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:

Symptom help

Question:

A few months back I had tightness in my chest and what felt like heart palpitations. So I went to the doc and they run an ECG and find high voltage spikes or something to that effect. So they do an echocardiogram (sp?) to check for an enlarged heart, but find nothing. The problem has continued for months since then, mostly at night when I sleep on my back. I’ve also had back pain and what feels like swelling of the adams apple (difficulty swallowing) and when it’s real bad, then urge to throw up. I’ve also started to notice this during exercise. I’ve never had "classic heartburn" symptoms though. So I go back to the doc and they saddle me up with a 24 hr monitor to rule out heart problems. So now he prescribes an antacid, without doing any gastric tests. Everything is stress with this guy. From what little I’ve read in this group, this can be a complex problem, anything from Acid Reflux to GERD or spasms of the esophagus. Apart from finding a new doctor, what else can I do to narrow this down?

Response:

– Hide quoted text — Show quoted text -> A few months back I had tightness in my chest and what felt like heart > palpitations. So I went to the doc and they run an ECG and find high > voltage spikes or something to that effect. So they do an > echocardiogram (sp?) to check for an enlarged heart, but find nothing. > The problem has continued for months since then, mostly at night when I > sleep on my back. I’ve also had back pain and what feels like swelling > of the adams apple (difficulty swallowing) and when it’s real bad, then > urge to throw up. I’ve also started to notice this during exercise. > I’ve never had "classic heartburn" symptoms though. > So I go back to the doc and they saddle me up with a 24 hr monitor to > rule out heart problems. So now he prescribes an antacid, without doing > any gastric tests. Everything is stress with this guy. From what little > I’ve read in this group, this can be a complex problem, anything from > Acid Reflux to GERD or spasms of the esophagus. Apart from finding a > new doctor, what else can I do to narrow this down?

See a gastroenterologist or surgeon. You need an upper GI endoscopy (EGD) and 48-hours ambulatory pH testing to rule out GERD. HMc

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:

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:

Alkaline reflux?

Question:

– Hide quoted text — Show quoted text -> I was diagnosed with LPR a few weeks ago. I know I’ve had it off and > on for years. Also have irritable bowel and hiatal hernia. But all has > been under control, through a lot of natural means, until the past few > months. So ENT put scope down my nose to throat and confirmed that it > was LPR (no heartburn, just pain, chronic throat clearing and > coughing). > He wanted me on Zantac. But my internist said no and I should use a > PPI. Well, I’ve tried Nexium, Prevacid, and finally Aciphex. And they > don’t help. In fact, tonight, after taking an Aciphex this morning and > last night, I have that drawing hungry gnawing in my gut. > I even tried DGL licorice for about three days, and no help as well. > Even though I’ve read that H2 blockers are not as good, I’m trying > that. > It’s so bizarre that the meds seem to increase the acidity instead of > decrease it. Same thing happens when I take natural enzymes. > Now, I have been reading and see there is an alkaline reflux. I’m > wondering if that’s what I have, so that’s why digestive enzymes and > PPIs make things worse. Anyone have any experience with this and can > suggest what someone with this can do to heal it?

The next step is a complete diagnostic workup. Technically, the ENT can’t diagnose LPR since reflux, its character and extent, hasn’t been diagnosed yet. There are other things that can cause such laryngitis/pharyngitis. I agree that given your symptoms, it’s a reasonable presumption, but you need to have your upper GI tract evaluated. You need to have EGD, ambulatory pH testing, esophageal manometry. Your internist should be quite willing to get a consultation from a surgeon or gastroenterologist. Acid reflux, if that is indeed what you have, that does not respond to PPIs will usually require anti-reflux surgery. The only other thing you might try is a prokinetic agent, metaclopromide (Reglan) in hopes that it will aid in esophageal clearing and gastric emptying enough to control your symptoms. In the meantime, diet, weight loss, eating habits etc as detailed by many previous poster here on this newsgroup. HMc

Response:

I was diagnosed with LPR a few weeks ago. I know I’ve had it off and on for years. Also have irritable bowel and hiatal hernia. But all has been under control, through a lot of natural means, until the past few months. So ENT put scope down my nose to throat and confirmed that it was LPR (no heartburn, just pain, chronic throat clearing and coughing). He wanted me on Zantac. But my internist said no and I should use a PPI. Well, I’ve tried Nexium, Prevacid, and finally Aciphex. And they don’t help. In fact, tonight, after taking an Aciphex this morning and last night, I have that drawing hungry gnawing in my gut. I even tried DGL licorice for about three days, and no help as well. Even though I’ve read that H2 blockers are not as good, I’m trying that. It’s so bizarre that the meds seem to increase the acidity instead of decrease it. Same thing happens when I take natural enzymes. Now, I have been reading and see there is an alkaline reflux. I’m wondering if that’s what I have, so that’s why digestive enzymes and PPIs make things worse. Anyone have any experience with this and can suggest what someone with this can do to heal it? Thanks, Susan

Response:

Alkaline reflux?

Aciphex is a medication used to treat gestational acid reflux disease (GERD) and ulcers. buy aciphex and feel better today!

