Anxiety and Gerd.

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stkitt
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Date Joined Apr 2007
Total Posts : 32602
   Posted 7/28/2008 3:14 PM (GMT -6)   
Generalized anxiety disorder does more than make you worry. It can also lead to or worsen a variety of potentially serious conditions.
How does GERD increase your anxiety?
 
Here is the place to share and learn ways others cope with anxiety associated with GERD and Heartburn.
 
This is your forum so share and know you are helping each other.
Gentle Hugs
Kitt
 
 

Kitt, Moderator: Anxiety, Panic & Depression 
*~*
http://www.healingwell.com/donate *~*
Not a mental health professional of any kind
It is health that is real wealth and not pieces of gold and silver.~Mahatma Gandhi~
Clickable Link: Anxiety-Panic Resources


yuckygut
Regular Member


Date Joined Feb 2008
Total Posts : 214
   Posted 7/28/2008 5:59 PM (GMT -6)   
Hi Kitt, I am not sure for me which came first, the anxiety or the GERD, probably the anxiety, because that really made my colitis act up as well. But the GERD never allowed me to get a good nights sleep, which made me more nervous/anxious/edgy. So I agree that the GERD did increase my anxiety level.
And when the PPI's didnt solve my problem, I found an anti-inflammatory oragnic drink called Haldi, now that my GERD is under control with the drinks, I can honestly say my anxiety levels have decreased, at least to a point.

--------------------------------
yuckygut

stkitt
Elite Member


Date Joined Apr 2007
Total Posts : 32602
   Posted 7/28/2008 6:32 PM (GMT -6)   

Hey Yuckygut,

I know when I first started to get heartburn I was sure I was having a heart attack.  I would eat a roll of rolaids to see if it went away. As the problems progressed I had one period of time where I regurged at night and would wake up coughing afraid I had aspirated. 

I would lay in bed and start to feel a panic attack coming on. Here is what I try to do now.

Remember: It does not matter if I  feel frightened, disorientated, dreamlike, or unsteady. These feelings are an exaggeration of the normal bodily reactions to stress.

Just because I  have these sensations doesn't mean I am  crazy. These feelings are just unpleasant and frightening, not dangerous. Nothing worse will happen to me.

Let my feelings come. . Don't run away from panic. When I  feel panic build up, I take a deep breath and as I  breathe out, let go. Keep trying. I stay there almost as if I were floating in space. Don't fight the feeling of panic. Accept it; I  can deal with it.

I d
on't indulge in stinkin thinking, "Why can't I be normal ? Why does this have to happen to me?" Just accept what is happening. . If I do this, what I  fear most will not happen.

I think about what is really happening to my body at this moment. I try  not think "Something terrible is going to happen. I must get out." I  repeat to myself "I am ok, I will not die or lose control."

What do others do when the anxiety kicks in?

Thanks
Kitt


 

Kitt, Moderator: Anxiety, Panic & Depression 
*~*
http://www.healingwell.com/donate *~*
Not a mental health professional of any kind
It is health that is real wealth and not pieces of gold and silver.~Mahatma Gandhi~
Clickable Link: Anxiety-Panic Resources


percycat
Veteran Member


Date Joined Jul 2005
Total Posts : 1952
   Posted 7/28/2008 7:40 PM (GMT -6)   
All,

My LPR was mistaken for panic attacks for nearly three years. The unpredictable occurrences of shortness of breath made me develop some pretty bad health anxiety which has eased some with a correct diagnosis, but not entirely. Of course, I was prone to being anxious before the LPR came along, but not to the extent that I started taking action about it. Now I practice ways to keep anxiety at bay with the same diligence as I pay attention to my diet.

percycat

yuckygut
Regular Member


Date Joined Feb 2008
Total Posts : 214
   Posted 7/29/2008 6:01 PM (GMT -6)   

Kitt, I like your thoughts on stinkin thinkin, it kind of reminds me of the saying, "it is what it is".

