Posts tagged: Diet

Should I be taking Nexium with my fullness symptoms?

Question:

Hello, I recently visited my family physician with complaints about always having a feeling of fullness in my stomach. I’ve had no feeling of acid indigestion but have had severe bloating. Because of recurring headaches, I’ve been taking Excedrin almost daily for months. (I now find that just drinking caffeinated coffee takes care of my headaches). My doctor prescribed Nexium and I’m wondering if I’m taking the correct medication since I don’t seem to have any acid reflux symptoms. Anyone advice appreciated.

Response:

> Hello, > I recently visited my family physician with complaints about always having a > feeling of fullness in my stomach. I’ve had no feeling of acid indigestion > but have had severe bloating. Because of recurring headaches, I’ve been > taking Excedrin almost daily for months. (I now find that just drinking > caffeinated coffee takes care of my headaches). My doctor prescribed Nexium > and I’m wondering if I’m taking the correct medication since I don’t seem to > have any acid reflux symptoms. > Anyone advice appreciated.

Might the fullness really be gas?  Look at your diet and see if it happens more after certain kinds of foods.  Sugars and even artificial sweeteners frequently produce gas. Also, are you constipated?  This too can lead to a full feeling. To answer your question about nexium – does it help? Louise

Response:

– Hide quoted text — Show quoted text -> Hello, > I recently visited my family physician with complaints about always having a > feeling of fullness in my stomach. I’ve had no feeling of acid indigestion > but have had severe bloating. Because of recurring headaches, I’ve been > taking Excedrin almost daily for months. (I now find that just drinking > caffeinated coffee takes care of my headaches). My doctor prescribed Nexium > and I’m wondering if I’m taking the correct medication since I don’t seem to > have any acid reflux symptoms. > Anyone advice appreciated. > Might the fullness really be gas?  Look at your diet and see if it > happens more after certain kinds of foods.  Sugars and even artificial > sweeteners frequently produce gas. > Also, are you constipated?  This too can lead to a full feeling. > To answer your question about nexium – does it help?

But they don’t produce gas in the stomach…that is from swallowed air. The most common reason for air swallowing is reflux. Only about 40% of people with GERD have symptoms of heartburn or "acid indigestion". Having said that, I think it’s reasonable to continue the PPI if it helps your symptoms of bloating. If it doesn’t, I wouldn’t pay for another such pill until the diagnosis had been confirmed. HMc

Response:

If you do have gas in your stomach, you could try one of the preparations which contains simethicone (sp?), eg Myalanta.  The simethicone will help you burp and get rid of the gas. AB

– Hide quoted text — Show quoted text -> > Hello, > > I recently visited my family physician with complaints about always > having a > > feeling of fullness in my stomach. I’ve had no feeling of acid > indigestion > > but have had severe bloating. Because of recurring headaches, I’ve been > > taking Excedrin almost daily for months. (I now find that just drinking > > caffeinated coffee takes care of my headaches). My doctor prescribed > Nexium > > and I’m wondering if I’m taking the correct medication since I don’t > seem to > > have any acid reflux symptoms. > > Anyone advice appreciated. > Might the fullness really be gas?  Look at your diet and see if it > happens more after certain kinds of foods.  Sugars and even artificial > sweeteners frequently produce gas. > Also, are you constipated?  This too can lead to a full feeling. > To answer your question about nexium – does it help? > But they don’t produce gas in the stomach…that is from swallowed air. The > most common reason for air swallowing is reflux. > Only about 40% of people with GERD have symptoms of heartburn or "acid > indigestion". > Having said that, I think it’s reasonable to continue the PPI if it helps > your symptoms of bloating. If it doesn’t, I wouldn’t pay for another such > pill until the diagnosis had been confirmed. > HMc

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Response:

butterrmilk

Question:

I didnt see the humor in it when I wrote it :) most of the symptoms related to acidity are caused by indigestion.. search the web for ayurvedic remedies. The ones for reflux/acidity are based on changes in diet ie., moving towards fresh fruits/vegetables. and avioding frozen/microwable/junk food. Generally food which is easily digestable. buttermilk aids digestion. so does lemon juice mixed in warm water taken three times a day GK – Hide quoted text — Show quoted text -> this might be useful to some folks in here. >  I was getting heartburn till recently.. with symptons like relfux when I >  go to sleep.. and pain in the chest. But for the last month I have >  started >  taking buttermilk after every meal.. and heartburn doesnt bother me >  anymore.. >  here’s how you do it: >  use about 1/4 buttermilk in a glass with 3/4 water. add a pinch of salt. >  hope this helps. >  G > I believed you until you advised us to take it with a pinch of salt. > Derek.

Response:

this might be useful to some folks in here.  I was getting heartburn till recently.. with symptons like relfux when I  go to sleep.. and pain in the chest. But for the last month I have started  taking buttermilk after every meal.. and heartburn doesnt bother me anymore..  here’s how you do it:  use about 1/4 buttermilk in a glass with 3/4 water. add a pinch of salt.  hope this helps.  GK

Response:

> this might be useful to some folks in here. >  I was getting heartburn till recently.. with symptons like relfux when I >  go to sleep.. and pain in the chest. But for the last month I have started >  taking buttermilk after every meal.. and heartburn doesnt bother me anymore.. >  here’s how you do it: >  use about 1/4 buttermilk in a glass with 3/4 water. add a pinch of salt. >  hope this helps. >  G

I believed you until you advised us to take it with a pinch of salt. Derek.

Response:

Restauarnt substitutions

Question:

My husband and I tried a new restaurant last week and they were not very agreeable to making substitutions.  I ordered a crabcake sandwich and asked, if instead of the french fries and cole slaw, could I have a small salad. The waiter said no subsitutions, I’d have to pay an extra $4.50 for a salad. I decided not to get the salad, and I told him to leave off the roll, since I wouldn’t eat it anyway.  To my suprise and delight, when he brought my meal, the crabcake was on a good size serving of field greens.  I asked for some vinegar, and made myself a very tasty salad.  And I only ate about 10% of the french fries and none of the cole slaw (forgot to tell them to hold that also).  The restaurant would have been better off if they had just made the substitutions I’d asked for. We eat out about once a week mostly at mid-range priced restaurants, and this is the first time in a long time that a restaurant has been this unaccomodating.  A $1 or $2 upcharge for a substitution is reasonable, but to have to pay an extra $4.50 is over the line IMHO. Too bad that they weren’t accomodating.  We really liked the food and it was very kind to my BG.  We’re not planning on going back, since I can’t be sure that the crabcake would be served on a bed of field greens next time.  But I’m wondering if it would be worth taking to the manager. — Best wishes Louise Type 2, controlling by diet and exercise

Response:

> My husband and I tried a new restaurant last week and they were not very > agreeable to making substitutions.