Question:

– Hide quoted text — Show quoted text -> I was diagnosed with LPR a few weeks ago. I know I’ve had it off and > on for years. Also have irritable bowel and hiatal hernia. But all has > been under control, through a lot of natural means, until the past few > months. So ENT put scope down my nose to throat and confirmed that it > was LPR (no heartburn, just pain, chronic throat clearing and > coughing). > He wanted me on Zantac. But my internist said no and I should use a > PPI. Well, I’ve tried Nexium, Prevacid, and finally Aciphex. And they > don’t help. In fact, tonight, after taking an Aciphex this morning and > last night, I have that drawing hungry gnawing in my gut. > I even tried DGL licorice for about three days, and no help as well. > Even though I’ve read that H2 blockers are not as good, I’m trying > that. > It’s so bizarre that the meds seem to increase the acidity instead of > decrease it. Same thing happens when I take natural enzymes. > Now, I have been reading and see there is an alkaline reflux. I’m > wondering if that’s what I have, so that’s why digestive enzymes and > PPIs make things worse. Anyone have any experience with this and can > suggest what someone with this can do to heal it?

The next step is a complete diagnostic workup. Technically, the ENT can’t diagnose LPR since reflux, its character and extent, hasn’t been diagnosed yet. There are other things that can cause such laryngitis/pharyngitis. I agree that given your symptoms, it’s a reasonable presumption, but you need to have your upper GI tract evaluated. You need to have EGD, ambulatory pH testing, esophageal manometry. Your internist should be quite willing to get a consultation from a surgeon or gastroenterologist. Acid reflux, if that is indeed what you have, that does not respond to PPIs will usually require anti-reflux surgery. The only other thing you might try is a prokinetic agent, metaclopromide (Reglan) in hopes that it will aid in esophageal clearing and gastric emptying enough to control your symptoms. In the meantime, diet, weight loss, eating habits etc as detailed by many previous poster here on this newsgroup. HMc

Response:

I was diagnosed with LPR a few weeks ago. I know I’ve had it off and on for years. Also have irritable bowel and hiatal hernia. But all has been under control, through a lot of natural means, until the past few months. So ENT put scope down my nose to throat and confirmed that it was LPR (no heartburn, just pain, chronic throat clearing and coughing). He wanted me on Zantac. But my internist said no and I should use a PPI. Well, I’ve tried Nexium, Prevacid, and finally Aciphex. And they don’t help. In fact, tonight, after taking an Aciphex this morning and last night, I have that drawing hungry gnawing in my gut. I even tried DGL licorice for about three days, and no help as well. Even though I’ve read that H2 blockers are not as good, I’m trying that. It’s so bizarre that the meds seem to increase the acidity instead of decrease it. Same thing happens when I take natural enzymes. Now, I have been reading and see there is an alkaline reflux. I’m wondering if that’s what I have, so that’s why digestive enzymes and PPIs make things worse. Anyone have any experience with this and can suggest what someone with this can do to heal it? Thanks, Susan

Response:

Fundamental indigestion

Rabeprazole is a medication used to treat gestational acid reflux disease (GERD) and ulcers. Buy rabeprazole tablets and feel better today!

Question:

Would it seem reasonable for a consultant to diagnose (prior to future tests) fundamental indigestion for an elderly  patient (68) who last year had treatment for a duodenal ulcer and whose symptoms keep returning  after having had triple therapy and when PPI’s are reduced to a maintenance level for acid reflux. Grisby

Response:

> Would it seem reasonable for a consultant to diagnose (prior to future > tests) fundamental indigestion for an elderly  patient (68) who last year > had treatment for a duodenal ulcer and whose symptoms keep returning after > having had triple therapy and when PPI’s are reduced to a maintenance level > for acid reflux. > Grisby

I’m not sure what "fundamental indigestion" is. If one is working up dyspeptic symptoms, then I don’t think it’s reasonable to assume any diagnosis until the workup is complete. This would include EGD, gallbladder ultrasound, HIDA scan with ejection fraction of the gallbladder (if ultrasound is normal), esophageal pH testing, and esophageal manometry. If "fundamental indigestion" is what would be normally termed a "functional" diagnosis, then it’s a diagnosis of exclusion and by definition can’t be made until a complete workup is done. HMc – Hide quoted text — Show quoted text –

Response:

– Hide quoted text — Show quoted text -> Would it seem reasonable for a consultant to diagnose (prior to future > tests) fundamental indigestion for an elderly  patient (68) who last year > had treatment for a duodenal ulcer and whose symptoms keep returning > after > having had triple therapy and when PPI’s are reduced to a maintenance > level > for acid reflux. > Grisby > I’m not sure what "fundamental indigestion" is. > If one is working up dyspeptic symptoms, then I don’t think it’s reasonable > to assume any diagnosis until the workup is complete. This would include > EGD, gallbladder ultrasound, HIDA scan with ejection fraction of the > gallbladder (if ultrasound is normal), esophageal pH testing, and esophageal > manometry. > If "fundamental indigestion" is what would be normally termed a "functional" > diagnosis, then it’s a diagnosis of exclusion and by definition can’t be > made until a complete workup is done. > HMc