I guess we just have to accept it and move on.

 

yuckygut

diagnosed UC/GERD 1998

drink 1 Haldi daily 


eugenia
Regular Member


Date Joined May 2008
Total Posts : 41
   Posted 8/6/2008 10:32 AM (GMT -6)   

I to have had major anxiety with my GERD.  When I started this way back in September 07 with a diagnosis of hpylori I felt like I was going to die.  It has been a battle to get to a point where I can now function normally. I continue to watch what I eat and have strange feelings in my esophagus but am vigilant about not going down the anxiety path again.  I try not to do the stink'n think'n thing (I like that) bc I came to realize (and it was hard) it did no good.  I'm hoping eventually all these strange feelings in my esophagus will go as I do take nexium daily.

Just my little input on the anxiety issue!!

 

 

 


stkitt
Elite Member


Date Joined Apr 2007
Total Posts : 32602
   Posted 8/6/2008 8:39 PM (GMT -6)   

Thanks to all and please if you find the anxiety getting out of hand I have lots of helpful info on anxiety as it has been a part of my life for many years.

When people have to deal with chronic illnesses it is bound to cause anxiety and even some deep depression.

Keep on talking everyone. 

Kitt


 

Kitt, Moderator: Anxiety/Panic & Depression
& GERD  Forums
*~*
http://www.healingwell.com/donate *~*
Not a mental health professional of any kind
It is health that is real wealth and not pieces of gold and silver.~Mahatma Gandhi~
Clickable Link: Anxiety-Panic Resources


Speedy50
Regular Member


Date Joined Nov 2005
Total Posts : 60
   Posted 8/8/2008 6:45 AM (GMT -6)   
I have nightime gerd, and found that anxiety really increases the acid production , which increases the chance of having a breakthrough at night. Here is my routine.
I take my omeprazole OTC 20 MG X 2=40 in the morning. At night around 8:30 I take one of the rapid release Pepsid no water chews 20 mg. about a half hour later I take 1/2 milligram of klonopin which is a very mild tranquilzer. No night gerd at all. The dr told me to take the Pepsid at night, but it didn't help for breakthroughs. The chews seem to work faster and better than the caplets. The Klonopin is a very low dose and just lets me relax so I don't have alot of anxiety before going to sleep. Also, I found that by saying to myself I will be ok, I will relax and have a good night really works too.

stkitt
Elite Member


Date Joined Apr 2007
Total Posts : 32602
   Posted 8/8/2008 10:24 PM (GMT -6)   

Speedy,

Your medication regime sounds very solid and if it is working for you that is great.  I know that there are many members out there still looking for a good combo.  The night time pain and regurge can be very distressful and anxiety producing.

Thank you so much for sharing.

Gentle Hugs to you,

Kitt


 

Kitt, Moderator: Anxiety/Panic & Depression
& GERD  Forums
*~*
http://www.healingwell.com/donate *~*
Not a mental health professional of any kind
It is health that is real wealth and not pieces of gold and silver.~Mahatma Gandhi~
Clickable Link: Anxiety-Panic Resources


stkitt
Elite Member


Date Joined Apr 2007
Total Posts : 32602
   Posted 8/10/2008 6:43 PM (GMT -6)   
Medical science has made great strides in developing effective treatments for the physical effects of GERD and Heartburn yet  many victims still face a staggering challenge to their mental and emotional health. I know I do.

Chronic illness can force many potentially stressful lifestyle changes, such as giving up cherished activities, adapting to new physical limitations and special needs, and paying for what can be expensive medications and treatment services. As I have several disorders to deal with I find it very hard to deal with the anxiety and one of my dx includes depression as well as A & P, GERD, IBS and Disc Herniation.

Over time, these stresses and negative feelings can rob you of the emotional energy necessary to move forward with your life. Lack of progress in your recovery or worsening symptoms can trigger negative thoughts that heighten feelings of anxiety and sadness, often leading to depression.

