Posts tagged: Medicine

Reflux – advice?

Question:

I believe I’ve been experiencing a lot of GI reflux over the past year and have a few questions. The main symptoms are: an odd acidic feeling in my oesophagus and ‘behind’ my throat (it’s something I’ve always known as it were but only recently has it been particularly frequent or severe); nausea at night; during worse periods a dull paid in the middle of my back. Also I’ve noticed that I’ve felt a lot of post-nasal drip recently; I used to be very prone to sinusitis and I’ve always been aware of mucus in my throat (often need to clear it even when I don’t have a cold, but I suppose that’s not particularly uncommon) – but I wonder whether there is a link between it and reflux (some web pages seem to back this up). Is it worth seeing a doctor about it? From what I can gather it is not essential but would be a good idea if it is severe. What would you suggest? I mentioned the frequent nausea to someone I know who works in medicine and he suggested reflux, but he didn’t seem to think it was a huge matter for concern (although I didn’t particularly push it as a big thing). Last year I saw the doctor a few times about feeling ‘generally ill’ but nothing came out of it apart from a full blood count revealing low blood sugar level, hence ‘eat!’. Therefore I feel a bit of a hypochondriac and feel a bit wary of seeing them if it’s nothing :-( Thinking about it, a lot of this general malaise involved nocturnal nausea and sometimes the mild back pain, but I didn’t really think about it at the time so I concentrated more on the fact that I ‘generally felt ill’. If I were to see a doctor what sort of steps would be taken (eg drugs, follow-ups)? I am one of those people who are reassured by knowing the exact details of what could happen to them! I suspect that my eating has a bit part to play in all this… what would you say is a good eating pattern to aggravate and alleviate reflux? For various reasons I am not eating too well but I won’t go into details right now. Maybe the amount of Coke I drink is relevant! The reason I write right now is that I woke up an hour or two ago feeling sick – more so than usually (actually the frequency of this night nausea occurring has dropped a *lot* since around April, but it wasn’t normally as severe as today) – but after a while I started retching and then the nausea subsided completely and hasn’t returned. I’ve experienced retching on the odd night since symptoms first threatened to appear but never actually brought anything up – why would this be? It has been at night, hence less in the stomach; could it be because the acid is just coming up even further than usual and triggering a reflex of some sort? (I like to keep thinking – takes the mind off the immediate feeling!). The back pain has also returned (and stayed on after the nausea subsided), and there is also some stomach pain and some diarrhoea – that is, it’s all worse than normal, but I do wonder whether it’s partly just a stomach bug. Something else I’ve noticed is that I feel a very slight, almost burning sensation in my oesophagus when I drink the local water (at my term-time residence). I do not notice this at home (I think a lot of people who have come from other areas don’t particularly like the water but I haven’t heard much mention of any issues other than its taste). Someone has suggested that it may be related to high chlorine content in the water; could I be more sensitive to this because reflux has inflamed my oesophagus?

Response:

Hi There My experience says it is very important to see a quack – I put up with my reflux for ages, just taking over the counter stuff to releive it. Then, my throat started to close up – over a year it got more and more difficult to swallow, and I constantly threw up while eating – very embarrassing – had to always it close to the mens room at resturants. Eventually, my throat closed up so much I couldn’t even get liquidised food down (ever tried KFC after it has been in the blender) so went to the Doc.  Had to have a series (6x) of ops to enlarge my throat back to normal, and THEN they told me that the reflux acid could lead to cancer of the throat. They did lots of biopsies, but luckily all were clear.  These days I take 2x Zotons a day, sleep with 5 pillows, and avoid spicy stuff at night (daytime is OK) So, my advice is don’t be a twit like I was and and put off seeing the quack – make an appointment and treat the problem now. Cheers David – Hide quoted text — Show quoted text – > Is it worth seeing a doctor about it? From what I can gather it is not > essential but would be a good idea if it is severe. What would you > suggest? I mentioned the frequent nausea to someone I know who works > in medicine and he suggested reflux, but he didn’t seem to think it > was a huge matter for concern (although I didn’t particularly push it > as a big thing).

Response:

>I believe I’ve been experiencing a lot of GI reflux over the past year >and have a few questions.

First, I’m no expert.  I just stumbled across this newsgroup, and since my wife has acid reflux, I thought I’d throw in my two cents. She, like ten million others, are taking the "purple pill" Prilosec, or the new version  Nexus, which is all over the radio and TV. She always hates the idea of living with pills every day. However, since she decided she wanted to lose some weight, she started on the Atkins Diet.   Since starting Atkins, she only needs to take the purple pill a few times a week, and she’s improving. According to his book, it’s all about digestion and after reading it myself, it seems to make sense.  It’s in libraries and paperback.  give it a try.