Sorry I got the wording wrong it should have been Functional Dyspepsia. Grisby Functional dyspepsia (FD) is defined as chronic upper, centered abdominal discomfort or pain excluding the predominant symptom, heartburn. Associated symptoms are early satiety, nausea, vomiting, abdominal distension, bloating, and anorexia. For many years motor (movement) abnormalities in the stomach have been investigated and thought to be the cause of FD. As usual, psychosomatic theories are popular and patients are often prescribed tranquilizers or antidepressants.  Stress and anxiety are linked to motility problems and with the blind of a blind eye; a bad theory of FD (and IBS) was formulated and has remained popular despite lack of any convincing evidence. FD suffers responds poorly to common drug therapies and the majority of sufferers have episodic symptoms that reduce the quality of life and result in increased use of healthcare resources. Since FD is a rather vague diagnosis, symptoms often overlap with peptic ulcers, esophagitis and irritable bowel syndrome. It is easy to confuse acid reflux into the esophagus (GERD) with FD. Most gastroenterologists will not classify heartburn as "dyspepsia", and if esophagitis is present, FD cannot be diagnosed. By strict definition, patients with FD have undergone upper intestinal endoscopy that has revealed no lesions that can explain their symptoms. Diagnosis should include testing and possibly treatment for Helicobacter pylori. If infection is present, antisecretory therapy with H2-receptor antagonists or proton-pump inhibitors can be tried but these therapies are often not effective. One has to recall that H Pylori is often found in asymptomatic patients and their presence does not automatically mean that they are the cause of disease.

Response:

– Hide quoted text — Show quoted text -> > Would it seem reasonable for a consultant to diagnose (prior to future > > tests) fundamental indigestion for an elderly  patient (68) who last > year > > had treatment for a duodenal ulcer and whose symptoms keep returning > after > > having had triple therapy and when PPI’s are reduced to a maintenance > level > > for acid reflux. > > Grisby > I’m not sure what "fundamental indigestion" is. > If one is working up dyspeptic symptoms, then I don’t think it’s > reasonable > to assume any diagnosis until the workup is complete. This would include > EGD, gallbladder ultrasound, HIDA scan with ejection fraction of the > gallbladder (if ultrasound is normal), esophageal pH testing, and > esophageal > manometry. > If "fundamental indigestion" is what would be normally termed a > "functional" > diagnosis, then it’s a diagnosis of exclusion and by definition can’t be > made until a complete workup is done. > HMc > Sorry I got the wording wrong it should have been Functional Dyspepsia. > Grisby > Functional dyspepsia (FD) is defined as chronic upper, centered abdominal > discomfort or pain excluding the predominant symptom, heartburn. Associated > symptoms are early satiety, nausea, vomiting, abdominal distension, > bloating, and anorexia. For many years motor (movement) abnormalities in the > stomach have been investigated and thought to be the cause of FD. As usual, > psychosomatic theories are popular and patients are often prescribed > tranquilizers or antidepressants.  Stress and anxiety are linked to motility > problems and with the blind of a blind eye; a bad theory of FD (and IBS) was > formulated and has remained popular despite lack of any convincing evidence. > FD suffers responds poorly to common drug therapies and the majority of > sufferers have episodic symptoms that reduce the quality of life and result > in increased use of healthcare resources. > Since FD is a rather vague diagnosis, symptoms often overlap with peptic > ulcers, esophagitis and irritable bowel syndrome. It is easy to confuse acid > reflux into the esophagus (GERD) with FD. Most gastroenterologists will not > classify heartburn as "dyspepsia", and if esophagitis is present, FD cannot > be diagnosed. By strict definition, patients with FD have undergone upper > intestinal endoscopy that has revealed no lesions that can explain their > symptoms. Diagnosis should include testing and possibly treatment for > Helicobacter pylori. If infection is present, antisecretory therapy with > H2-receptor antagonists or proton-pump inhibitors can be tried but these > therapies are often not effective. One has to recall that H Pylori is often > found in asymptomatic patients and their presence does not automatically > mean that they are the cause of disease.

Yes, I understand the term "functional dyspepsia". It is typically a "wastebasket" diagnosis that is made after all other potential diagnoses are ruled out. Symptomatic gallbladder disease, peptic ulcer, gastritis, GERD, IBS, etc can all present with the same or similar patient complaints. As I said, a diagnosis of exclusion. EGD is commonly done as part of the workup, and GERD is one diagnosis that must be excluded. The problem is (and many physicians don’t understand this) that GERD cannot be ruled out on the basis of EGD alone since severe symptomatic reflux can most definitely be present even in the face of a completely normal EGD. EGD can only diagnose the *complications* of GERD (esophagitis, stricture, Barrett’s esophagus). A normal EGD does not rule out the GERD. Ambulatory pH testing is the only way to definitively diagnose GERD if the EGD does not demonstrate the above complications. HMc

Response:

Moderate Hiatal Hernia

Question:

Howard…. could you please explain what is meant by moderate? It’s been a month since my EGD and I’m not feeling much relief from the Nexium. How long should I wait for a return visit with my doctor? Any help would be greatly appreciated.

Response:

> Howard…. could you please explain what is meant by moderate? It’s been a > month since my EGD and I’m not feeling much relief from the Nexium. How long > should I wait for a return visit with my doctor? Any help would be greatly > appreciated.