Coping with the mental and emotional challenges of a chronic illness requires an approach that is realistic, but also positive.

Let us keep this thread  going as how we are dealing with our anxiety will affect how we cope with our disorder.

I am you peer here as are all the other members.  I hope you all feel comfortable in using this thread to share your fears and anxieties as well as your coping mechanisms..........................

Kitt  J J J J J


 

Kitt, Moderator: Anxiety/Panic & Depression
& GERD  Forums
*~*
http://www.healingwell.com/donate *~*
Not a mental health professional of any kind
It is health that is real wealth and not pieces of gold and silver.~Mahatma Gandhi~
Clickable Link: Anxiety-Panic Resources


percycat
Veteran Member


Date Joined Jul 2005
Total Posts : 1952
   Posted 8/12/2008 3:35 PM (GMT -6)   
My LPR brings increases in anxiety when I don't treat it (the LPR) correctly. Recently, I've been through a period where I wasn't diligent about my before-dinner Nexium and started having breathing issues again. Stupidly, rather than noticing what was going on, I started getting anxious that I was going to suffer anaphylaxis (when I've never been allergic to anything, mind you). Today's visit to my ENT got me back on track mentally, and I'll not miss my Nexium dosage again!

It always takes a while after a health scare or a bad round of symptoms to settle back into a more peaceful frame of mind. And while that unsettled period is happening, a person can be prone to more health problems than otherwise. For me, the health of both mind and body are definitely interdependent!

percycat

stkitt
Elite Member


Date Joined Apr 2007
Total Posts : 32602
   Posted 8/13/2008 5:16 PM (GMT -6)   

Ok all, My GERD is kicking in big time today............flying in my sister from North Dakota to the U of MN Hospital...........found out last night she is full of ovarian cancer.  I am out the door to airport now and then to hospital.  My stomach is not liking this one bit.  Or my anxiety,  big breaths............I am trying to hold it all in..................

Take care of the site tomorrow troups...........I know your all wonderful members.

Hugs

Kitt


 

Kitt, Moderator: Anxiety/Panic & Depression
& GERD  Forums
*~*
http://www.healingwell.com/donate *~*
Not a mental health professional of any kind
It is health that is real wealth and not pieces of gold and silver.~Mahatma Gandhi~
Clickable Link: Anxiety-Panic Resources


stkitt
Elite Member


Date Joined Apr 2007
Total Posts : 32602
   Posted 8/20/2008 5:01 PM (GMT -6)   

Hey My Dear Members,

There is something comforting about baring your soul to the members of  the GERD/Heartburn Forum and still being able to be anonymous. I am finding the stress right now is kicking in my  GERD and I am afraid to lay down at night.  I know alot of it has to do with my anxiety but also with my nutrition being all wacky from not being home to prepare my own meals.

How do you handle your GERD when you are in the middle of a family crisis.

Your helpful advice would be appreciated.

Thanks

Kitt


 

Kitt, Moderator: Anxiety/Panic & Depression
& GERD  Forums
*~*
http://www.healingwell.com/donate *~*
Not a mental health professional of any kind
It is health that is real wealth and not pieces of gold and silver.~Mahatma Gandhi~
Clickable Link: Anxiety-Panic Resources


yuckygut
Regular Member


Date Joined Feb 2008
Total Posts : 214
   Posted 8/21/2008 1:38 AM (GMT -6)   
Kitt, first of all I want to wish you and your family the best in this hard time right now. I too am going thru increased anxiety in that we just found out today that my cousins 18(yes, 18) year old son committed suicide, and she found him in his room. It makes me want to cry non-stop. I am going to keep on drinking my Haldi drinks, at least that way I know my GERD/UC will not be an issue. I wish I could send you a weeks worth of my current Haldi supply, as I know you are going thru hard times as well, good luck


yuckygut

percycat
Veteran Member


Date Joined Jul 2005
Total Posts : 1952
   Posted 8/21/2008 8:27 PM (GMT -6)   
Kitt,