I often ask "I’m diabetic. May I have a second salad in lieu of fries?"  I’ve never encountered a problem. Maybe it’s just a good opening line — but it seems to work! — Diagnosed Type II Diabetes March 5 2001 Beating it with diet and exercise! 297/215/210 (to be revised lower) 58"/43"(!)/44" (already lower too!) Visit my personal website at http://members.shaw.ca/finkirv/ Visit my CFSRS/CFIOG ONLINE OLDTIMERS website at http://members.shaw.ca/finkirv5/ Irv Finkleman, Grampa/Ex-Navy/Old Fart/Ham Radio VE6BP Calgary, Alberta, Canada

Response:

> Too bad that they weren’t accomodating.  We really liked the food and it

was very kind to my BG.  We’re not planning on going back, since I can’t be sure that the crabcake would be served on a bed of field greens next time. But I’m wondering if it would be worth taking to the manager. > —

Certainly it’s worth talking to the manager! All s/he can do is say some version of "get lost", which is what you’re planning to do anyway. Learning ways to please the customers is how stores & restaurants make money — and stay in business. Some (don’t ask me where) research has shown that one unhappy customer tells 10 people but a happy customer only tells a couple. Which do you think the manager wants — you telling 10 people how un-nice they were & don’t go there? or make you happy and maybe you’ll generate even a bit more business of happy customers (who tell 1-2 others each,….). If this is a locally owned place, you may even be able to talk to the owner. bj

Response:

– Hide quoted text — Show quoted text -> My husband and I tried a new restaurant last week and they were not very > agreeable to making substitutions.  I ordered a crabcake sandwich and asked, > if instead of the french fries and cole slaw, could I have a small salad. > The waiter said no subsitutions, I’d have to pay an extra $4.50 for a salad. > I decided not to get the salad, and I told him to leave off the roll, since > I wouldn’t eat it anyway.  To my suprise and delight, when he brought my > meal, the crabcake was on a good size serving of field greens.  I asked for > some vinegar, and made myself a very tasty salad.  And I only ate about 10% > of the french fries and none of the cole slaw (forgot to tell them to hold > that also).  The restaurant would have been better off if they had just made > the substitutions I’d asked for. > We eat out about once a week mostly at mid-range priced restaurants, and > this is the first time in a long time that a restaurant has been this > unaccomodating.  A $1 or $2 upcharge for a substitution is reasonable, but > to have to pay an extra $4.50 is over the line IMHO. > Too bad that they weren’t accomodating.  We really liked the food and it was > very kind to my BG.  We’re not planning on going back, since I can’t be sure > that the crabcake would be served on a bed of field greens next time.  But > I’m wondering if it would be worth taking to the manager.

Unfortunately, I’ve found this sort of thing is pretty common.  Or they tell you they WILL make the changes, but then they don’t.  I’ve had to send orders back 2-3 times before they got them right.  I’ve also run into a problem in asking for side orders of things that I know are on the menu.  I once wanted a side order of a vegetable for my daughter.  The waitress said she *could* do that, but would have to charge me $6.00 for the dish of beans, and she knew I didn’t want to pay that.  I then asked if it would be possible to get a small dish of corn from the salad bar?  Again, no.  If I wanted that, I would have to pay the full price of the salad bar.  This was at a restaurant from one of the large chains too! Now, I will not set foot into a restaurant unless I know I can get something suitable to eat without having to jump through hoops.  Luckily in this area that’s pretty easy to do.  There are plenty of Italian restaurants and many of them offer a variety of soups, salads, vegetables, and other side dishes. So I can get exactly what I want. — Type 2 http://users.bestweb.net/~jbove/ Julie Bove, posting from new account

Response:

- Hide quoted text — Show quoted text -> My husband and I tried a new restaurant last week and they were not very > agreeable to making substitutions.  I ordered a crabcake sandwich and > asked, > if instead of the french fries and cole slaw, could I have a small salad. > The waiter said no subsitutions, I’d have to pay an extra $4.50 for a > salad. > I decided not to get the salad, and I told him to leave off the roll, > since > I wouldn’t eat it anyway.  To my suprise and delight, when he brought my > meal, the crabcake was on a good size serving of field greens.  I asked > for > some vinegar, and made myself a very tasty salad.  And I only ate about > 10% > of the french fries and none of the cole slaw (forgot to tell them to hold > that also).  The restaurant would have been better off if they had just > made > the substitutions I’d asked for. > We eat out about once a week mostly at mid-range priced restaurants, and > this is the first time in a long time that a restaurant has been this > unaccomodating.  A $1 or $2 upcharge for a substitution is reasonable, but > to have to pay an extra $4.50 is over the line IMHO. > Too bad that they weren’t accomodating.  We really liked the food and it > was > very kind to my BG.  We’re not planning on going back, since I can’t be > sure > that the crabcake would be served on a bed of field greens next time.  But > I’m wondering if it would be worth taking to the manager. > Unfortunately, I’ve found this sort of thing is pretty common.  Or they tell > you they WILL make the changes, but then they don’t.  I’ve had to send > orders back 2-3 times before they got them right.  I’ve also run into a > problem in asking for side orders of things that I know are on the menu.  I > once wanted a side order of a vegetable for my daughter.  The waitress said > she *could* do that, but would have to charge me $6.00 for the dish of > beans, and she knew I didn’t want to pay that.  I then asked if it would be > possible to get a small dish of corn from the salad bar?  Again, no.  If I > wanted that, I would have to pay the full price of the salad bar.  This was > at a restaurant from one of the large chains too!

I am not a lawyer and I don’t play one on the television, but would this be grounds for a class action suit based on the Americans With Disabilities law? After all, if they refuse to give food substitutions for unwise foods to we diabetics it "looks" as if they are in violation. I wonder what would have happened if you had asked to speak to the manager and explained the situation, and possibly even mentioned the law. – Hide quoted text — Show quoted text -> Now, I will not set foot into a restaurant unless I know I can get something > suitable to eat without having to jump through hoops.  Luckily in this area > that’s pretty easy to do.  There are plenty of Italian restaurants and many > of them offer a variety of soups, salads, vegetables, and other side dishes. > So I can get exactly what I want. > — > Type 2 > http://users.bestweb.net/~jbove/ > Julie Bove, posting from new account

Response:

> My husband and I tried a new restaurant last week and they were not very > agreeable to making substitutions.

I started working in a local cafe last March, it has a small, coffee shop atmosphere. I do substitutions all the time, whether it’s for an allergy, diabetic, or small child, free if it’s possible. Some of the guidelines are set out by management make it impossible to substiute straight across.  I was at a different restaurant the other night that charged a dollar for salad instead of fries. Their salad is awesome, so there is no problem paying the extra as far as I can see. I worked in one restaurant that charged 75 cents for a cup of hot water, so you never know what you are going to end up getting charged on the bill. A lot of restaurants have allergy alerts on their computers so it goes right on the bill and the cooks know. I have read boxes for ingredients with a list of ‘have nots’ in my hand for a severe peanut allergy, so don’t be afraid to ask for anything. If they won’t accomodate you, don’t go back. That is how I met Chris actually, by him coming into the restaurant, saying that he was diabetic, low, and needed food as fast as possible. What a great conversation starter!!!! I did watch out for what he ordered and ate after that and made sure the cooks knew who it was for. (no croutons on his salad, no hash browns, etc.) In fact, since he has started having fried tomatoes instead of hash browns, the idea has caught on for other people watching their food intake for whatever reason. (I have Chris; a low carb dieter; a cholesterol watcher; and a guy who suffers from heartburn-after-drinking-the-night-before all on Saturday mornings for breakfast, all at the same time) People are so food conscious now that restaurants realize that and all make concessions. I would phone the manager and explain to him the situation, ask his policy, and if he says there is nothing he can do, don’t go back. A $4.50 charge for a salad instead of fries is outrageous, even in late winter when veggies are high priced. Lori

Response:

> I am not a lawyer and I don’t play one on the television, but would > this be grounds for a class action suit based on the Americans With > Disabilities law? After all, if they refuse to give food substitutions > for unwise foods to we diabetics it "looks" as if they are in > violation. I wonder what would have happened if you had asked to speak > to the manager and explained the situation, and possibly even > mentioned the law.