A hiatus hernia is where the upper part of the stomach can slip or has slipped up into the chest. The part that slips includes the gastroesophageal junction and the lower esophageal sphincter. A "moderate" hiatus hernia is one where the gastroesophageal junction is displaced about 2-3 centimeters upward into the chest. It is a common misconception, even among doctors, that a hiatus hernia and acid reflux are the same thing. "Doctor, I have terrible heartburn"…."Yes, you must have a hiatus hernia."    Baloney. Many people with hiatus hernia have no acid reflux, and many people with acid reflux have no hiatus hernia. The causative factor in GERD is dysfunction of the lower esophageal sphincter. In about 40% of cases, the main reason for LES dysfunction is low resting pressure. In SOME of those cases, hiatus hernia contributes to that low resting pressure, therefore, hiatus hernia might contribute to GERD in some cases. The erroneous belief in the relationship of hiatus hernia severity to GERD severity is a holdover from the old days when doctors thought, erroneously, that low LES pressure was the cause of GERD. However, in over 60% of cases of acid reflux, the main cause is transient lower esophageal sphincter relaxation. The cause of these TLESR’s are primarily such things as nicotine, alcohol, caffiene, full stomach, and some foods such as tomatoes and other spices. It’s amazing to me how few doctors understand this concept. I guess it’s just easier to tell the patient "Oh, it’s just your hiatus hernia acting up…take these pills" So, whether or not someone has a hiatus hernia is pretty much irrelevant to GERD. The problem is the function of the LES, which is the root cause of GERD. If you have acid reflux, the place to start is lifestyle modification (diet, weight loss, smaller meals etc etc….these will help control your LES dysfunction. You can also take anti-secretory medication. These meds will not fix your LES dysfunction, nor will they do anything for your hiatus hernia, but they will decrease the amount of acid in the stuff that you reflux thereby moderating your symptoms. Maybe…unless the LES dysfunction is too severe. If these things don’t work, then the function of your Lower Esophageal Sphincter needs to be addressed surgically. Bottom line….don’t worry about your hiatus hernia, worry about controlling your acid reflux. Just because you have one doesn’t imply anything about the severity of your GERD. A high DeMeester score (>14.7) or refluxing more than about 3% of the time on 48 hour pH testing, that means something. A LES resting pressure less than 10 mmHg on manometry, that means something. An EGD that shows erosive esophagitis, stricture, or Barrett’s esophagus, that means something. All of these things allow us to draw real conclusions about your reflux disease. The presence or absence of a hiatus hernia tells us virtually nothing. If you haven’t had 48 hour ambulatory pH testing or esophageal manometry, and if all the doctor saw at EGD was a "moderate" hiatus hernia, then we still have virtually no objective information about whether or not you have GERD. HMc

Response:

increasingly worse gastric reflux

Aciphex is a medication used to treat gestational acid reflux disease (GERD) and ulcers. Buy aciphex medication and feel better today!

Question:

> Alot of doctors suggest that peptic ulcers are caused by H pylori. Alot of > pharmaceutical companies dont really care. Antacids are big business.

Peptic ulcers have nothing to do with acid reflux, which is the cause of most "heartburn". Helicobacter pylori is indeed the cause of about 70% of peptic ulcers, but H pylori has nothing to do with acid reflux either. Antacids are indeed big business. But how do you think H. pylori-mediated peptic ulcers are treated? With anti-secretory medication (Prevacid, Prilosec, Zantac, Tagamet etc etc) and antibiotics (which the pharmaceutical companies also make, right?). Just treating with antibiotics alone doesn’t work. In fact, TAP Pharmaceuticals (makers of Prevacid) also markets a standard treatment for H pylori-mediated peptic ulcers called PrevPac, which is a single package that contains Prevacid and an antibiotic. Look at http://tinyurl.com/lq0l HMc

Response:

– Hide quoted text — Show quoted text -> Alot of doctors suggest that peptic ulcers are caused by H pylori. Alot of > pharmaceutical companies dont really care. Antacids are big business. > Peptic ulcers have nothing to do with acid reflux, which is the cause of > most "heartburn". > Helicobacter pylori is indeed the cause of about 70% of peptic ulcers, but H > pylori has nothing to do with acid reflux either. > Antacids are indeed big business. But how do you think H. pylori-mediated > peptic ulcers are treated? With anti-secretory medication (Prevacid, > Prilosec, Zantac, Tagamet etc etc) and antibiotics (which the pharmaceutical > companies also make, right?). Just treating with antibiotics alone doesn’t > work.

I have worked with some top notch doctors that beg to differ outside of their practice. A simple over the counter antacid can work just fine while treating it with anti biotics. Yes pharaceutical companies sell the antibiotics, but do you think they push the antibiotic for the treatment? How many doctors do you know suggest using the antibiotic to treat the ulcer? ALMOST NONE in the USA. WHY? Because there arent the big kickbacks they can get by continually prescribing antacids. I amnot suggesting the doctor is willfully trying to hurt the person but they see through green colored glasses sometimes… > In fact, TAP Pharmaceuticals (makers of Prevacid) also markets a standard > treatment for H pylori-mediated peptic ulcers called PrevPac, which is a > single package that contains Prevacid and an antibiotic. Look at > http://tinyurl.com/lq0l

I will check that out. If that is what they are doing then bravo! – Hide quoted text — Show quoted text -> HMc

Response:

> Hmm…haven’t tried raisins lately.  Have to see if I can handle those; I > don’t guess they should be bad.  Haven’t tried the tums smooth dissolve yet. > I’ve used a lot of maalox max, though, and it seems to work well.

Try some tums smooth disolve if you get the chance. One of > the nice things about the liquid is that you can keep it in the fridge, and > the cold is nice.

Is the Malox mint flavored?  I also have a "GI cocktail," which is a prescription mix > of mylanta, benadryl, a numbing agent, and something else I can’t remember > right off.