I have trouble sticking to a safe diet when anxious times happen. I know you're not home much for your own meals, but are there GERD-friendly snacks that you can carry with you when you're in and out to the hospital? The other day I was about to give in at the office and munch a chocolate bar - *bad* idea for me - but had some apples in the fridge and took one of those instead. I felt good about not giving in to a habit that makes me feel worse, and I did enjoy the apple. And eating something wholesome made me feel that I was doing a little better toward keeping my body healthy. That kind of positive self-thinking can be a shot in the arm when you're ragged from a crisis.

I'm continuing to pray for your sister, you, and the rest of the family.

Love and hugs,
percycat

stkitt
Elite Member


Date Joined Apr 2007
Total Posts : 32602
   Posted 8/22/2008 6:43 PM (GMT -6)   

Percy,

I can be my own worse enemy when it comes to caving in under pressure.  I will try my best to stay in the moment, and not let my anxiety get the best of me but then I head off to the ice cream parlor and of course that is the one item that I regurge and everytime I do it I swear never again.

I have been taking my meds daily but the ice cream breaks through every time and I know better.  I will not beat myself up as I know it does not make it any better but someday do you think I will learn.

I thank you for you support.  It is a lonely world sitting in a hospital room watching your only living sister slowly dying.

Hugs to you

Kitt


 

Kitt, Moderator: Anxiety/Panic & Depression
& GERD  Forums
*~*
http://www.healingwell.com/donate *~*
Not a mental health professional of any kind
It is health that is real wealth and not pieces of gold and silver.~Mahatma Gandhi~
Clickable Link: Anxiety-Panic Resources


GiftOfGod
Regular Member


Date Joined Jul 2006
Total Posts : 63
   Posted 8/23/2008 2:57 PM (GMT -6)   
Growing up in an Mexican American family are diets mostly have some kinda spicy ( Hot ) ingredients or some types of fried food . I

must say i miss it all and well its so tempting but i've been suffering from Anxiety and Acid Reflux for about 2 1/2 years it comes and

goes . I wonder where it all went wrong ?????? My acid reflux is at its higher points when my stress is really high . I have concluded

stress is my major cause of my heartburns , acid reflux etc etc . I read alot of articles on line that state that its just a myth and it

does not cause any of my acid reflux symptoms . What stresses me out is that all this reflux can lead to CANCER , which really scares me

percycat
Veteran Member


Date Joined Jul 2005
Total Posts : 1952
   Posted 8/24/2008 2:41 PM (GMT -6)   
Kitt,

Big hugs to you, my friend.

It's weak advice, but is frozen yogurt or Italian ice any better on your system than ice cream? It's hard to give up comfort foods, especially at a very stressful time. Maybe there are some substitutes that will fill that desire for the comfort food but won't stir up you symptoms so badly.

For instance, I've found one brand of decaf tea that still tastes like something, so I'm trying to switch over to it when I crave that taste (caffeinated drinks were a big part of my diet). It doesn't make up for the loss of Coke/Pepsi/coffee, but it is at least something.

I'm hoping that your sister is able to get some rest today and that the doctors will have a good plan tomorrow for her continued treatment. You just trust that they are doing the very best for her, and take comfort from the fact that she is having a good day today.

Love,
percycat

Sammss
New Member


Date Joined Aug 2008
Total Posts : 3
   Posted 8/27/2008 2:53 AM (GMT -6)   
I would have to agree with GiftOfGod that stress plays a role in heartburn/reflux, it certainly makes it worse. I believe that stress whether emotional or physical creates an imbalance within that causes anxiety, reflux/heartburn and ill health. I'm curious whether other people here can remember back to when they started to feel unwell whether there was a period of stress prior to symptoms developing.
 