I’m not a lawyer either, but my understanding of the ADA and its implementing regulations is that it does not obligate any business to provide any particular product or service as long as the decisions as to which products and services to provide are not made in a discriminatory manner.  The usual example is that a car-rental agency would not normally be obligated to rent cars with hand controls but if (rather unlikely) they advertised that their rental cars were available with any customization the customer desired, they could not make an exception and refuse to provide hand controls while providing all other customizations of similar cost. So there might be a case if a restaurant refused to provide diabetic- friendly substitutions for free while providing all kinds of other substitutions for free.  But if the pricing policy applied to all substitutions, I doubt there would be any grounds for action.

Response:

Louise I live in New York and except for one restaurant , I dont have any problem wit any restaurant making substitutions,.  I feel if they want my business, they will be accommodating to my needs, I do mention I have diabetes if I have any problems, and then they are very accomodting I try to visit restaurants that know me and my peuliaritiesl I drive everyone ntws, with this on the side, and that on the side and dont use this and make it this way,  But hey I figure for my money I can get honey. Loretta In tribute to the United States of America and the State of Israel, two bastions of strength in a world filled with strife and terrorism.

Response:

>  I was at a different restaurant the other night that charged a dollar for > salad instead of fries. Their salad is awesome, so there is no problem > paying the extra as far as I can see.

Yeah, a small additional charge for their trouble and extra expense I understand, but you shouldn’t have to pay for the food you don’t want as well as the substitution. > I worked in one restaurant that charged 75 cents for a cup of hot water, so > you never know what you are going to end up getting charged on the bill.

I carry lowcarb hot chocolate in my purse in the winter and so far no restaurant has charged me for hot water, although I’d have no problem with a reasonable charge. > In fact, since he has started having fried tomatoes > instead of hash browns, the idea has caught on for other people watching > their food intake for whatever reason

Please tell me, what is your recipe for fried tomatoes?  I’ve never made them and that sounds good.  Tomatoes are my all-time favorite food. — Best wishes Louise Type 2, controlling by diet and exercise

Response:

Louise posted this… > Please tell me, what is your recipe for fried tomatoes?  I’ve never made > them and that sounds good.  Tomatoes are my all-time favorite food.

I do them grilled in quarters, or on my George Foreman griddle. It seals in all the goodness, and no added fat. Ratty — "I am not ugly. I’m facially challenged" ratty at flyingrat dot net

Response:

> Louise I live in New York and except for one restaurant , I dont have > any problem wit any restaurant making substitutions,.  I feel if they > want my business, they will be accommodating to my needs, I do mention I > have diabetes if I have any problems, and then they are very accomodting > I try to visit restaurants that know me and my peuliaritiesl I drive > everyone ntws, with this on the side, and that on the side and dont use > this and make it this way,  But hey I figure for my money I can get > honey.

I suppose in the future I’ll mention that my diabetes is the reason I have to substitute and see what happens.  I’ve never done that before, because although I don’t hide my diabetes from anyone who matters, I don’t feel comfortable sharing that with even casual aquaintances, not to mention people I don’t even know, such as waiters.  But you’re right, it’s our money supporting their business and jobs.  There are a lot of restaurants around here and I’m not one to make a fuss if I can avoid it, because it will raise my BG.  So we’ll just go somewhere else next week! — Best wishes Louise Type 2, controlling by diet and exercise

Response:

I wear a diabetic bracelet. When I go into a restaurant I show it to the waitress and tell her I have diabetes. Then I tell her I can’t eat the rice, or potatoes, or whatever. I ask her if she could help me out by instead giving me two salads, or extra veggies, etc. I’ve not yet ever had a refusal. Most are happy to help me, because almost all of them have someone in their family who also has diabetes. If you don’t ask you don’t get. Also, if you don’t ask, then the answer 100% of the time is no. Arnie

Response:

Different people treat things differently,. *If I had genital herpes, I wouldnt be adviertisiing it, but diabete to ke is not a matter of secrets,  It gets me what I want,.  If I go to a buffet and perhaps I feel a little lightheaded, I take out my ADA card and I am seated immediately or at least given sometyhing to eat.  Since I have this this wonderful disease, I use it to my advantage so I feel there is something positive about it,  I am a cancer survivor and now I am retired because of it, So out of those ashes came this life which I much prefer, We can look and find something positive with out disease.  This is how I feel. I stopped caringt about makikng a fuss when I realized that people I pay work for me in some sense. Loretta Also the way one speaks is very important In tribute to the United States of America and the State of Israel, two bastions of strength in a world filled with strife and terrorism.

Response:

Loretta, I like your outlook! — Best wishes Louise Type 2, controlling by diet and exercise

– Hide quoted text — Show quoted text -> Different people treat things differently,. *If I had genital herpes, I > wouldnt be adviertisiing it, but diabete to ke is not a matter of > secrets,  It gets me what I want,.  If I go to a buffet and perhaps I > feel a little lightheaded, I take out my ADA card and I am seated > immediately or at least given sometyhing to eat.  Since I have this this > wonderful disease, I use it to my advantage so I feel there is something > positive about it,  I am a cancer survivor and now I am retired because > of it, So out of those ashes came this life which I much prefer, We can > look and find something positive with out disease.  This is how I feel. > I stopped caringt about makikng a fuss when I realized that people I pay > work for me in some sense. > Loretta > Also the way one speaks is very important > In tribute to the United States of America and the State > of Israel, two bastions of strength in a world filled with strife and > terrorism.

Response:

 Please tell me, what is your recipe for fried tomatoes?  I’ve never made > them and that sounds good.  Tomatoes are my all-time favorite food.

I just slice them about a half inch thick and fry them up, no butter, not a thing. The restaurant puts a seasoned salt on top of them. They don’t take long to cook because if you leave them too long they go really mushy. Lori – Hide quoted text — Show quoted text -> — > Best wishes > Louise > Type 2, controlling by diet and exercise

Response:

> The waiter said no subsitutions, I’d have to pay an extra $4.50 for a salad. > I decided not to get the salad, and I told him to leave off the roll, since > I wouldn’t eat it anyway.

I never have had a problem with that sort of thing when I tell them I’m a diabetic.  I tell them "I’m a diabetic and I can’t eat X right now." "I don’t want it on the plate because  I won’t eat it, and you’ll have to throw it out. Its such a waste of good food." Usually works. And once that’s discussed they will usually substitute for me. Or if I have to order the salad extra as in this example, usually there’s some sort of adjustment on the bill. But then I live in a rather small town. Okay its a quarter million but its isolated and feels like a small town. Businesses here know they need to court the customers because we’re the same ones that will be coming in next week or next month and every month, every year. :D Carol

Response:

I’ve also run into a > problem in asking for side orders of things that I know are on the menu.  I > once wanted a side order of a vegetable for my daughter.  The waitress said > she *could* do that, but would have to charge me $6.00 for the dish of > beans, and she knew I didn’t want to pay that.  I then asked if it would be > possible to get a small dish of corn from the salad bar?  Again, no.  If I > wanted that, I would have to pay the full price of the salad bar.  

Although we rarely experience this problem because we are in a "small town" environment and we frequent the same restaurants for years, are "known" and we tip well :D if we have that sort of thing crop up sometimes DH and I just order a combination so that he gets what he wants  (some of it off my plate) and I get something from his. Cheaper. :D And our serving person will often provide a nice small empty plate to assist. Carol

Response:

> So there might be a case if a restaurant refused to provide diabetic- > friendly substitutions for free while providing all kinds of other > substitutions for free.  But if the pricing policy applied to all > substitutions, I doubt there would be any grounds for action.