Yeah a purple lady like they give in the doctors office for peptic ulcers. I am about to try something called active Manuka honey for my peptic ulcers which has an abundance of anti bacterial and anti oxidents in it. It is all natural but better than origonal honey. They use it in Australia for peptic ulcers and even doctors suggest it commonly. So I figure its not worth hurting to take a chance. Alot of doctors suggest that peptic ulcers are caused by H pylori. Alot of pharmaceutical companies dont really care. Antacids are big business. It litterally numbs your GI tract from the back of your tongue > down.  I’ve hardly had to use it since I’ve been on the AcipHex, though. > Maybe I’ll get some of those tums to have something I can keep in my

pocket. As I said they gave me a purple lady at the hospital… Great for an all out attack. I have been trying to limit my antacid intake to only when i really need it. I have been trying an all pure diet. It seems to be helping. Less meats and stuff help. – Hide quoted text — Show quoted text -> > I’ve basically given up on fruit and fruit juice, except for bananas > when > > I’m having particularly bad stomach problems.  Those don’t really help, > but > > they’re about the only thing that doesn’t taste too bad coming back up. > :- > Well let me tell you something. Rasins are high in anti oxidents so I eat > them. I have no problem with them. I eat dole fruit cups for breakfast. It > all depends on your stomach though. > BTW have you tried tums smooth disolve? Seems to work with me. > > > > Tomatoes are ‘acidy’ do you find any problems with apples or citrus > > > fruits? > > > > Derek. > > > I dont find any problems with fresh citrus fruits like oranges or > anything > > > like that, but grapefruit yes, and an obvious yes to lemon or lime…. > > > Orange Juice is an obvious dont drink… > > > Choclate is very acidic… Mint should not be eaten either because it > > > relaxes the sphincter muscle which shouldnt be relaxed…. > > > > > Hey, just like to say that AcipHex has been a miracle drug for my > > GERD. > > > > One > > > > > pill every morning, and I’ve gone from sleeping a few hours in a > > > recliner > > > > > because of the pain when I’d lie down to having only minor > discomfort > > > once > > > > a > > > > > week or so.  Might be worth asking your doctor about.  Also, and > this > > is > > > a > > > > > little odd, avoiding tomato products seems to help.  Something > about > > > > tomatos > > > > > can really irritate GERD. > > > > > Hope you and your son feel better. > > > > > Mike > > > > > > > It can feel like it is your heart but you have classic > symptoms > of > > > > > gerd… > > > > > > > gerd can feel like a heart problem when it isnt… this > ofcourse > > can > > > > > give > > > > > > > you panic attack feelings… and anxiety… or the gerd can be > > > caused > > > > by > > > > > > > anxiety… > > > > > > > any questions > > > > > > Hey Douglas !! I see you on alt. religion Mormon..how are you??? > > > > > > Anyway, thanks for replying…. > > > > > > Yeah..it is gerd by the looks of it. Although my doctor now > thinks > I > > > may > > > > > > have an ulcer as well. > > > > > > Wiping out  coffee from my diet  ( I weep!) and spicy and fatty > food > > > has > > > > > > made a difference. The pain in my stomach is worse and I have > been > > > given > > > > > an > > > > > > a strong ant  acid and an anaesthetic suspension to take > together > > to > > > > ease > > > > > > the discomfort. What are your symptoms, does it get any better? > It > > > seems > > > > > > stress does indeed  makes it worse…. > > > > > > I was meant to go for an endoscopy but my son has been in > hospital > ( > > > > > > recently diagnosed with juvenile diabetes) so life has been > > incredibly > > > > > > hectic…..

Response:

Hmm…haven’t tried raisins lately.  Have to see if I can handle those; I don’t guess they should be bad.  Haven’t tried the tums smooth dissolve yet. I’ve used a lot of maalox max, though, and it seems to work well.  One of the nice things about the liquid is that you can keep it in the fridge, and the cold is nice.  I also have a "GI cocktail," which is a prescription mix of mylanta, benadryl, a numbing agent, and something else I can’t remember right off.  It litterally numbs your GI tract from the back of your tongue down.  I’ve hardly had to use it since I’ve been on the AcipHex, though. Maybe I’ll get some of those tums to have something I can keep in my pocket.