I know that was the case for me, l started feeling unwell about 10 years ago and it started with feeling tired, lost of appetite, trouble sleeping which went on for a while after a long period of stress. Then l started getting stomach pains, was treated for h.pylori but the pain remained, tried antiacids but they didn't really work. Anxiety developed which made the pain worse that create more anxiety, so it was pretty much a vicious cycle. I went on antidepressants for a couple of years trying different ones as my anxiety and depression was bad that l felt like l was losing my mind, l even tried yoga and meditation. 2 years ago l came off antidepressants (the meds felt like they were surpressing the symptoms rather than get rid of them and the side effects were no fun either!) and the pain was worse than before and anixety and other symptoms came back, l was getting a burning feeling in my stomach and esophagus, l tried a few PPIs (nexium, somac, pariet) which helped but the pain remained, had another endoscopy which came back fine, saw an gastroenterologist and endocrinologist but they couldn't tell me what was wrong. 
 
So l started to do my own reseach and try different things. I tried taking Chinese herbal medicine though not very pleasant but l was willing to try anything.  It did get rid of the burning feeling in my esophagus but my stomach still felt acidic. Over a period of a year and a half l saw three different herbalist and l think because l was being treated for various symptoms it was a bit up and down but there were improvements. The biggest difference for me came when l started taking vitamins and minerals. Lets just say l didn't expect them to do anything for me because some years back my doc told me to take a multi vitamin which did nothing for me and all l've ever heard about supplements from the media was that they didn't work and were a waste of money.  Now I don't get a burning feeling in my esophugus or stomach, my stomach doesn't feel as acidic, l still get some irritation in my stomach, l'm not "cured" yet but l haven't had this relief from the pain in a long time and l suspect that it may be a while before everything goes back to "normal".
 
I was wondering for those going through stress and anxiety if they are taking any vitamin or mineral supplements?, if not can l suggest that if you are going through a stressful period, that you try taking a vitamin B complex and a multi vitamin. For anxiety I suggest taking a magnesium complex which also helps with stress and tension.  These were one of the first supplements l took, I also take others. 
Not all brands are the same, some brands may be better than others, so maybe ask someone who knows about supplements, read up on them or see a health care person who can help.  Also, don't take too many of the one supplement as they can cause other problems if you take such a big dose in a day and space them out throught the day. Also, if you're taking other medication you may want to talk to your dr first as some supplements may interfere with the meds.
 

Keeper
Veteran Member


Date Joined Jun 2008
Total Posts : 1058
   Posted 8/27/2008 1:15 PM (GMT -6)   
Stress certainly has an effect. My idea is that it interferes with your breathing pattern. If you breath by expanding your lungs and contracting your abdomen when you breath in, you are pressing down on your diaphragm with your lungs and pressing up with your abdominal muscles on the gut. This results in the stomach being pressed up against the diaphragm, resulting in reflux or hiatus hernia. There are other effects, but more in a sec. You can try something called Chi Kung for breathing methods - it also has the benefit of being a form of meditation which should help stress too.
The other effect of stress is a known increase of the permeability of the intestinal mucosa. This is also caused by OTC antacids. This results in bacteria from the gut entering the system and causing an immune response. The immune response kills gut bacteria which release endotoxins when killed. The gut permeability allows those endotoxins to enter the bloodstream. The liver normally removes things like the endotoxins, but it can be overwhelmed because of the large volume of gut bacteria releasing endotoxins. I don't know from reliable sources about the following, but it seems reasonable: presumably the liver would become inflamed and then the gall bladder would soon follow. Those symptoms would be quite similar to heartburn.
Another effect has to do with PPI's. They reduce acid secretion in the stomach to the point where the digestive enzymes don't work properly (enzymes are dependent on pH for proper function). This results in undigested food entering the gut where it cannot be absorbed (it needs to be digested properly for that to work). The unabsorbed food is then consumed by gut bacteria. This has the effect of reducing peristalsis and backing up the digestive tract. The result is that the stomach does not empty normally and the contents remain in the stomach for extended periods, promoting opportunities for reflux. This effect also happens in people who have impaired digestion. If they consume foods that they don't have an adequate enzyme supply for, those foods will do the same thing. It is usually foods that are consumed in large amounts that this happens with. Starches are the largest problem, but enzyme insufficiency may also result from amylase inhibitors or protease inhibitors in certain foods. For info on a diet that avoids feeding gut bacteria (and thus avoids reduced motility) see: http://www.scdiet.org/