This is pretty much the way ADA works unless the law specifically says an accomodation is required. And it doesn’t require equal pricing, just availability of access and certain services. If the salad is available but you have to pay extra, its not a violation. Carol spent a lot of time battling for ADA benefits

Response:

> But then I live in a rather small town. Okay its a quarter million but > its isolated and feels like a small town. Businesses here know they need > to court the customers because we’re the same ones that will be coming > in next week or next month and every month, every year. :D

AND telling all your friends. Even in a limited ("small town"ish) area, there’s probably some competition. And the business that serves its customers well does better, generally, than one that doesn’t bother. bj

Response:

Surgery for GERD

Esomeprazole is a medication used to treat gestational acid reflux disease (GERD). Buy esomeprazole drug and feel better today!

Question:

> I just recently switch doctors (about 6 months ago) over the last 5 years I > have been switch from one drug to the other, now nothing is working and I am > continually having heartburn.  My current doctor placed me back on Aciphex > and sugested that I give it a try for 3-4 weeks and if I do not get relief > then I should start to consider surgery.  I am currenlty not only > experiancing the heartburn but get acid and food backup whenever I bend > over, anytime…….  I am only 38 years old, slightly overwight (+20 lbs),

In my case, I found that the "lose some weight, even a few pounds" advice from my MD was also advice that helped a *lot*.  Losing 5lbs greatly reduced my GERD problems (and I was not, and am not, even close to being overweight: 5′10" and 160 lbs). — Richard W Kaszeta http://www.kaszeta.org/rich

Response:

Not had it done myself but know of someone that has had the fundoplication procedure done and is very happy with the results e.g. eats what she wants when she wants. I think everyone has a different way of dealing with GERD, for me it was to loose some weight, watch my diet, try to get a handle on what I can eat and what I can’t and  get some type of regular exercise. I still have events but they  are minor and can be controlled with a little Mylanta. (well most times). I am on 1x 40mg of Somac (pantoprazole) / day. If you don’t have a motility problem and at 38 y/o it sound like you are a good candidate for for surgery. Have you had a Acid PH and Motilty study done? Casey

Response:

I have not had the PH test nor the Motility tests done, I understand what the PH test does but I am not quite sure what the motility test does?  Now that I think about it, awhile ago I went in and had several tests taken where I drank some stuff and they took pictures as I swallowed, then I drank some fizzy stuff and they took more pictures to see the reflux.  They also took pictures of my upper GI.  I have never had any problems swallowing or have never had any feeling of unswallowed food, quite the opposite, if I even bend over slightly after eating I will reflux my meal back into my throat and mouth.  I would like to be able to exercise without that fear! Thanks Rob

– Hide quoted text — Show quoted text -> Not had it done myself but know of someone that has had the fundoplication > procedure done and is very happy with the results e.g. eats what she wants > when she wants. > I think everyone has a different way of dealing with GERD, for me it was to > loose some weight, watch my diet, try to get a handle on what I can eat and > what I can’t and  get some type of regular exercise. > I still have events but they  are minor and can be controlled with a little > Mylanta. (well most times). > I am on 1x 40mg of Somac (pantoprazole) / day. > If you don’t have a motility problem and at 38 y/o it sound like you are a > good candidate for for surgery. > Have you had a Acid PH and Motilty study done? > Casey

Response:

Hi Rob Sound like you had a Barium Swallow and X-rays done. PH and Motility study requires a small tube down the throat into the oesophagus area (via the nose). The first is the Motility and you are required to swallow water and the motility is recorded on a machine. The second tube, PH (fitted straight after the first is removed) is left there for 24 hours and has a monitor attached to you belt (or on a harness). You are able to do all you normal activities in this time (within reason of course). The monitor has an "event" button on it so that if you have some reflux and or regurgitating you the press this button and the event is "flagged" as need to be looked at. This monitor record the whole 24 hours (not just the events) and is removed after that. I had no trouble with this procedure at all and only felt a little discomfort. The motility study is required if you oft for the surgery (determines the amount of tightness they set the sphincter).  Hope this is some help. Cheers Casey P.S. Motility is the natural rhythm of the oesophagus to move food down to the stomach. <snip>

– Hide quoted text — Show quoted text -> I have not had the PH test nor the Motility tests done, I understand what

Response:

When was the last time you have had a total checkup and especially a check internally.  I have not had the surgery, but have heard that if it is needed it is needed.  Dumb statement but true.

– Hide quoted text — Show quoted text -> Just wondering if anyone has undergone the surgery to correct GERD.  I have > been on medication for numerous years and they have all stopped working. If > anyone has undergone the surgery could you post your experiances?? > Thanks > Rob

Response:

I just recently switch doctors (about 6 months ago) over the last 5 years I have been switch from one drug to the other, now nothing is working and I am continually having heartburn.  My current doctor placed me back on Aciphex and sugested that I give it a try for 3-4 weeks and if I do not get relief then I should start to consider surgery.  I am currenlty not only experiancing the heartburn but get acid and food backup whenever I bend over, anytime…….  I am only 38 years old, slightly overwight (+20 lbs), have migranes and glaucoma. I have been on: Priolosec, Previced, Aciphex, Nexium……. Thanks Rob

– Hide quoted text — Show quoted text -> When was the last time you have had a total checkup and especially a check > internally.  I have not had the surgery, but have heard that if it is needed > it is needed.  Dumb statement but true. > Just wondering if anyone has undergone the surgery to correct GERD.  I > have > been on medication for numerous years and they have all stopped working. > If > anyone has undergone the surgery could you post your experiances?? > Thanks > Rob

Response:

Just wondering if anyone has undergone the surgery to correct GERD.  I have been on medication for numerous years and they have all stopped working.  If anyone has undergone the surgery could you post your experiances?? Thanks Rob

Response:

> Just wondering if anyone has undergone the surgery to correct GERD.  I have > been on medication for numerous years and they have all stopped working.  If > anyone has undergone the surgery could you post your experiances??

Sure, I had a Nissen Fundoplication done in ‘01.  Here’s the short version: 1. Prior to the surgery, I was almsot completely unresponsive to medication (including Zantac, Prevacid, and Prilosec), and was recommended for a Nissen. 2. Had the nissen, which went fairly well except for a rather nasty bout of crepitus (trapped air under the skin) after surgery. 3. For about 3 weeks after the surgery, I couldn’t swallow anything solid, but then regained the ability to swallow.  Alas, at that time my GERD symptoms reappeared. 4. However, post-Nissen I have been a *lot* more responsive to medication, and am currently taking Nexium 2x a day, and an occasional Zantac prior to going to bed, and have regained a more or less normal life. — Richard W Kaszeta http://www.kaszeta.org/rich

Response:

wellbutrin to effexor

Question:

i started on wellbutrin less than a month ago, but about 2 weeks into it my hands and feet started itching like crazy, possibly an allergic reaction.  so i stopped the wellbutrin for a week.  since then i’ve had the most horrid heartburn ever.  i haven’t changed my diet or lifestyle or stress level, and i have a pretty tolerant stomach for the most part, in fact i’ve never had heartburn before this.  now i’ve just begun effexor xr.  kind of sad i am allergic to the wellbutrin, it really gave me that extra energy to actually stay awake during the day. anyways, anyone have any experience with wellbutrin and heartburn as a withdrawl side effect?

Response:

> i started on wellbutrin less than a month ago, but about 2 weeks into > it my hands and feet started itching like crazy, possibly an allergic > reaction.  so i stopped the wellbutrin for a week.  since then i’ve > had the most horrid heartburn ever.  i haven’t changed my diet or > lifestyle or stress level, and i have a pretty tolerant stomach for > the most part, in fact i’ve never had heartburn before this.  now i’ve > just begun effexor xr.  kind of sad i am allergic to the wellbutrin, > it really gave me that extra energy to actually stay awake during the > day. > anyways, anyone have any experience with wellbutrin and heartburn as a > withdrawl side effect?