– Hide quoted text — Show quoted text -> I’ve basically given up on fruit and fruit juice, except for bananas when > I’m having particularly bad stomach problems.  Those don’t really help, > but > they’re about the only thing that doesn’t taste too bad coming back up. > :- > Well let me tell you something. Rasins are high in anti oxidents so I eat > them. I have no problem with them. I eat dole fruit cups for breakfast. It > all depends on your stomach though. > BTW have you tried tums smooth disolve? Seems to work with me. > > > Tomatoes are ‘acidy’ do you find any problems with apples or citrus > > fruits? > > > Derek. > > I dont find any problems with fresh citrus fruits like oranges or > anything > > like that, but grapefruit yes, and an obvious yes to lemon or lime…. > > Orange Juice is an obvious dont drink… > > Choclate is very acidic… Mint should not be eaten either because it > > relaxes the sphincter muscle which shouldnt be relaxed…. > > > > Hey, just like to say that AcipHex has been a miracle drug for my > GERD. > > > One > > > > pill every morning, and I’ve gone from sleeping a few hours in a > > recliner > > > > because of the pain when I’d lie down to having only minor > discomfort > > once > > > a > > > > week or so.  Might be worth asking your doctor about.  Also, and > this > is > > a > > > > little odd, avoiding tomato products seems to help.  Something about > > > tomatos > > > > can really irritate GERD. > > > > Hope you and your son feel better. > > > > Mike > > > > > > It can feel like it is your heart but you have classic symptoms > of > > > > gerd… > > > > > > gerd can feel like a heart problem when it isnt… this ofcourse > can > > > > give > > > > > > you panic attack feelings… and anxiety… or the gerd can be > > caused > > > by > > > > > > anxiety… > > > > > > any questions > > > > > Hey Douglas !! I see you on alt. religion Mormon..how are you??? > > > > > Anyway, thanks for replying…. > > > > > Yeah..it is gerd by the looks of it. Although my doctor now thinks > I > > may > > > > > have an ulcer as well. > > > > > Wiping out  coffee from my diet  ( I weep!) and spicy and fatty > food > > has > > > > > made a difference. The pain in my stomach is worse and I have been > > given > > > > an > > > > > a strong ant  acid and an anaesthetic suspension to take together > to > > > ease > > > > > the discomfort. What are your symptoms, does it get any better? It > > seems > > > > > stress does indeed  makes it worse…. > > > > > I was meant to go for an endoscopy but my son has been in hospital > ( > > > > > recently diagnosed with juvenile diabetes) so life has been > incredibly > > > > > hectic…..

Response:

> I’ve basically given up on fruit and fruit juice, except for bananas when > I’m having particularly bad stomach problems.  Those don’t really help, but > they’re about the only thing that doesn’t taste too bad coming back up.

:- Well let me tell you something. Rasins are high in anti oxidents so I eat them. I have no problem with them. I eat dole fruit cups for breakfast. It all depends on your stomach though. BTW have you tried tums smooth disolve? Seems to work with me. – Hide quoted text — Show quoted text -> > Tomatoes are ‘acidy’ do you find any problems with apples or citrus > fruits? > > Derek. > I dont find any problems with fresh citrus fruits like oranges or anything > like that, but grapefruit yes, and an obvious yes to lemon or lime…. > Orange Juice is an obvious dont drink… > Choclate is very acidic… Mint should not be eaten either because it > relaxes the sphincter muscle which shouldnt be relaxed…. > > > Hey, just like to say that AcipHex has been a miracle drug for my > GERD. > > One > > > pill every morning, and I’ve gone from sleeping a few hours in a > recliner > > > because of the pain when I’d lie down to having only minor discomfort > once > > a > > > week or so.  Might be worth asking your doctor about.  Also, and this > is > a > > > little odd, avoiding tomato products seems to help.  Something about > > tomatos > > > can really irritate GERD. > > > Hope you and your son feel better. > > > Mike > > > > > It can feel like it is your heart but you have classic symptoms of > > > gerd… > > > > > gerd can feel like a heart problem when it isnt… this ofcourse > can > > > give > > > > > you panic attack feelings… and anxiety… or the gerd can be > caused > > by > > > > > anxiety… > > > > > any questions > > > > Hey Douglas !! I see you on alt. religion Mormon..how are you??? > > > > Anyway, thanks for replying…. > > > > Yeah..it is gerd by the looks of it. Although my doctor now thinks I > may > > > > have an ulcer as well. > > > > Wiping out  coffee from my diet  ( I weep!) and spicy and fatty food > has > > > > made a difference. The pain in my stomach is worse and I have been > given > > > an > > > > a strong ant  acid and an anaesthetic suspension to take together > to > > ease > > > > the discomfort. What are your symptoms, does it get any better? It > seems > > > > stress does indeed  makes it worse…. > > > > I was meant to go for an endoscopy but my son has been in hospital ( > > > > recently diagnosed with juvenile diabetes) so life has been > incredibly > > > > hectic…..

Response:

I’ve basically given up on fruit and fruit juice, except for bananas when I’m having particularly bad stomach problems.  Those don’t really help, but they’re about the only thing that doesn’t taste too bad coming back up.  :-

– Hide quoted text — Show quoted text -> Tomatoes are ‘acidy’ do you find any problems with apples or citrus > fruits? > Derek. > I dont find any problems with fresh citrus fruits like oranges or anything > like that, but grapefruit yes, and an obvious yes to lemon or lime…. > Orange Juice is an obvious dont drink… > Choclate is very acidic… Mint should not be eaten either because it > relaxes the sphincter muscle which shouldnt be relaxed…. > > Hey, just like to say that AcipHex has been a miracle drug for my GERD. > One > > pill every morning, and I’ve gone from sleeping a few hours in a > recliner > > because of the pain when I’d lie down to having only minor discomfort > once > a > > week or so.  Might be worth asking your doctor about.  Also, and this is > a > > little odd, avoiding tomato products seems to help.  Something about > tomatos > > can really irritate GERD. > > Hope you and your son feel better. > > Mike > > > > It can feel like it is your heart but you have classic symptoms of > > gerd… > > > > gerd can feel like a heart problem when it isnt… this ofcourse can > > give > > > > you panic attack feelings… and anxiety… or the gerd can be > caused > by > > > > anxiety… > > > > any questions > > > Hey Douglas !! I see you on alt. religion Mormon..how are you??? > > > Anyway, thanks for replying…. > > > Yeah..it is gerd by the looks of it. Although my doctor now thinks I > may > > > have an ulcer as well. > > > Wiping out  coffee from my diet  ( I weep!) and spicy and fatty food > has > > > made a difference. The pain in my stomach is worse and I have been > given > > an > > > a strong ant  acid and an anaesthetic suspension to take together to > ease > > > the discomfort. What are your symptoms, does it get any better? It > seems > > > stress does indeed  makes it worse…. > > > I was meant to go for an endoscopy but my son has been in hospital ( > > > recently diagnosed with juvenile diabetes) so life has been incredibly > > > hectic…..