Post Edited (Keeper) : 8/27/2008 11:24:10 PM (GMT-6)


stkitt
Elite Member


Date Joined Apr 2007
Total Posts : 32602
   Posted 9/6/2008 4:46 PM (GMT -6)   

Hey All,

For a long time investigators have noticed that stress is associated with worsening of GERD symptoms.

To complicate matters even further, most patients with GERD (up to 80%) have typical symptoms of GERD but without any evidence of inflammation or damage to their esophagus. Could stress play an important role in generating symptoms in GERD patients in general and specifically in those with completely normal esophageal lining? An even more intriguing question with a possible therapeutic implication is how stress causes worsening of symptoms?

In summary, GERD patients that are stressed report worsening of typical heartburn symptoms. Psychological factors, such as anxiety and somatisation may play a role, particularly in those patients without esophageal inflammation. Increased esophageal sensitivity to acid appears to be the underlying mechanism.

Interesting theory. rolleyes

Kitt


 

Kitt, Moderator: Anxiety/Panic & Depression
& GERD  Forums
*~*
http://www.healingwell.com/donate *~*
Not a mental health professional of any kind
It is health that is real wealth and not pieces of gold and silver.~Mahatma Gandhi~
Clickable Link: Anxiety-Panic Resources


Keeper
Veteran Member


Date Joined Jun 2008
Total Posts : 1058
   Posted 9/9/2008 12:03 PM (GMT -6)   
Stress is known to increase gut permeability. This is associated with immune response activation against normal gut bacteria. The immune response kills some of those bacteria which releases endotoxins from the killed bacteria. The endotoxins pass through the gut wall (due to increased permeability) and into the blood. The liver would normally remove those toxins, but the load may be more than the liver can handle (there are a lot of bacteria in the gut). This results in inflammation of the liver and gall bladder which can account for some of the heartburn symptoms noticed with stress. The immune response in the gut also slows peristalsis and results in slower clearing of the stomach. The contractions of the stomach which normally pass chyme into the small intestine, refluxes stomach contents into the esophagus due to the reduced ability of the gut to receive stomach contents (from reduced peristalsis).

percycat
Veteran Member


Date Joined Jul 2005
Total Posts : 1952
   Posted 9/9/2008 4:07 PM (GMT -6)   
Keeper,

Thanks for the really clear information. I was curious, too, and your post makes a lot of sense.

percycat

BeesGee
New Member


Date Joined Sep 2008
Total Posts : 16
   Posted 9/12/2008 11:20 AM (GMT -6)   
I have been taking Nexium 40 MG once a day for almost 3 years. 10 weeks ago, my GERD flared up again even while I was on the medication. I was burping all day, tightness of the throat, etc. I went to the doctor and he increased my Nexium to 40 MG twice a day. After 6 weeks, I'm no longer burping all day and feel better. However, the tightness on the throat still comes and goes and it usually stays for a few days. I did not go to work today because my thorat is tight and I am having anxiety over this. I take Mylanta to add to the Nexium whenever I feel I need it. I went to an ENT because I thought that there really is something on my throat and he told me it's GERD and it is inflamed. I guess with the GERD and anxiety, it's difficult to deal with this. I'm always thinking that I might have something more than GERD and it scares me. Any suggestions?

BeesGee
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