Response:

I just logged onto the newsgroup hoping to see some information about an enzyme supplement called Nu-Zymes…I didn’t.  However, I’d like to respond to this thread.  I’ve had an ever increasing acid problem for about 3 years. Should have taken one of the prescription pills for it but having no ins. I stuck with Pepcid ACs (4 per day at least).   August of 2001 I discovered I had type II diabetes.   Had a fasting blood sugar reading of 311.  First thing I had to do was stop the carbs, which was roughly 90% of my diet. Within days, the reflux was MUCHO better.  I reduced my Pepcid to two a day and then one a day and within a couple months, I no longer required them at all.  Every great once in a while I’ll need one.   A friend told me a long time ago that sugar is a big contributor of heartburn/indigestion.  I thought she was looney :o  She was SO right!  This goes hand in hand with what the poster below is saying concerning the Atkins diet, a VERY low carb diet.  If you’re ingesting a lot of sugar, pasta, bread, rice cut way way back and see if that helps.  Eliminating most of the carbs in my life has also given me more energy, joint pain is much improved and my intolerance to heat is vastly improved.  Discovering I had diabetes and dealing with it has been the best thing that has ever happened to me. BTW, has anyone tried Nu-Zymes? It’s an enzyme supplement for people with digestive problems.  My daughter has had digestive problems since she was a small child.  Eating a tiny amount of food can cause her stomach to swell to the point she looks pregnant.  She’s never had daily bowl movements.  Once a week is *normal* for her.  Her stomach hurts ALL the time.  I ordered these and she’s been taking 2 per day since the day before Thanksgiving.  She emailed me today to tell me she had 3 bowl movements today and 2 yesterday. She was thrilled <lol>  I asked if it was helping with the pain and bloating after eating.  Quote, "yeah… it surely is =)".   I’m praying this is the answer to her problem.

– Hide quoted text — Show quoted text ->I believe I’ve been experiencing a lot of GI reflux over the past year >and have a few questions. > First, I’m no expert.  I just stumbled across this newsgroup, and since > my wife has acid reflux, I thought I’d throw in my two cents. > She, like ten million others, are taking the "purple pill" Prilosec, or > the new version  Nexus, which is all over the radio and TV. > She always hates the idea of living with pills every day. > However, since she decided she wanted to lose some weight, she started > on the Atkins Diet.   Since starting Atkins, she only needs to take the > purple pill a few times a week, and she’s improving. > According to his book, it’s all about digestion and after reading it > myself, it seems to make sense.  It’s in libraries and paperback.  give > it a try.

Response:

Swallowing mucus and acid reflux causing sinus infections?

Question:

I have a history of fairly severe allergies that allergy shots have not been able to help.  Lately, I’ve been having recurrent sinus infections, so today I went to an ENT.  The doctor was very busy and went so fast that I didn’t completely understand what he said.  He took some x-rays and stuck a camera up my nose and down my throat.  He then showed me video from the camera and asked me what I thought a bunch of white fluid we were looking at on the video was.  I said, "pus" not knowing what else it could be.  He said "stomach acid".  I think he said I was swallowing a lot of mucus and it was causing stomach acid to shoot up into my sinuses causing problems.  He also showed me both sides of my nose, my left side looked clear and the right side didn’t have a perforation that the left had and he said "that’s why you sleep on your left side", even though I never said that and I actually sleep on my back, he must have assumed that.  He didn’t say anything about surgery though.  He just gave me some medicine for acid reflux, allergies and I got a cortisone shot and he told me to come back and see him in 2 weeks.  I’m wondering if this guy is right.  I didn’t really get a chance to ask him much and he didn’t explain things very well.  Does swallowing mucus cause acid reflux and that cause sinus infections?  Should I have some surgery on my supposedly blocked right side, actually I think it might have been my left side, not really sure because the guy didn’t spend much time with me? Should I see a different ENT and hope he’d spend more time with me and explain things better and give me a second opinion?  Any web sites with info on this? thanks

Response:

My suggestion is to make a list of all of these questions and ask your doctor the next time you see him.  If he tries to leave before you have your answers, say ‘I haven’t gotten answers to all of my questions yet’.  A newsgroup can be helpful (i’ve learned a lot from them over the years), but you have access to a specialist who knows a heck of a lot more than most of us.  You just need to be more assertive about insisting that your questions are answered. – Hide quoted text — Show quoted text – > I have a history of fairly severe allergies that allergy shots have not > been able to help.  Lately, I’ve been having recurrent sinus infections, so > today I went to an ENT.  The doctor was very busy and went so fast that I > didn’t completely understand what he said.  He took some x-rays and stuck a > camera up my nose and down my throat.  He then showed me video from the > camera and asked me what I thought a bunch of white fluid we were looking at > on the video was.  I said, "pus" not knowing what else it could be.  He said > "stomach acid".  I think he said I was swallowing a lot of mucus and it was > causing stomach acid to shoot up into my sinuses causing problems.  He also > showed me both sides of my nose, my left side looked clear and the right > side didn’t have a perforation that the left had and he said "that’s why you > sleep on your left side", even though I never said that and I actually sleep > on my back, he must have assumed that.  He didn’t say anything about surgery > though.  He just gave me some medicine for acid reflux, allergies and I got > a cortisone shot and he told me to come back and see him in 2 weeks.  I’m > wondering if this guy is right.  I didn’t really get a chance to ask him > much and he didn’t explain things very well.  Does swallowing mucus cause > acid reflux and that cause sinus infections?  Should I have some surgery on > my supposedly blocked right side, actually I think it might have been my > left side, not really sure because the guy didn’t spend much time with me? > Should I see a different ENT and hope he’d spend more time with me and > explain things better and give me a second opinion?  Any web sites with info > on this? > thanks

Response:

speeding gastric emptying?

Question:

Does anyone know of ways to speed up gastic emptying without taking the prescription prokinetic agents (Reglan, etc.).  I’ve got GERD and while heartburn is pretty much under control with Prilosec and Gaviscon, I still seem to have a gastric emptying problem where I feel full for many hours, sometimes even up to a day, after a meal.  Its not serious enough that I would be willing to incur the side effects of the prescription drugs, but I think maybe the prilosec has made it worse (less stomach acid to help break down food).  Is there anything mild I can take or do to help this beyond avoiding the fats. I’ve heard walking after eating helps as does chewing gum.  I’ve been trying both and have noticed "mild" improvement.  

Response:

>Does anyone know of ways to speed up gastic emptying without taking the >prescription prokinetic agents (Reglan, etc.).

Quit milk. That’s all that improved my gastric emptying. But it will only work if it turns out you’re allergic to it. I can’t even eat a molecule of the stuff without it messing me up for days. Constipation, bloating, fullness, heartburn, loss of appetite, pain. And those are just the gastro symptoms… CW Healing from GERD http://www.volare.net/gerd Alternative Medicine & GERD Discussion Group http://groups.yahoo.com/group/altgerd

Response:

> Does anyone know of ways to speed up gastic emptying without taking the > prescription prokinetic agents (Reglan, etc.).  I’ve got GERD and while > heartburn is pretty much under control with Prilosec and Gaviscon, I still seem > to have a gastric emptying problem where I feel full for many hours, sometimes > even up to a day, after a meal.  Its not serious enough that I would be willing > to incur the side effects of the prescription drugs, but I think maybe the > prilosec has made it worse (less stomach acid to help break down food).

I wonder a lot about this, too, and have been unable to find any research on this issue directly.  I had a gastric emptying scan when I was first diagnosed with GERD, and it was normal.  I had one after eight months on twice-daily PPIs, and it was definitely slow.   A study published just this year found that in some patients, gastric emptying improves after surgery.  I can’t help but wondering if the fact that those with a successful fundoplication no longer take PPIs was the real issue.   Colleen Porter

Response:

I FOUND HEARTBURN,REFLUX RELIEF NATURALLY

Question:

Dear Friends, I have suffered for years with severe heartburn and reflux problems, I was taking medication but did not like the long term side effects. A friend of mine told me about a Natural whole food liquid vitamin that was helping alot of people, so I gave it a try. I can honestly say these products have changed my life. In the past three months on the products, I have only had to take medication one day. I now drink coffee and other foods that I have not been able to in a long time. If any of you would like more information on this product, please feel free to contact me any time. Sincerely, Mark

Response:

Mark, I was glad to hear that someone had good results from a liquid vitamin. I am interested in finding out more about it. I’ve been taking Prilosec, Propulsid, etc. for a over a year and still no relief from the Reflux. I was also told about a green clay powder. Have heard about this? Please reply back with the name of the vitamin, company, etc. that was helpful. May you have continue prescription medicine free days. Lynn * Sent from RemarQ http://www.remarq.com The Internet’s Discussion Network * The fastest and easiest way to search and participate in Usenet – Free!