Response:

> Tomatoes are ‘acidy’ do you find any problems with apples or citrus fruits? > Derek.

I dont find any problems with fresh citrus fruits like oranges or anything like that, but grapefruit yes, and an obvious yes to lemon or lime…. Orange Juice is an obvious dont drink… Choclate is very acidic… Mint should not be eaten either because it relaxes the sphincter muscle which shouldnt be relaxed…. – Hide quoted text — Show quoted text -> Hey, just like to say that AcipHex has been a miracle drug for my GERD. > One > pill every morning, and I’ve gone from sleeping a few hours in a recliner > because of the pain when I’d lie down to having only minor discomfort once > a > week or so.  Might be worth asking your doctor about.  Also, and this is a > little odd, avoiding tomato products seems to help.  Something about > tomatos > can really irritate GERD. > Hope you and your son feel better. > Mike > > > It can feel like it is your heart but you have classic symptoms of > gerd… > > > gerd can feel like a heart problem when it isnt… this ofcourse can > give > > > you panic attack feelings… and anxiety… or the gerd can be caused > by > > > anxiety… > > > any questions > > Hey Douglas !! I see you on alt. religion Mormon..how are you??? > > Anyway, thanks for replying…. > > Yeah..it is gerd by the looks of it. Although my doctor now thinks I may > > have an ulcer as well. > > Wiping out  coffee from my diet  ( I weep!) and spicy and fatty food has > > made a difference. The pain in my stomach is worse and I have been given > an > > a strong ant  acid and an anaesthetic suspension to take together  to > ease > > the discomfort. What are your symptoms, does it get any better? It seems > > stress does indeed  makes it worse…. > > I was meant to go for an endoscopy but my son has been in hospital ( > > recently diagnosed with juvenile diabetes) so life has been incredibly > > hectic…..

Response:

Hey, just like to say that AcipHex has been a miracle drug for my GERD.  One pill every morning, and I’ve gone from sleeping a few hours in a recliner because of the pain when I’d lie down to having only minor discomfort once a week or so.  Might be worth asking your doctor about.  Also, and this is a little odd, avoiding tomato products seems to help.  Something about tomatos can really irritate GERD. Hope you and your son feel better. Mike

– Hide quoted text — Show quoted text -> It can feel like it is your heart but you have classic symptoms of gerd… > gerd can feel like a heart problem when it isnt… this ofcourse can give > you panic attack feelings… and anxiety… or the gerd can be caused by > anxiety… > any questions > Hey Douglas !! I see you on alt. religion Mormon..how are you??? > Anyway, thanks for replying…. > Yeah..it is gerd by the looks of it. Although my doctor now thinks I may > have an ulcer as well. > Wiping out  coffee from my diet  ( I weep!) and spicy and fatty food has > made a difference. The pain in my stomach is worse and I have been given an > a strong ant  acid and an anaesthetic suspension to take together  to ease > the discomfort. What are your symptoms, does it get any better? It seems > stress does indeed  makes it worse…. > I was meant to go for an endoscopy but my son has been in hospital ( > recently diagnosed with juvenile diabetes) so life has been incredibly > hectic…..

Response:

Tomatoes are ‘acidy’ do you find any problems with apples or citrus fruits? Derek.

– Hide quoted text — Show quoted text -> Hey, just like to say that AcipHex has been a miracle drug for my GERD. One > pill every morning, and I’ve gone from sleeping a few hours in a recliner > because of the pain when I’d lie down to having only minor discomfort once a > week or so.  Might be worth asking your doctor about.  Also, and this is a > little odd, avoiding tomato products seems to help.  Something about tomatos > can really irritate GERD. > Hope you and your son feel better. > Mike > > It can feel like it is your heart but you have classic symptoms of > gerd… > > gerd can feel like a heart problem when it isnt… this ofcourse can > give > > you panic attack feelings… and anxiety… or the gerd can be caused by > > anxiety… > > any questions > Hey Douglas !! I see you on alt. religion Mormon..how are you??? > Anyway, thanks for replying…. > Yeah..it is gerd by the looks of it. Although my doctor now thinks I may > have an ulcer as well. > Wiping out  coffee from my diet  ( I weep!) and spicy and fatty food has > made a difference. The pain in my stomach is worse and I have been given > an > a strong ant  acid and an anaesthetic suspension to take together  to ease > the discomfort. What are your symptoms, does it get any better? It seems > stress does indeed  makes it worse…. > I was meant to go for an endoscopy but my son has been in hospital ( > recently diagnosed with juvenile diabetes) so life has been incredibly > hectic…..