I took Wellbutrin 450 mg + Celexa 20 mg as augmentation for about 7 months. I had every side effect there has to be by the end of my journey on it.  I did not realize how much, but I lost a lot of hair.  But I have a lot of hair.  The bathroom floor was a brown carpet of my hair.  Of course my hair started to grow back when I stopped and even that was noticeable, little spikes.  LOL.  Pimple breakouts.  Hypomania.  Heartburn for me is a daily event.  I have no less than 3 bottles of Rolaids in my home at a time.  I had some sort of paranoia.  That was taking it. Withdrawal.  I went cold turkey.  It was horrific.  I’d rather give up cigarettes again all over. I also took Effexor – 450 mg.  Again this did not work for me (1999).  I had no problem with a withdrawal. Everyone is so different.  Wellbutrin is the only AD I’ve ever had a problem with withdrawal that was just horrible.  All the rest have been crappy, but tolerable. Carrie

Response:

hello Elise and Carrie… any possibility of your pdoc okaying a prescription for the meds on the market that prevent heartburn? I am in Canada and take Losec (I think it is called Prilosec in the U.S.). It is incredibly effective in controlling acid reflux. Elise, there is no reason for you to be taking all of those Rolaids. I used to take a heck of a lot of Tums, and I wound up getting a bad episode of kidney stones. I was told all the extra calcium I was getting from the Tums more than likely caused the stones. As for taking this med along with my Effexor XR and Gabapentin, I make sure that I take it either one hour before or two hours afterwards, to ensure my "head meds" are absorbed properly. regards, Compucat

– Hide quoted text — Show quoted text -> i started on wellbutrin less than a month ago, but about 2 weeks into > it my hands and feet started itching like crazy, possibly an allergic > reaction.  so i stopped the wellbutrin for a week.  since then i’ve > had the most horrid heartburn ever.  i haven’t changed my diet or > lifestyle or stress level, and i have a pretty tolerant stomach for > the most part, in fact i’ve never had heartburn before this.  now i’ve > just begun effexor xr.  kind of sad i am allergic to the wellbutrin, > it really gave me that extra energy to actually stay awake during the > day. > anyways, anyone have any experience with wellbutrin and heartburn as a > withdrawl side effect? > I took Wellbutrin 450 mg + Celexa 20 mg as augmentation for about 7 months. > I had every side effect there has to be by the end of my journey on it.  I > did not realize how much, but I lost a lot of hair.  But I have a lot of > hair.  The bathroom floor was a brown carpet of my hair.  Of course my hair > started to grow back when I stopped and even that was noticeable, little > spikes.  LOL.  Pimple breakouts.  Hypomania.  Heartburn for me is a daily > event.  I have no less than 3 bottles of Rolaids in my home at a time.  I > had some sort of paranoia.  That was taking it. > Withdrawal.  I went cold turkey.  It was horrific.  I’d rather give up > cigarettes again all over. > I also took Effexor – 450 mg.  Again this did not work for me (1999).  I had > no problem with a withdrawal. > Everyone is so different.  Wellbutrin is the only AD I’ve ever had a problem > with withdrawal that was just horrible.  All the rest have been crappy, but > tolerable. > Carrie

Response:

Lamictal and Heartburn

Question:

In light of what you have said, I think it is likely that the Lamictal _is_ worsening the heartburn; however I am wondering if it is the Lamictal itself or just the way the tablet is formulated. IOW, if the tablet had a coating to allow it to pass further through the digestive system before dissolving like some forms of aspirin do, would it still cause this problem? All I can suggest is that you discuss this with the doctor who treats your GERD. I imagine there could be some way to take the pill so as to minimize the problem…what would you do if for some reason you had to take uncoated aspirin? Lamictal is easily and completely absorbed; I doubt that it would make any difference if the process could be delayed until the sensitive portions of your digestive system have been passed up. – Hide quoted text — Show quoted text -> I don’t have this problem with *L*, but neither do I have the problem > with taking it on an empty stomach or have a problem with bad taste > like some others have reported. > I would suggest that you try taking it with some food to see if it > makes a difference for you, as well as dietary changes in general to > see if they help with the heartburn. > I’m sure you are aware of the excellent prescription medicines > available for heartburn, but I would advise trying simpler approaches > before asking your doctor for a prescription…this is a case where I > would even suggest trying some of the herbal teas first… > >I am experiencing a worsening of chronic heartburn or GERD, and am not >I was already taking Prevacid for Reflux before starting the lamictal.  I >am trying to be very careful about my diet. > >sure whether this is a side effect of the lamictal as many things cause > >it from time to time. > >Have others had problems with heartburn while taking lamictal? > >TIA > >Louise

Response:

I’ve never heard of stomach problems from Lamictal.  I thought that was a Lithium kind of thing. * Sent from AltaVista http://www.altavista.com Where you can also find related Web Pages, Images, Audios, Videos, News, and Shopping.  Smart is Beautiful

Response:

I can’t say I’ve had heartburn.  I would check the package insert to see if it is a listed side effect, and what the frequency is.  I have had some side effects that were classified as "infrequent" (between 1/100 and 1/1000 users) or rare (between 1/1000).  Among some of those side effects I’ve experienced are anemia, bronchospasm (asthma attack – I’ve never had asthma in my life), benign arrhythmia (palpitations), benign rash, lung congestion, and cough.  However, the positive effects have outweighed those, and they have decreased over time.  I’ve been on it about 2 months and currently am at 150 mg. Best wishes, Hoosier1

– Hide quoted text — Show quoted text -> I am experiencing a worsening of chronic heartburn or GERD, and am not > sure whether this is a side effect of the lamictal as many things cause > it from time to time. > Have others had problems with heartburn while taking lamictal? > TIA > Louise

Response:

– Hide quoted text — Show quoted text -> I don’t have this problem with *L*, but neither do I have the problem > with taking it on an empty stomach or have a problem with bad taste > like some others have reported. > I would suggest that you try taking it with some food to see if it > makes a difference for you, as well as dietary changes in general to > see if they help with the heartburn. > I’m sure you are aware of the excellent prescription medicines > available for heartburn, but I would advise trying simpler approaches > before asking your doctor for a prescription…this is a case where I > would even suggest trying some of the herbal teas first… >I am experiencing a worsening of chronic heartburn or GERD, and am not

I was already taking Prevacid for Reflux before starting the lamictal.  I am trying to be very careful about my diet. – Hide quoted text — Show quoted text ->sure whether this is a side effect of the lamictal as many things cause >it from time to time. >Have others had problems with heartburn while taking lamictal? >TIA >Louise

Response:

I don’t have this problem with *L*, but neither do I have the problem with taking it on an empty stomach or have a problem with bad taste like some others have reported. I would suggest that you try taking it with some food to see if it makes a difference for you, as well as dietary changes in general to see if they help with the heartburn. I’m sure you are aware of the excellent prescription medicines available for heartburn, but I would advise trying simpler approaches before asking your doctor for a prescription…this is a case where I would even suggest trying some of the herbal teas first… – Hide quoted text — Show quoted text – >I am experiencing a worsening of chronic heartburn or GERD, and am not >sure whether this is a side effect of the lamictal as many things cause >it from time to time. >Have others had problems with heartburn while taking lamictal? >TIA >Louise

Response:

I am experiencing a worsening of chronic heartburn or GERD, and am not sure whether this is a side effect of the lamictal as many things cause it from time to time. Have others had problems with heartburn while taking lamictal? TIA Louise

Response:

Heartburn

Question:

My daughter has uncontrollable burping .. She has been tested for various things and had an endoscopi but still burping … What now? Has anyone got some good advice ? She is a vegeterian ,nonsmoker ,.nondrinker and not overweight ..

Response:

I first started with uncontrollable burping. It seemed to be caused by gastritis. Then it progressed to excess stomach acid and heartburn. I take Prilosec 20 mg a day and really watch my diet. No sodas, alcohol, onions, garlic, tomato sauce or anything real spicy. The diet is very individual. You have to experiment to see what bothers you. Check out www.heartburn-help.com for some other ideas and be sure that your daughter sees a doctor if the problem persists. Heartburn and Gastro Esophageal Reflux web page: http://www.heartburn-help.com

Response:

Nothing has worked for me like Pepcid.

Response:

Tagemet stopped working after a few years

Response:

I have an all natural product called DE-3 from Nutrition For Life International that works great and it only costs about $12.00 for 150 tablets, if you’re interested Email me.

Response:

Heartburn

Question:

My daughter has uncontrollable burping .. She has been tested for various things and had an endoscopi but still burping … What now? Has anyone got some good advice ? She is a vegeterian ,nonsmoker ,.nondrinker and not overweight ..

Response:

I first started with uncontrollable burping. It seemed to be caused by gastritis. Then it progressed to excess stomach acid and heartburn. I take Prilosec 20 mg a day and really watch my diet. No sodas, alcohol, onions, garlic, tomato sauce or anything real spicy. The diet is very individual. You have to experiment to see what bothers you. Check out www.heartburn-help.com for some other ideas and be sure that your daughter sees a doctor if the problem persists. Heartburn and Gastro Esophageal Reflux web page: http://www.heartburn-help.com

Response:

Nothing has worked for me like Pepcid.

Response:

Tagemet stopped working after a few years

Response:

I have an all natural product called DE-3 from Nutrition For Life International that works great and it only costs about $12.00 for 150 tablets, if you’re interested Email me.

Response:

Nothing works, am I the only one ?

Question:

       Hello,           I have had reflux for 3 1/2 yrs now,, everyday all day. I have been given Tagamet-Prilosec-Prevacid- U name it and Ive tried it. Ive had them all in mega doses and still nothing, no side effects, no effect at all.            I was wondering if, anyone else has had a similar experience,, with these so called super drugs, and If so what are my possible options. Is surgery the best thing for me?          Any info or suggestions would be appreciated,, thanx

Response:

This is really a question for your doctor. A – Hide quoted text — Show quoted text – >        Hello, >           I have had reflux for 3 1/2 yrs now,, everyday all day. I have been > given > Tagamet-Prilosec-Prevacid- U name it and Ive tried it. Ive had them all in mega > doses and still nothing, no side effects, no effect at all. >            I was wondering if, anyone else has had a similar experience,, with > these > so called super drugs, and If so what are my possible options. Is surgery the > best thing for me? >        Any info or suggestions would be appreciated,, thanx

Response:

Hello      I’ve had GERD for  the last year and a half. Losec, and Pantoloc did nothing but Axid worked beautifully until I  became lax with my diet . Now I’m still on Axid but have had to add Prepulsid for better effect. I started having accupuncture about 4 wks ago and it definitely helped. I still have to watch my diet but I am able to cut one dose of Prepulsid. Each treatment costs 35.00 and many insurance companies cover it. I will try alternative therapies including traditional chinese medicine before surgery. Hopefully my GERD will be controlled enough until the time they have perfected the endoscopic surgery. Has anyone here heard about the endoscopic surgery in which they work directly on the lower esophageal sphincter? I’m not talking about the laprascopic fundoplication which is quite invasive and really changes your anatomy. Roseanne

– Hide quoted text — Show quoted text ->       Hello, >          I have had reflux for 3 1/2 yrs now,, everyday all day. I have been >given >Tagamet-Prilosec-Prevacid- U name it and Ive tried it. Ive had them all in mega >doses and still nothing, no side effects, no effect at all. >           I was wondering if, anyone else has had a similar experience,, with >these >so called super drugs, and If so what are my possible options. Is surgery the >best thing for me? >       Any info or suggestions would be appreciated,, thanx

Response:

> Hello >      I’ve had GERD for  the last year and a half. Losec, and Pantoloc did > nothing but Axid worked beautifully until I  became lax with my diet . Now > I’m still on Axid but have had to add Prepulsid for better effect. I started > having accupuncture about 4 wks ago and it definitely helped. I still have

Moses here: A question… How large were the doses of Losec and Pantoloc when you took them? Did you try 40 milligrams of Losec or only 20 milligrams. The latter dose often fails to give complete relief. I know the drug under the name Prilosec or omeprazole in delayed release form. Sincerely Moses Clarke Share what you know. Learn what you don’t.

Response:

in need of nutritional info

Question:

I posted something just now about foods I eat now that I know I have sever acid reflux. Has anyone seen a nutritionist for in-depth detailed discussion of what they can and cannot eat? I was told a number of things to stay away from and they are all the things I eat! (used to eat). I am thinking of asking my doctor to refer me to a nutritionist. I might check my insurance coverage to see if its covered. i guess its not. But I might just go on my own in that case. Has anyone done this? was it covered? How much did it cost? Many thanks to HawkTear and others who have put up heartburn diet web pages. But I need much more detail. i need a list of hundreds of foods and their acidity content as well as nutritive content and even interaction with prescribed heartburn medicines. I would like to know what spices or condiments I can have without causing an acid attack. i need to know if I drink Kava low-acid coffee, will it cause me problems? I eat many different things so sometimes I don’t know what caused my heartburn. sometimes the reaction is delayed so its even harder to tell. And somtimes anyhting, even water sets it off for me. Some things are however difinitely worse than others. If such a page does not exist would there be any interest among the readers if I go ahead and create such a web resource? I just don;t want to reinvent the wheel. -JG

Response:

>I eat many different things so sometimes I don’t know what caused my >heartburn. sometimes the reaction is delayed so its even harder to >tell. And somtimes anyhting, even water sets it off for me. Some >things are however difinitely worse than others.

Not everyone is affected by the same food or drink. For instance, my mother cannot eat mustard or drink lemonade. I can without a problem. The whole matter is further complicated by the fact that a little of something may be ok but more is not. I have even found that I can tolerate something for a meal or two but if I repeat the same thing over two or three days it can cause a problem. So, while a list of foods and drink that have the potential of causing problems for people with reflux could be made, an exact list would be impossible to compile. As you have noticed it takes a lot of individual testing to see if something will create a problem or not. Any effort to create a web source for a Gerd diet would be most appreciated. Perhaps it could start off with a list of foods most likely to cause problems. You may even be able to gather some data on offending foods. For instance if a person with Gerd knew that coffee bothered 85% of the group tested and they are drinking a lot of coffee, they might be able to expedite their own recovery. Let me know if you pursue this. I would be glad to link to your page from the Heartburn-help.com web site. Heartburn and Gastro Esophageal Reflux web page: http://www.heartburn-help.com

Response:

here is the post I referred to: I have hiatus hernia and have burned by esophagus a bit. I used to eat anything.  I now regularly consume : bananas fresh spinach peas in the pod, washed, uncooked apples peaches prunes skim milk milk with carnation instant breakfast in it grapes bread and light margarine or a little jelly mixed vegetables, steamed corn on the cob, no butter, a little salt broiled chicken breast, made without spices fish filets (the frozen easy to make kind) I think just in the above you would get many vitamins and minerals and in their natural form they would be absorbed well in the intestines. I add a little red meat occasionally to be sure I am getting all the proteins I need. A little peanut butter will add protein too, its good on plain saltine crackers but goes down better on a small roll. Adequate water, drank slowly, will help the body function properly, and i assume that means it will help the body process what nutrients it gets and get rid of what it doesnt need. I am just learning how to eat with severe acid reflux disease. It will take practice and discipline. But I hope that out of this will come a diet healther than I had before I worried about acidity. My point is you can find a variety of foods you can eat and enjoy and provide yourself the nutrition you need. – Hide quoted text — Show quoted text ->I posted something just now about foods I eat now that I know I have >sever acid reflux. >Has anyone seen a nutritionist for in-depth detailed discussion of >what they can and cannot eat? I was told a number of things to stay >away from and they are all the things I eat! (used to eat). >I am thinking of asking my doctor to refer me to a nutritionist. I >might check my insurance coverage to see if its covered. >i guess its not. But I might just go on my own in that case. >Has anyone done this? was it covered? How much did it cost? >Many thanks to HawkTear and others who have put up heartburn diet web >pages. But I need much more detail. i need a list of hundreds of foods >and their acidity content as well as nutritive content and even >interaction with prescribed heartburn medicines. I would like to know >what spices or condiments I can have without causing an acid attack. i >need to know if I drink Kava low-acid coffee, will it cause me >problems? >I eat many different things so sometimes I don’t know what caused my >heartburn. sometimes the reaction is delayed so its even harder to >tell. And somtimes anyhting, even water sets it off for me. Some >things are however difinitely worse than others. >If such a page does not exist would there be any interest among the >readers if I go ahead and create such a web resource? >I just don;t want to reinvent the wheel. >-JG

Response:

"JG" == "Jim Griffin" writes: The list mentioned peanut butter.  I love it but it’s incredibly full of fat and oils.  Probably best to stay away from it because fats and oils are harder to digest.   JG> prunes Besides being okay on my acid-burn, prunes also help keep ya regular because all those OTC antacids are really constipating (to me, anyway).. JG> skim milk Yes.. even though they taste better, avoid regular fatty milk and half’n'half, etc.  Full of fat.  Fat is hard to digest.  Causes more acid production. JG> broiled chicken breast, made without spices I’ve been buying Tyson’s roasted skinless boneless breasts of chicken and eating them lately.  They’re already cooked and cold at the store in the meat dept.  An expensive cut but usually 100% edible, so nothing to waste.   I’ve also been eating a lot of cereal (Cheerios, Special-K, Rice Krispies, etc.. non sugared, low fat very plain cereals with just skim milk over them). JG> I am just learning how to eat with severe acid reflux disease. It will JG> take practice and discipline. But I hope that out of this will come a JG> diet healther than I had before I worried about acidity. Indeed.  Not to mention you’ll probably lose weight.  I’ve probably shed 10-15 lbs. in the past three weeks of going through a bad bout of acid reflux syndrome.  I know I’m losing weight because I had to drill a new hole in my belt so I could make it tighter because my pants have been falling off! ::blush:: Harv — AmigaZone! New lower price! Visit http://www.amigazone.com for info.

Response:

> I’ve also been eating a lot of cereal (Cheerios, Special-K, Rice > Krispies, etc.. non sugared, low fat very plain cereals with just skim > Indeed.  Not to mention you’ll probably lose weight.  I’ve probably > shed 10-15 lbs. in the past three weeks of going through a bad bout of > acid reflux syndrome.  I know I’m losing weight because I had to drill > a new hole in my belt so I could make it tighter because my pants have > been falling off! ::blush:: > Harv > —

Moses here: If your still suffering, you need treatment. And I don’t mean H-2 blocker like Pepcid, Zantac, Axid, or Tagamet; rather I mean the proton pump inhibitors. If 15 milligrams of Prevacid doesn’t work then have your doctor prescribe 30 milligrams which costs about the same as the 15 milligrams capsule. Some say Prilosec is slightly more effective which maybe because the two doses are 20 milligrams and 40 milligrams, it however is about 5 US dollars per day at the 40 milligram dose. The Prevacids and the other lower Prilosec are about 3.50 dollars per day. One capsule is used per day. Poorly controlled acid reflux is a esophageal cancer risk. Consider the surgury which will cost around 15 000 US dollars here in the States. Understand, it doesn’t always work or last. Though it will often take care of the HH even if it fails, as the a large HH can press on the heart (no, I am not talking about the heart burn—acid reflux) which isn’t said to be good. Also there is the risk too that the surgury will be too tight which causes problems swallowing. However, if the acid reflux let to go on, patients—GERD suffers will tend to suffer a narrowing of esophagus due the on going acid burn scarring. And thus they will have the same problem swallowing. Sincerely Moses Clarke PS Typos typos ….a bird that burns and burns again Share what you know. Learn what you don’t.

Response:

"MC" == "Moses Clarke" writes: MC> Moses here: If your still suffering, you need treatment. And I MC> don’t mean H-2 blocker like Pepcid, Zantac, Axid, or Tagamet; rather MC> I mean the proton pump inhibitors. If 15 milligrams of Prevacid doesn’t MC> work then have your doctor prescribe 30 milligrams which costs about MC> the same as the 15 milligrams capsule. Some say Prilosec is slightly MC> more effective which maybe because the two doses are 20 milligrams and MC> 40 milligrams, it however is about 5 US dollars per day at the 40 MC> milligram dose. The Prevacids and the other lower Prilosec are about MC> 3.50 dollars per day. One capsule is used per day. I saw my Dr. 3 weeks ago for the problem.  He gave me a free 2-week doctor’s sample supply of Prevacid, 30mg caps and told me to take one a day.  Didn’t help much.  So he doubled the dosage and for the past few days I’ve been taking 1 twice a day.  It’s helped a lot.. at least I want to think the $114 I paid for the next 30 caps is what turned off the burning.   There’s always a possibility that it went away by itself, I suppose there’s no way to really know, but after he had me double the dosage Ifelt a lot better after 2-3 days.  Plus I radically changed my eating habits.. cut out ALL caffiene drinks (I never drank coffee anyway which is full of acid and always upset me) like sodas, all citrus products (sigh.. I LOVE orange juice too), all fatty foods, all chocolates, all spicy foods of any kind, etc. etc.  I’ve stifled myself onto a very bland diet for three weeks, and drinking almost nothing but water and the skim milk I put on cereal. Again, I don’t know if it was the double dosing of Prevacid, the change in diet, or the natural course of healing or a combination of all three, but it seems to be working. Harv — AmigaZone! New lower price! Visit http://www.amigazone.com for info.

Response:

I > I saw my Dr. 3 weeks ago for the problem.  He gave me a free 2-week > doctor’s sample supply of Prevacid, 30mg caps and told me to take one > a day.  Didn’t help much.  So he doubled the dosage and for the past > few days I’ve been taking 1 twice a day.  It’s helped a lot.. at least > I want to think the $114 I paid for the next 30 caps is what turned off the > burning. > There’s always a possibility that it went away by itself, I

Sorry, not too likely. > suppose there’s no way to really know, but after he had me double the > dosage Ifelt a lot better after 2-3 days.  Plus I radically changed my > eating habits.. cut out ALL caffiene drinks (I never drank coffee > anyway which is full of acid and always upset me) like sodas, all > citrus products (sigh.. I LOVE orange juice too), all fatty foods, all > chocolates, all spicy foods of any kind, etc. etc.  I’ve stifled > myself onto a very bland diet for three weeks, and drinking almost > nothing but water and the skim milk I put on cereal. > Again, I don’t know if it was the double dosing of Prevacid, the > change in diet, or the natural course of healing or a combination of > all three, but it seems to be working. > Harv > —

Moses here:      I did a web search using the search word pantoprazole. I found a small study that strongly indicated the Prilosec is the better drug for reflux.      With Prilosec, I be willing to bet you could at least add some spicy foods back into your diet. That is after, you get healed up. Sincerely Moses Clarke Share what you know. Learn what you don’t.

Response:

>There’s always a possibility that it went away by itself<

I do know a very few people that found that only after a month of Prevacid or Prilosec the heartburn did not return but I would have to agree with Moses…Not too likely. Generally within three days of stopping the medication the heartburn resumes. Heartburn and Gastro Esophageal Reflux web page: http://www.heartburn-help.com

Response:

>I did a web search using the search word pantoprazole. I found a small study

that strongly indicated the Prilosec is the better drug for reflux.< Do you happen to have the http for that study? The only study I have found thus far showed Prevacid slightly stronger in cross over studies. Heartburn and Gastro Esophageal Reflux web page: http://www.heartburn-help.com

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> >I did a web search using the search word pantoprazole. I found a small study > that strongly indicated the Prilosec is the better drug for reflux.< > Do you happen to have the http for that study? The only study I have found thus > far showed Prevacid slightly stronger in cross over studies. > Heartburn and Gastro Esophageal Reflux web page:

http://www.heartburn-help.com Moses here:  Perhaps it all depends on the dose levels of the respective drugs used in the drug comparison studies. Here is the www address for the site, I mentioned. http://www.mednet.ca/html/mn9808.htm Here is another site to compare…be sure to note that the dosages used in the study there are different than the study mentioned above. Therefore, the conclusions are a bit different. So maybe, it is all matter of getting a big enough dose per day. I was looking at Canadian web site and it seemed that some of the drugs were formulated with lower amounts of drug per capsule!!? Which might be alright for an acid stomach but not GERD. Sincerely Moses Clarke PS Typos typos… a bird that stayed in school rather than fly north in the 1960’s. Share what you know. Learn what you don’t.

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>Perhaps it all depends on the dose levels of the respective drugs used in the

drug comparison studies.< I suspect you are right. I will dig up the study I mentioned and see if I can compare apples and apples. I will let you know what I find. Thanks for the link. If you have any other links you think people might benefit from please send them to me. I will post them on the heartburn-help site. Heartburn and Gastro Esophageal Reflux web page: http://www.heartburn-help.com

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– Hide quoted text — Show quoted text -> Moses here: >  Perhaps it all depends on the dose levels of the respective > drugs used in the drug comparison studies. Here is the www address for > the site, I mentioned. http://www.mednet.ca/html/mn9808.htm > Here is another site to compare…be sure to note that the dosages used > in the study there are different than the study mentioned above. > Therefore, the conclusions are a bit different. > So maybe, it is all matter of getting a big enough dose per day. I was > looking at Canadian web site and it seemed that some of the drugs > were formulated with lower amounts of drug per capsule!!? Which might be > alright for an acid stomach but not GERD. > Sincerely Moses Clarke

Who censored my posting?? The other site was a AMA site not a spam site! http://www.ama-assn.org/sci-pubs/journals/archive/inte/vol-159/no_7/ira8 0013.htm Assuming I got address correct?  I not sure if it was vol_159 or vol-159? Sincerely M.C. Share what you know. Learn what you don’t.

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I have had acid reflux with the only symptoms being sore throat and an esophagal muscle spasm (no gastritis etc) and finally have been diagnosed with a hiatal hernia. I have been reading about green grasses in many nutrition magazines and how they help to neutralize stomach acid and help digestive problems.  I have just started to use a product called "Barleygreen" and I have great hopes for it. (I want to avoid medication). Find it on the website called www.purplemountainproducts.com and lets share our experience and hopefully relief! fellowsufferer > I posted something just now about foods I eat

now that I know I have > sever acid reflux. > Has anyone seen a nutritionist for in-depth

detailed discussion of > what they can and cannot eat? I was told a

number of things to stay > away from and they are all the things I eat! (used to eat). > I am thinking of asking my doctor to refer me to a nutritionist. I > might check my insurance coverage to see if its covered. > i guess its not. But I might just go on my own in that case. > Has anyone done this? was it covered? How much did it cost? > Many thanks to HawkTear and others who have put

up heartburn diet web > pages. But I need much more detail. i need a

list of hundreds of foods > and their acidity content as well as nutritive content and even > interaction with prescribed heartburn medicines.

I would like to know > what spices or condiments I can have without

causing an acid attack. i – Hide quoted text — Show quoted text -> need to know if I drink Kava low-acid coffee, will it cause me > problems? > I eat many different things so sometimes I don’t know what caused my > heartburn. sometimes the reaction is delayed so its even harder to > tell. And somtimes anyhting, even water sets it off for me. Some > things are however difinitely worse than others. > If such a page does not exist would there be any interest among the > readers if I go ahead and create such a web resource? > I just don;t want to reinvent the wheel. > -JG

Share what you know. Learn what you don’t.

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Moses here: While you’re experimenting don’t just think about neutralizing the acid, also think about protectively coating the esophagus. Gaviscon works not only by it antacid..alumium hydroxide but also by the alginate. Alginate foams and coats the esophagus. In theory, the edible aloe products may have some modest benefit. Just remember that as you mess around the esophagus will become more and more damaged. Hopefully, you quit coffee, pop, chocolate, peanut butter, tomatoe products, and mint tea. And you have jack the head end of your bed up on concrete blocks. And quit eating 3 hours before bed. See other posters for other conservative ideas. Understand, I am in the pro-surgury camp mostly. Though I know the surgury fails for some over time. There is a cancer risk not treating as perhaps there is treating with PPI drugs though that isn’t proven yet. The grass products are at best in the aloe camp of effectiveness. You don’t sound like a mild case. Note to digective problems are different from reflux. Beware there are an amazing number of people who want to sell something…..Buyer beware..alt world treatments & orthodox. Sincerely Moses Clarke PS Typos typos…a bird species often found among my posts. – Hide quoted text — Show quoted text – > I have had acid reflux with the only symptoms > being sore throat and an esophagal muscle spasm > (no gastritis etc) and finally have been > diagnosed with a hiatal hernia. I have been > reading about green grasses in many nutrition > magazines and how they help to neutralize > stomach acid and help digestive problems.  I > have just started to use a product called > "Barleygreen" and I have great hopes for it. > (I want to avoid medication). > Find it on the website called > www.purplemountainproducts.com > and lets share our experience and hopefully > relief! > fellowsufferer > I posted something just now about foods I eat > now that I know I have > sever acid reflux. > Has anyone seen a nutritionist for in-depth > detailed discussion of > what they can and cannot eat? I was told a > number of things to stay > away from and they are all the things I eat! > (used to eat). > I am thinking of asking my doctor to refer me to > a nutritionist. I > might check my insurance coverage to see if its > covered. > i guess its not. But I might just go on my own > in that case. > Has anyone done this? was it covered? How much > did it cost? > Many thanks to HawkTear and others who have put > up heartburn diet web > pages. But I need much more detail. i need a > list of hundreds of foods > and their acidity content as well as nutritive > content and even > interaction with prescribed heartburn medicines. > I would like to know > what spices or condiments I can have without > causing an acid attack. i > need to know if I drink Kava low-acid coffee, > will it cause me > problems? > I eat many different things so sometimes I don’t > know what caused my > heartburn. sometimes the reaction is delayed so > its even harder to > tell. And somtimes anyhting, even water sets it > off for me. Some > things are however difinitely worse than others. > If such a page does not exist would there be any > interest among the > readers if I go ahead and create such a web > resource? > I just don;t want to reinvent the wheel. > -JG > Share what you know. Learn what you don’t.

Share what you know. Learn what you don’t.

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