Response:

I FOUND HEARTBURN,REFLUX RELIEF NATURALLY

Question:

Dear Friends, I have suffered for years with severe heartburn and reflux problems, I was taking medication but did not like the long term side effects. A friend of mine told me about a Natural whole food liquid vitamin that was helping alot of people, so I gave it a try. I can honestly say these products have changed my life. In the past three months on the products, I have only had to take medication one day. I now drink coffee and other foods that I have not been able to in a long time. If any of you would like more information on this product, please feel free to contact me any time. Sincerely, Mark

Response:

Mark, I was glad to hear that someone had good results from a liquid vitamin. I am interested in finding out more about it. I’ve been taking Prilosec, Propulsid, etc. for a over a year and still no relief from the Reflux. I was also told about a green clay powder. Have heard about this? Please reply back with the name of the vitamin, company, etc. that was helpful. May you have continue prescription medicine free days. Lynn * Sent from RemarQ http://www.remarq.com The Internet’s Discussion Network * The fastest and easiest way to search and participate in Usenet – Free!

Response:

gerd

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

Question:

Check the Real Stories section of the heartburn-help.com web site and look at the stories of David, Home2Long, Munecka1 and CWSurgeon0. They all complained of chest pain with gerd. Heartburn and Gastro Esophageal Reflux web page: http://www.heartburn-help.com

Response:

> I am experiencing the burning chest symptoms of gerd. I have been > treated for acid reflux in the past, and am

familar with the symptoms, > but I am now having radiating pains in my arms

as well as my chest.Iam > not concerned about my heart, but would like to

know if any one else > has these pains in their arms. > TIA

 Monty,   Yes! It can and does…  I have had this crap for about 2 years now and I have had pains in the arms, Neck, Chest and back. I have personally funded many ER’s in my area and had a full workup with a cardiologist last year. I still have the pains and burning and sometimes lasting everyday for weeks and even months at a time!  I am still frustrated because many docs think its in your head and just say take your medicine and everything will be all right.  Your not alone buddy! Eric Before you buy.

Response:

When you say "I am not concerned about my heart" I am assuming that you have seen your doctor and had your heart checked out. Having said that, I have talked to many people that have gerd with pains in their chest, arms and/or back. Heartburn and Gastro Esophageal Reflux web page: http://www.heartburn-help.com

Response:

Thanks for your reply. Yes I have recently had EKG and x-rays and the doctor could find no heart problem but I hadn’t considered that gerd might cause pain other than the chest. I will check the page you posted. Thanks again, Monty

> When you say "I am not concerned about my heart" I am assuming that you have > seen your doctor and had your heart checked out. Having said that, I have > talked to many people that have gerd with pains in their chest, arms and/or > back. > Heartburn and Gastro Esophageal Reflux web page:

http://www.heartburn-help.com

Response:

I am experiencing the burning chest symptoms of gerd. I have been treated for acid reflux in the past, and am familar with the symptoms, but I am now having radiating pains in my arms as well as my chest.Iam not concerned about my heart, but would like to know if any one else has these pains in their arms. TIA Monty * Sent from RemarQ http://www.remarq.com The Internet’s Discussion Network * The fastest and easiest way to search and participate in Usenet – Free!

Response:

>My question:  Is Ranitidine so much different from Cimetidine that I should

feel an appreciable difference in symptoms? I’m brokenhearted about this because I felt *SO* wonderful on Prilosec.< They are both histamine H2-receptor antagonists. I have found that in talking to many people that people respond differently to the different compounds that make up each drug. The same can be said of the Proton Pump Inhibitors Prilosec, Prevacid and Aciphex. One might work real well someone and another not at all. >Another question:  I have never been scoped during all of this.  Should I have

one done sometime?< Age 41 Nonsmoker, rare drinker. Prilosec resolving symptoms. I can see where the doc may not have you scoped. The updated protocol for clinical approach to adult patients with Gastroesophageal Reflux Disease suggests that the first line of defense is to try life style changes, then H2 blockers, then PPI’s. If this all fails then investigate further employing endoscopy etc. The reason for not opting for the scope right away is that statistically speaking the results of the endoscopy in patients with less severe symptoms are generally normal or show slight irritation. I have seen a variation to this suggesting PPI’s right away in patients that have more sever symptoms. Having said all of that, if it were me, I would want an endoscopy just to establish a base line and to make sure that everything is ok. Great piece of mind. Heartburn and Gastro Esophageal Reflux web page: http://www.heartburn-help.com