Response:

> It can feel like it is your heart but you have classic symptoms of gerd… > gerd can feel like a heart problem when it isnt… this ofcourse can give > you panic attack feelings… and anxiety… or the gerd can be caused by > anxiety… > any questions

Hey Douglas !! I see you on alt. religion Mormon..how are you??? Anyway, thanks for replying…. Yeah..it is gerd by the looks of it. Although my doctor now thinks I may have an ulcer as well. Wiping out  coffee from my diet  ( I weep!) and spicy and fatty food has made a difference. The pain in my stomach is worse and I have been given an a strong ant  acid and an anaesthetic suspension to take together  to ease the discomfort. What are your symptoms, does it get any better? It seems stress does indeed  makes it worse…. I was meant to go for an endoscopy but my son has been in hospital ( recently diagnosed with juvenile diabetes) so life has been incredibly hectic…..

Response:

– Hide quoted text — Show quoted text -> It can feel like it is your heart but you have classic symptoms of gerd… > gerd can feel like a heart problem when it isnt… this ofcourse can give > you panic attack feelings… and anxiety… or the gerd can be caused by > anxiety… > any questions > Hey Douglas !! I see you on alt. religion Mormon..how are you??? > Anyway, thanks for replying…. > Yeah..it is gerd by the looks of it. Although my doctor now thinks I may > have an ulcer as well. > Wiping out  coffee from my diet  ( I weep!) and spicy and fatty food has > made a difference. The pain in my stomach is worse and I have been given an > a strong ant  acid and an anaesthetic suspension to take together  to ease > the discomfort. What are your symptoms, does it get any better? It seems > stress does indeed  makes it worse…. > I was meant to go for an endoscopy but my son has been in hospital ( > recently diagnosed with juvenile diabetes) so life has been incredibly > hectic…..

Well yes I am a "Mormon". I dont really go to the newsgroup anymore because so many bashers. Well yeah I figured you probablly had gerd, and peptic ulcers are usual with it. I am about to read a book soon called the PH miracle (you can get it on amazon for like 4 bucks). One lady who had the same symtpoms suggested it and said she is cured from her problems. I know her very well.. As far as the coffee and so forth is concerned the "Mormon" religion is really strict on dieting. For instance limiting the meats you eat, not drinking hot drinks, and staying away from any herb you dont need are just a few suggestions. I can only assume the reason this country has more problems with GERD than any other is because of the amount of chemicals and perservatives we take in. Caffine is horrible for the stomach, and especially sodas. I have gone back to a more pure diet involving fruits, grains, and very little meat. I have noticed some major changes but it will take time for my body to adapt…. I drink water and pure apple juice such as (langers). I figure not only will this cure my body from alot of illnesses but will give me longer life and less stress as it has shown so far. Will I miss foods? Sure but I can indulge everyonce in a blue moon. However I have learned to enjoy moderation more than I enjoyed the food. It is a hard habit to break but it can be done certainly.

Response:

– Hide quoted text — Show quoted text -> Hi all. > I have been having shocking reflux and stomach pain for over two years on > and off. > I went for an endoscopy eighteen months ago and was told I had very inflamed > stomach lining. No follow up. > All was fine for a while but a about five moths ago I felt like there was a > particle of food stuck in my throat ( after eating some spicy Thai food) I > went to a throat specialist who had a look and said my throat was irritated > due to reflux. Since then I have been getting increasingly worse reflux with > knife like pain under my breast bone. The pain radiated into my arm and > shoulder so my doctor ordered blood works and an ECG and of course did basic > obs.( pulse, BP and respiratory ) all normal. Yet I still get  a tad panicky > and think the pain is related to my heart even though the ECG was normal. > The pain on my left side ( under the ribs) is quite crippling at times and > when ever I bend over my reflux  gets much  worse.as does the pain in my > sternum and under the breast bone.My doctor palpated my stomach and said it > is extremely tender and has refereed me to a gastro specialist with the idea > to also do another endoscopy. Any one else here been through this?  Can you > tell me what to expect , is stress making it worse,any chance it is a cardio > vascular  thing?Can anxiety exacerbate   the  symptoms? > Much obliged for any replies……. > Helen

It can feel like it is your heart but you have classic symptoms of gerd… gerd can feel like a heart problem when it isnt… this ofcourse can give you panic attack feelings… and anxiety… or the gerd can be caused by anxiety… any questions

Response:

Hi all. I have been having shocking reflux and stomach pain for over two years on and off. I went for an endoscopy eighteen months ago and was told I had very inflamed stomach lining. No follow up. All was fine for a while but a about five moths ago I felt like there was a particle of food stuck in my throat ( after eating some spicy Thai food) I went to a throat specialist who had a look and said my throat was irritated due to reflux. Since then I have been getting increasingly worse reflux with knife like pain under my breast bone. The pain radiated into my arm and shoulder so my doctor ordered blood works and an ECG and of course did basic obs.( pulse, BP and respiratory ) all normal. Yet I still get  a tad panicky and think the pain is related to my heart even though the ECG was normal. The pain on my left side ( under the ribs) is quite crippling at times and when ever I bend over my reflux  gets much  worse.as does the pain in my sternum and under the breast bone.My doctor palpated my stomach and said it is extremely tender and has refereed me to a gastro specialist with the idea to also do another endoscopy. Any one else here been through this?  Can you tell me what to expect , is stress making it worse,any chance it is a cardio vascular  thing?Can anxiety exacerbate   the  symptoms? Much obliged for any replies……. Helen

Response: