to the point that unfriendly bacteria and fungi can grow and damage the linings of the stomach. Any thoughts on this?

Response:

– Hide quoted text — Show quoted text -> Is it possible to eat and drink so much alkaline at one time that the > pH level of your stomach actually gets to 7 or higher?  Things like > pure caffeine and other alkaloid substances tend to be basic.  I don’t > think a couple of tums will have much of an effect, but anything > stonger could have very noticeable effects. > In my experience whenever I took a lot of pure caffeine (not coffee, > which could sometimes have acidic properties), my stomach felt upset > with symptoms of gastritis.  I’m wondering if the reason behind this > is the stomach’s attempts to compensate for the high pH level by > making lots of acid even after the need for it has disappeared. > Although many people take alkaline substances regularly, I guess to > drive the point home, I would like to think about any long term damage > to the stomach by taking very high levels of alkaline substances.  For > one thing, the acid level could be reduced to the point that > unfriendly bacteria and fungi can grow and damage the linings of the > stomach.

Your symptoms have nothing to do with the pH of the substances you take in…that’s an old wive’s tale like "don’t go out in the cold and get wet or you’ll get pneumonia", or "wait an hour after you eat before you go swimming". Your "gastritis" symptoms are acid refluxing into your esophagus, facilititated by transient lower esophageal sphincter relaxations caused by the caffiene/nicotine/tomato spices/full stomach. As to your last paragraph, about "unfriendly bacteria", and "fungus damage" and "ingestion of alkaline substances"…well…that just doesn’t make any sense. HMc

Response:

You may be right about what really caused the symptoms in me, although I know that it is not all in the esophagus.  Inflammation of the stomach itself does occur, and that is a problem of mine at this point.  But if we’re talking principles of simple pH balance, it’s not so silly to think that acid can be neutralized by base.  It may very well be silly in applying that principle to the stomach, but my question was to address if there was a possibility that something highly alkaline would be able to neutralize or overpower the gastric acid.  After all, where does it all go when you eat or drink it down except to the stomach?  And since the stomach acid destroys much of the potential bacteria that can grow in the stomach (except for H.Pylori), without the acid, bacteria can grow.  This condition does exist, which is called hypochlorhydria, where the stomach does not produce enough acid.  For these people, bacteria in the stomach is indeed an issue. As a matter of fact, because the small instestines and the large intestines are protected from stomach acid, that’s where a lot of bacteria grow.  So yes, bacteria can grow in places that aren’t highly acidic.  Whether this would actually happen in reality for most people is another matter, but I would like to know what the possibilities actually are.  If somebody were to tell me that it is simply impossible for something very alkaline to complete neutralize or overpower stomach acid, I would like to know why that would be the case. – Hide quoted text — Show quoted text -> Is it possible to eat and drink so much alkaline at one time that the > pH level of your stomach actually gets to 7 or higher?  Things like > pure caffeine and other alkaloid substances tend to be basic.  I don’t > think a couple of tums will have much of an effect, but anything > stonger could have very noticeable effects. > In my experience whenever I took a lot of pure caffeine (not coffee, > which could sometimes have acidic properties), my stomach felt upset > with symptoms of gastritis.  I’m wondering if the reason behind this > is the stomach’s attempts to compensate for the high pH level by > making lots of acid even after the need for it has disappeared. > Although many people take alkaline substances regularly, I guess to > drive the point home, I would like to think about any long term damage > to the stomach by taking very high levels of alkaline substances.  For > one thing, the acid level could be reduced to the point that > unfriendly bacteria and fungi can grow and damage the linings of the > stomach. > Your symptoms have nothing to do with the pH of the substances you take > in…that’s an old wive’s tale like "don’t go out in the cold and get wet or > you’ll get pneumonia", or "wait an hour after you eat before you go > swimming". Your "gastritis" symptoms are acid refluxing into your esophagus, > facilititated by transient lower esophageal sphincter relaxations caused by > the caffiene/nicotine/tomato spices/full stomach. > As to your last paragraph, about "unfriendly bacteria", and "fungus damage" > and "ingestion of alkaline substances"…well…that just doesn’t make any > sense. > HMc

Response:

– Hide quoted text — Show quoted text -> You may be right about what really caused the symptoms in me, although > I know that it is not all in the esophagus.  Inflammation of the > stomach itself does occur, and that is a problem of mine at this > point.  But if we’re talking principles of simple pH balance, it’s not > so silly to think that acid can be neutralized by base.  It may very > well be silly in applying that principle to the stomach, but my > question was to address if there was a possibility that something > highly alkaline would be able to neutralize or overpower the gastric > acid.  After all, where does it all go when you eat or drink it down > except to the stomach?  And since the stomach acid destroys much of > the potential bacteria that can grow in the stomach (except for > H.Pylori), without the acid, bacteria can grow.  This condition does > exist, which is called hypochlorhydria, where the stomach does not > produce enough acid.  For these people, bacteria in the stomach is > indeed an issue. > As a matter of fact, because the small instestines and the large > intestines are protected from stomach acid, that’s where a lot of > bacteria grow.  So yes, bacteria can grow in places that aren’t highly > acidic.  Whether this would actually happen in reality for most people > is another matter, but I would like to know what the possibilities > actually are.  If somebody were to tell me that it is simply > impossible for something very alkaline to complete neutralize or > overpower stomach acid, I would like to know why that would be the > case.

How do you know that your stomach is inflamed? Assuming that you have had upper GI endoscopy, which is the only way to know, and that you DO have gastritis, the foods that you eat will have no significant effect on the acid base balance in your stomach. It is possible to change the pH of your stomach to alkaline, but this is done by decreasing the acid output of the stomach with the use of anti-secretory medication such as Tagamet or Prilosec. And antacids such as Maalox will certainly neutralize stomach acid for a short time. Additionally, the AMOUNT of food that you eat can stimulate increased acid production, but the direct effect of food on the stomach lining is negligible. The old concept that acidic or spicey foods will lead to inflammation of the stomach lining was dispelled many years ago. HMc

Response:

Acid Reflux – Coffee, Beer and Wine

Question:

I’ve been on Nexium for a couple months now after being diagnosed with Acid Reflux.  I really miss my 2 cups of coffee on the morning & an occasional beer or glass of wine.  I’ve heard Kona or Sumatra Coffee might be less aggravating to reflux symptoms & plan to try them.  I haven’t even attempted to drink Wine or Beer since starting the Nexium.  Anyone with Acid Reflux find any wine or beer that doesn’t cause aggravation?

Response:

> I’ve been on Nexium for a couple months now after being diagnosed with > Acid Reflux.  I really miss my 2 cups of coffee on the morning & an > occasional beer or glass of wine.  I’ve heard Kona or Sumatra Coffee > might be less aggravating to reflux symptoms & plan to try them.  I > haven’t even attempted to drink Wine or Beer since starting the > Nexium.  Anyone with Acid Reflux find any wine or beer that doesn’t > cause aggravation?

Although I find that *any* beer or wine aggravate my GERD, smooth dark beers seem to aggravate it the least.  For example, Guinness draught. — Richard W Kaszeta http://www.kaszeta.org/rich

Response:

Fish Oil Capsule's

Question:

This post not CC’d by email >This post not CC’d by email >>http://www.usnews.com/usnews/issue/021202/usnews/2week.lede.htm >>Check labels to make sure you’re getting 1,000 mg of DHA and EPA fatty >>acids. To avoid a fishy aftertaste, keep the gel tabs in the freezer, >>and take them at bedtime. >G’day G’day, Quenten >I forgot to ask you my original question for making the posting.  What >do you think about freezing get capsules, like fish oil and Vitamin E? >Not for odor, but, for freshness.

G’day G’day,  That is one question I can answer simply.   I don’t know. Fish oil capsules come with an expiry date. I simply look at that and buy the ones with the longest time to go.  In hot climates it probably makes sense to keep them in the fridge. People do a lot of worrying about oxidation.  Where temperatures are low and the fish oil high grade such oxidation as does occur might even be beneficial.  Part of the reason I say I don’t know is because things aren’t always simple and obvious. BTW.  One caveat I should have added to my previous post is to consult with your doctor/GP when taking high doses of fish oil.  So many people are on so many meds these days that few people are well represented in all respects by the sort of averages dealt with in studies. Best wishes, — Quentin Grady       ^  ^  / New Zealand,       >#,#< [                     / /     "… and the blind dog was leading." http://homepages.paradise.net.nz/quentin

Response:

This post not CC’d by email >http://www.usnews.com/usnews/issue/021202/usnews/2week.lede.htm >Check labels to make sure you’re getting 1,000 mg of DHA and EPA fatty >acids. To avoid a fishy aftertaste, keep the gel tabs in the freezer, >and take them at bedtime.

G’day G’day,  Most fish oil tablets contain 1000 mg of refined fish oil containing 180 mg of EPA and 120 mg of DHA.  Some tablets provide more either by having 1200 mg of refined fish oil or by increasing the concentration of EPA and DHA by further distillation. As with many news articles the science gets a bit garbled.  To get 1000 mg of DHA and EPA one would have to have sufficient fish oil to get 1000 mg of DHA since it is the one in the lesser amount.  Well … to get over 1000 mg would take nine of the standard size capsules. The after taste is avoided by buying a brand that has an enteric coat. They label describes them as reflux free. Though it is probably irrelevant to anyone else I am currently taking five a day. My lipid profiles are normal and I have little incentive to do more or less.  The containers suggests three. >Hey Quentin, does a tsp of cod liver oil have the same cholesterol >busting abilities as fish oil capsules?

Barry Sears puts 4 capsules of pharmaceutical grade fish oil as equivalent to 1 TABLESPOON of cod liver oil. Interestingly he makes the following suggestion if one’s TG:HDL ratio is less than 2 using US mg/100ml units (0.9 on mmol/L units), then ones diet should contain 2.5 grams of long-chain omega-3 per day.   Notice that he is lumping EPA and DHA together.       1 gram fish oil -> 0.3 gram of long chain omega-3       ? gram fish oil -> 2.5 gram of long chain omega-3 To solve the direct proportionality, two numbers must be multiplied and the third one divided.  Use the one on the diagonal for division. (1 x 2.5) / 0.3 = 8.3 capsules.   OK so to meet Barry Sears recommendation one is back to nine capsules per day if one doesn’t have other source of long chain omega-3s in one’s diet.   But wait … brace yourself. If your triglyceride:HDL is greater than 2 (US) or 0.9 (others) then one is meant to take double that dose for a month.  That is eighteen capsules per day. Well what could be wrong with that?   <grin> Firstly one needs to increase the dosage of active oils slowly. Secondly we are talking 18 grams of fat = 162 Calories.   Basically adding calories isn’t usually the most successful strategy. Put simply one has to take out fat calories from somewhere else. That 162 grams is 9% of one’s calorie intake on a 1800 Calorie per day diet. Remembering that the ADA suggested maximum calories from fat is 30%, about one third of one’s fat intake from other sources has to go. Thirdly readers here are mostly diabetics, many of them T2s.  T2s are notorious for having high TG:HDL ratios so much so that is makes an excellent marker for insulin resistance, the hallmark of the condition. If one simply adds fats bumping up calorie intake then blood glucose levels are likely also to rise. If one REPLACES other fats with long chain omega-3s then this problem usually doesn’t arise. Still YMMV and it does with fish oil supplementation.  Some people find their blood glucose control improves and some that it worsens. The average seems to stay unchanged but hey, who is average around here. If you embark on taking fish oil supplementation then do what you always do TEST, TEST, TEST. Hope this helps. With the AHA recommending fish oil, I’ll have to run a little harder to stay ahead of the game. <grin> — Quentin Grady       ^  ^  / New Zealand,       >#,#< [                     / /     "… and the blind dog was leading." http://homepages.paradise.net.nz/quentin

Response:

Gastorpareisis Sucks

Question:

The doc diagnosed me several years ago based on symptoms and what was left in my stomach after a long period of time. Not a pretty sight. I was diagnosed with an upper GI.  They did the test at 930am, and what I had eaten at 930pm was still in there.   > There is a test you can have. I believe you > swallow something radioactive, and it is tracked through your > digestive system.

Gastric emptying scan.  They give you a thimble full of radioactive oatmeal and if it goes thru in an hour or so, you supposedly *don’t* have gastroparesis. So, they can’t make up their minds whether I have it or not.  My theory is that between the time I was originally diagnosed, I got my blood sugar very well into control, and my condition improved.  When they did the GES, I wasn’t having any problems at all, therefore no diagnosis. I’ve been having control problems ever since January when I had to switch to Avandia due to problems with Glucophage. (I’ve since made the switch back) Right now I’m having digestive problems galore.  I’m also choking on my food quite often.  Seems it gets stuck, spasms start, it seems to be working it’s way back up while I try to BREATHE, I start these loud hiccups, then it finally goes on down.  Can’t even wash it down with liquids at that point. But at least I haven’t made it back to the constant throwing up. Marilyn, has the doctor had you try Reglan?  I had a problem with Propulsid, and I had to discontinue it long before it was ever taken off the market. Reglan worked well for me, forced me to digest better, and I got a lot of relief with it.  I need to get a new Rx myself, come to think of it. Good luck, I know you are miserable Bev Remove the "SpamFree" for email, please.  

Response:

> stated that aspartame that has undergone heat destruction tastes really > weird and is undrinkable

Geez, I don’t remember that conversation, but I do remember thinking that we had so many similarities that it was spooky! > i really fell for you right now, and only wish i had a cure for you > Dr told me that if i threw up for ANY reason to drink riopan to fend off the > affects of the acid relux…….

I will keep that in mind.  My best defense is a good offense (uh-oh, I sound like I like football).  I have done as Mack mentioned, stuck to foods that are easy to digest and have keep my bgs as low as I can (haven’t gone over 117 for the last couple days).   Maybe I found another silver lining! — Marilyn

Response:

> I was diagnosed with an upper GI.  They did the test at 930am, and what I had > eaten at 930pm was still in there.

Bev, I am nodding my head in understanding with this.  It is a horrible feeling to have.  I am sorry that you too have to deal with this (and such awful other things) I took Reglan for a few years but it caused severe depression.  I was lucky that the doc recognized this and pulled me off of it.  This was when Propulsid was first introduced.  This was a wonder drug for me.  I still have a bottle of it left but am afraid to take any.  I started on Celerex after and it was removed from the market and don’t know if there is any problem in taking them both. Here’s to better days for both of us! — Marilyn

Response:

My Doc put me on Pletal (Cilostazol) It is fairly recent I think. It is supposed to help with the pain, and is a blood thinner. but may take up to three months to show any effects! They found blockages behind one knee, and in both thighs, but at manageable levels. My surgeon showed me the prints he made up of the poloroids he took of my stomach when he opened it up. If it wasn’t my stomach, I would say it was wicked cool. A section of my small intestine is blown up the size of my forearm. Then there is a picture of it sliced open. The whole blockage was peanut butter, mixed with corn. I know, corn is a lousy choice to eat, but it is butter and sugar corn on the cob season round here, and I can’t be good all the GD time. Going for my cardiac tests next Monday. I need a week to rest after last week. Sorry to hear you have already been Dx’d with Gastroparesis. My last message to you won’t make much sense (I thought maybe you had a bit of food poisoning)  I don’t know how I am supposed to handle this. Well for one, no more corn, or peanut butter. If I get a belly ache, am I supposed to worry about another blockage? I don’t know how the hell you and Guy can put up with it. Keep your chin up kid! We’re rootin’ for ya! Sleepyman – Hide quoted text — Show quoted text -> Yes, my surgeon and me are in total agreement. It sucks. I didn’t have > any problems with nausea. There is a test you can have. I believe you > swallow something radioactive, and it is tracked through your > digestive system. I didn’t have any off tastes in my mouth. My problem > was constipation. I just assumed it was a side effect of the combo of > 15 meds. I take each day. Marilyn, see a gasto-interologist, and do it > soon. I wouldn’t wish the crappy (lol) surgery I had on anyone! Or > MOST anyone, >Thanks John.  The doc diagnosed me several years ago based on symptoms and >what was left in my stomach after a long period of time. Not a pretty sight. >I wouldn’t wish your surgery on anyone either!  I just saw an ad for some >medicine for claudation.  Did the doc put you on this?  When are your heart >tests?

An Eye for an Eye, Makes the Whole World, Blind. Mohandas K. Gandhi

Response:

Just a thought, but if you were doing the technicolor yawn all night, you may have a case of food poisoning. Contrary to popular belief, if you get a dose, it takes at least 24 hours to show up. I used to love it when somebody was looking to get a comp meal at any restaurant I managed, by comming up and trying to tell me that there was something wrong with the food, it just made them sick. Sleepy – Hide quoted text — Show quoted text – >I typically wait until after the meal is over, sometimes up to an hour >later, to take my basal insulin. > Several foods seem to be part of the problem.  Still > searching.  Another thing that showed up after > heart surgery. > Even a trace of black pepper seems to cause me > problems. >I cannot seem to figure out if I have a food trigger.  The only thing I ate >Saturday was a BBQ pork sandwich and an extra helping of the pork.  It could >have been something I ate on Friday. >This seems to happen when I am under a lot of stress.

An Eye for an Eye, Makes the Whole World, Blind. Mohandas K. Gandhi

Response:

stated that aspartame that has undergone heat destruction tastes really weird and is undrinkable i really fell for you right now, and only wish i had a cure for you Dr told me that if i threw up for ANY reason to drink riopan to fend off the affects of the acid relux……. kate – Hide quoted text — Show quoted text -> Marilyn…… sorry to hear that you are having these trying times > does riopan help when you are in this condition??? to at least counter act > the stomach acids that are coming up as well??? > wish i could help > You did, more than you know.  Thanks! > Erythormycin helps move things along.  I took two doses as soon as I could > keep it down.  I think this may have helped move things through the ole > pipes. > I’m just glad that I didn’t get dehydrated (the silver lining!) > — > Marilyn

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– Hide quoted text — Show quoted text -> I have periods of "lazy digestion".  It make me afraid > to lead inject insulin.  So I tolerate a blood sugars > peak to preclude a hypo. >Guy, >I typically wait until after the meal is over, sometimes up to an hour >later, to take my basal insulin. > Several foods seem to be part of the problem.  Still > searching.  Another thing that showed up after > heart surgery. > Even a trace of black pepper seems to cause me > problems. >I cannot seem to figure out if I have a food trigger.  The only thing I ate >Saturday was a BBQ pork sandwich and an extra helping of the pork.  It could >have been something I ate on Friday. >This seems to happen when I am under a lot of stress.

I am sure you know this but condiments can be a problem.  So many things in different foods. Remember I go into a very messy mode with a few bites of shrimp.  Later found my deceased sister has an identical problem. Now that my life is so much simpler I have less problems in several areas. I still think stress is fundamental problem where we are prone to "catch diseases" for some reason. Guess stress is a trigger or an immunity depressing factor.  Guess we will suffer together on the GI  problems.                                        Guy

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> Yes, my surgeon and me are in total agreement. It sucks. I didn’t have > any problems with nausea. There is a test you can have. I believe you > swallow something radioactive, and it is tracked through your > digestive system. I didn’t have any off tastes in my mouth. My problem > was constipation. I just assumed it was a side effect of the combo of > 15 meds. I take each day. Marilyn, see a gasto-interologist, and do it > soon. I wouldn’t wish the crappy (lol) surgery I had on anyone! Or > MOST anyone,

Thanks John.  The doc diagnosed me several years ago based on symptoms and what was left in my stomach after a long period of time. Not a pretty sight. I wouldn’t wish your surgery on anyone either!  I just saw an ad for some medicine for claudation.  Did the doc put you on this?  When are your heart tests? — Marilyn

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>Not to be too graphic, but >there is a yeast-like taste that alerts me to upcoming problems.  Does >anyone else have this?. > Yes, I do, although I usually deal with only 1 day of vomiting and a > few days of diarrhea, then everything goes back to normal.  I switch > to easily digested foods, which also means it is usually higher carb.

Mack, If you were close enough I would hug you.  Thank you.  It helps so much to know that I am not alone.  I’ve heard of other horror stories with the gastroparesis but never anyone who had the awful tasting belches. I managed to not get dehydrated and have to go get an IV.  That’s the first time in many years that I’ve been able to do this.  A couple years ago it was so bad that my kidneys started shutting down.  I figure that one of these times they will just decide to give it up for good.  But not this time! Thanks. — Marilyn

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Thanks Judy. – Hide quoted text — Show quoted text -> I just need to vent. > Ah, geez, Mar. > Thinking of ya. > Judy > Type 1, 25+ years

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– Hide quoted text — Show quoted text -> I just need to vent. > Ah, geez, Mar. > Thinking of ya. > Judy > Type 1, 25+ years

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> Marilyn…… sorry to hear that you are having these trying times > does riopan help when you are in this condition??? to at least counter act > the stomach acids that are coming up as well??? > wish i could help

You did, more than you know.  Thanks! Erythormycin helps move things along.  I took two doses as soon as I could keep it down.  I think this may have helped move things through the ole pipes. I’m just glad that I didn’t get dehydrated (the silver lining!) — Marilyn

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> I have periods of "lazy digestion".  It make me afraid > to lead inject insulin.  So I tolerate a blood sugars > peak to preclude a hypo.

Guy, I typically wait until after the meal is over, sometimes up to an hour later, to take my basal insulin. > Several foods seem to be part of the problem.  Still > searching.  Another thing that showed up after > heart surgery. > Even a trace of black pepper seems to cause me > problems.

I cannot seem to figure out if I have a food trigger.  The only thing I ate Saturday was a BBQ pork sandwich and an extra helping of the pork.  It could have been something I ate on Friday. This seems to happen when I am under a lot of stress. — Marilyn

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> I just need to vent.

Ah, geez, Mar. Thinking of ya. Judy Type 1, 25+ years

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Yes, my surgeon and me are in total agreement. It sucks. I didn’t have any problems with nausea. There is a test you can have. I believe you swallow something radioactive, and it is tracked through your digestive system. I didn’t have any off tastes in my mouth. My problem was constipation. I just assumed it was a side effect of the combo of 15 meds. I take each day. Marilyn, see a gasto-interologist, and do it soon. I wouldn’t wish the crappy (lol) surgery I had on anyone! Or MOST anyone, Sleepy >I just need to vent. >I spent last night on the bathroom floor with my head inside the porcelain >bowl.  I’m starving right now but afraid to eat for fear that things will >not digest.  At least the bGs have been good, no hypos. >Someone else mentioned about food "fermenting" in the stomach which is >exactly what I have always felt was happening.  Not to be too graphic, but >there is a yeast-like taste that alerts me to upcoming problems.  Does >anyone else have this?.

An Eye for an Eye, Makes the Whole World, Blind. Mohandas K. Gandhi

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I just need to vent. I spent last night on the bathroom floor with my head inside the porcelain bowl.  I’m starving right now but afraid to eat for fear that things will not digest.  At least the bGs have been good, no hypos. Someone else mentioned about food "fermenting" in the stomach which is exactly what I have always felt was happening.  Not to be too graphic, but there is a yeast-like taste that alerts me to upcoming problems.  Does anyone else have this?. — Marilyn

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>I just need to vent. >I spent last night on the bathroom floor with my head inside the porcelain >bowl.  I’m starving right now but afraid to eat for fear that things will >not digest.  At least the bGs have been good, no hypos. >Someone else mentioned about food "fermenting" in the stomach which is >exactly what I have always felt was happening.  Not to be too graphic, but >there is a yeast-like taste that alerts me to upcoming problems.  Does >anyone else have this?.

I have periods of "lazy digestion".  It make me afraid to lead inject insulin.  So I tolerate a blood sugars peak to preclude a hypo. Several foods seem to be part of the problem.  Still searching.  Another thing that showed up after heart surgery. Even a trace of black pepper seems to cause me problems.                                          Guy

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Marilyn…… sorry to hear that you are having these trying times does riopan help when you are in this condition??? to at least counter act the stomach acids that are coming up as well??? wish i could help kate

… – Hide quoted text — Show quoted text -> I just need to vent. > I spent last night on the bathroom floor with my head inside the porcelain > bowl.  I’m starving right now but afraid to eat for fear that things will > not digest.  At least the bGs have been good, no hypos. > Someone else mentioned about food "fermenting" in the stomach which is > exactly what I have always felt was happening.  Not to be too graphic, but > there is a yeast-like taste that alerts me to upcoming problems.  Does > anyone else have this?. > — > Marilyn

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