Response:

Hi folks,    Though a longtime reader of newsgroups, I’m a very infrequent poster. Yet I had to drop a note to this one for some assist.  First some back- ground and history on this body:    41. Male. Nonsmoker.  Rare drinker.  RN by trade, but I work with folks with sick hearts and am not too up-to-date on gerd.  I was on taga- met for years for gerd but for the past two years it was much less effective. (I know, I know, I should have seen Nancy {my MD} a whole lot earlier…)  She put me on a three month trial of prilosec back in 11/99.  It was wonderful.  I never felt better.  (I put on a little weight with it, but it was the holidays, too, and I was slack on my usual exercise routine, which I’m now back into: 8 miles on a stationary bike in half an hour thrice weekly plus weightlifting thrice weekly plus lots of golf in the spring, summer and autumn.)    Now, I have Humana, the bane of all health insurers.  They only allow a three month trial of prilosec (expensive as heck) & my prilosec stopped on 2/8.  Within 36 hours I could feel the acid again.  I popped two 400 mg tagamet about 5 hours apart today with some relief.  Called Nancy & she put me on ranitidine 150 mg BID.  I shall be taking my first dose tonight a bedtime.    My question:  Is ranitidine so much different than cimetidine that I should feel an appreciable difference in symptoms?  I’m brokenhearted about this because I felt *SO* wonderful on prilosec.    Another question:  I have never been scoped during all of this.  Should I have one done sometime?  (BTW, Nancy is not a Humana physician, TBTG. I’m in an area where I can have my own physician who works with Humana, not for them…    But there is hope…!  If I fail on ranitidine she’ll be able to write a letter to Humana stating that I failed on the ranitidine and need the script for prilosec. Regards, all, and happy digesting, Jon A. Egger RN Blue Springs, MO — Strange how people who suffer together have stronger connections than people who are most content.  Bob Dylan

Response:

a new medicine for pain

Question:

me for pain that has no side affects on the stomach or liver….the name of it is Celebrex (Celecoxib) she says it is new on the market and i have yet to find anything about it but i will be doing some research on it today…..i’m in recovery and can not take any narcotics for pain plus with a bad stomach and hepatitus c i have to be very careful of what i take….i will let you know if this works….i’m on 300mg of ultram right now and it does not help the pain in the back and legs which makes walking out of the question…. peggy

Response:

Hello Peggy, I have been on Celebrex 200mg. for about three weeks now and I can’t really say it has helped me at all.  I do know that when I started taking it, I had stomach problems for a couple days.  Hope it works for you…..Fatron & PJ

Response:

>me for pain that has no side affects on the stomach or liver….the >name of it is Celebrex (Celecoxib) she says it is new on the market >and i have yet to find anything about it but i will be doing some research on it today.

I hope you do your investigation soon. COX-2 Inhibitors and Celebrex – Safe or Suspect?     http://onhealth.com/ch1/in-depth/item/item,40354_1_1.asp

Response:

Response:

Don, again I want to thank you for some valuable information.  I am just using samples right now and think I may have to talk to my doctor about this when I go see him this coming Wednesday.  Thanks again…….Fatron & PJ

Response:

Hey Peggy, I was on Celebrex for 2 months, but stopped taking it cause it didn`t help me. I hope                                                      Good Luck JanisD — janisD in SaultSte.Marie  (

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:

New medicine

Question:

Hello, I have just heard about a new medicine for heartburn/GERD but the person telling me couldn’t remember the name. Said she saw it in Time magazine. Anyone heard about a new medicine lately??????? Thanks. Bill

Response:

A  Japanese company, Eisai , put a new Proton Pump Inhibitor on the market called Pariet (Sodium Rabeprazole). You can read more about it on my web page in the 3-6-98 Newsletter. Heartburn and Gastro Esophageal Reflux web page: http://members.aol.com/HawkTear/index.html

Response:

hearburn

Question:

Forget all these heartburn medicines. If you want to get rid of heartburn fast, drink a bottle of coke or pepsi. it works, and it’s a lot cheaper than all these medicine I see on adds.

Response:

Maybe if all you have is indigestion, but for those of us that have GERD (reflux disease) drinking any carbonated beverage is the last thing we would do…it makes our condition a whole lot worse. Bonnie – Hide quoted text — Show quoted text – > Forget all these heartburn medicines. If you want to get rid of heartburn > fast, drink a bottle of coke or pepsi. it works, and it’s a lot cheaper than > all these medicine I see on adds.

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