where should i start in dealing with gerd?

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i_love_coffee
Veteran Member


Date Joined May 2010
Total Posts : 637
   Posted 10/6/2010 7:47 PM (GMT -6)   
Hello
 
I usually post on the ulcerative colitis board, i have been in a bad flare up for past 2 years and as my uc flare resolves, i am getting worse with my gerd and heartburn- i do have a gi appt next week-
 
I have LA grade A espohagitis, gerd.  Recently its been bad- burning in my throat all the time, as soon as i wake up in the am, throughout the day, etc.  Right now I am not taking any meds for but I know I need to. what is the best one to start with?
 
Also, i have had to alter my diet for uc, anything diet wise i should know about?
 
anything natural that works? i think i remember reading about aloe vera juice??
 
also, i  drink green tea a few cups a day, could this be aggravating it?
what is a soothing tea i can switch to?
 
any help appreciated
Dx with UC 1991
dx in 2001 with LA class A esophagitis, GERD
Status: Coming off a 2 year flare, feeling 95%
Lialda 3 pills a day, Rowasa nightly
probiotic 2 pills a day, 5 metamucil capsules, day, calcium, fish oil, multi vit
Diet: Avoid dairy, chocolate, coffee, black tea. Limit gluten/breads/potatoes/alcohol

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 10/6/2010 7:56 PM (GMT -6)   
What kind of tests have you had for your gerd? Do you have a weak LES? If so there's not much you can do for it if it's very weak besides surgery to strengthen it.

Supplements never helped me feel better.
Joy

i_love_coffee
Veteran Member


Date Joined May 2010
Total Posts : 637
   Posted 10/6/2010 8:15 PM (GMT -6)   
I have had 3 endoscopys
2001, 2004, and ,2008
 
all of them just say  esophagitis, , LA class A erosive reflux induced esophagitis
normal duodenum
 
what test would they have performed to see if i have a weak les?

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 10/6/2010 9:44 PM (GMT -6)   
Hi,
A manometry can measure the pressure of your LES. Also, a barium swallow can look for reflux.
Anything with caffeine can reduce the pressure of your LES further. If you google GERD diet, you'll find lots of guidelines for eating. I drink decaf tea and it doesn't seem to bother me.
Good luck finding an answer!
Denise

i_love_coffee
Veteran Member


Date Joined May 2010
Total Posts : 637
   Posted 10/7/2010 6:27 AM (GMT -6)   
i found an old barium swallow report from 2002-
 
esophagus normal, stomach has normal peristaltic activity, duodonel bulb normal, barium meal swallow showed small bowel motility was normal, normal upper gi tract.  does this mean les is fine?

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 10/7/2010 7:57 AM (GMT -6)   
I would say it means that in 2002 it was fine. Were you having the same issues then?

i_love_coffee
Veteran Member


Date Joined May 2010
Total Posts : 637
   Posted 10/7/2010 10:00 AM (GMT -6)   

fine meaning my les is fine?

my symptoms are somewhat similair- although i dont remember it buring this much.in 2002, i also had h pylori and gastritis and  was treated for that.  I had more stomach pains back then.

Now i dont really have stomach pains, just burning and sore throat. 

stkitt
Elite Member


Date Joined Apr 2007
Total Posts : 32602
   Posted 10/7/2010 10:19 AM (GMT -6)   
Good Morning,
 
Things that may help with your esophagitis:
 

Avoid spicy foods such as those with pepper, chili powder, curry, and nutmeg.

Avoid hard foods such as nuts, crackers, and raw vegetables.

Avoid acidic foods and beverages such as tomatoes, oranges, grapefruits, and their juices. Instead, try imitation fruit drinks with vitamin C.

Add more soft foods such as applesauce, cooked cereals, mashed potatoes, custards, puddings, and high protein shakes to your diet.

Take small bites and chew food thoroughly.

If swallowing becomes increasingly difficult, try tilting your head upward so the food flows to the back of the throat before swallowing.

Drink liquids through a straw to make swallowing easier.

Avoid alcohol and tobacco.

I am glad to read you have an appointment next week.  Keep us posted.

Kindly,

Kitt


droper
Regular Member


Date Joined Mar 2010
Total Posts : 56
   Posted 10/7/2010 10:14 PM (GMT -6)   
more and smaller meals.Low fat.

Sirkit
Regular Member


Date Joined Jul 2009
Total Posts : 61
   Posted 10/8/2010 11:52 AM (GMT -6)   
I'd recommend getting them to do another barium swallow (not that it may show anything as reflux doesn't happen to everyone all the time) and a manometry to get a real good look at the LES, if heartburn is your issue. Recent research has shown that eradication of H Pilori, though it fixes ulcers, can cause LES pressure to drop (go figure) so your 2002 results are probably no longer accurate.

You also already have an ulcerative condition so it is possible that your Esophagus is part of the overall problem with your digestive system (this is conjecture but it's based on academic research).

Try switching to the GERD Diet and talk to your Doctor about your heartburn, he may feel that PPI's are a good place to start. Since you have espohagitis, if the problem is acid, it can take some time for healing to occur and for the painful sensation to go away.

amc82110
New Member


Date Joined Sep 2010
Total Posts : 6
   Posted 10/10/2010 9:42 PM (GMT -6)   
between now and the Dr. appointment try switching to an herbal tea (not peppermint or yerba mate). the caffeine in the green tea might be making the heartburn worse (though that probably isn't going to stop it completely). many people believe there is no caffeine in green and white teas..this is not the case. also yerba mate is bad because while there is no caffeine it does have mateine (both are in the xanthine family) and may have the same or similar effects. i hope this helps, good luck!

i_love_coffee
Veteran Member


Date Joined May 2010
Total Posts : 637
   Posted 10/11/2010 8:10 AM (GMT -6)   

thanks so far to everyone thats answered

Ive been drinking chammomile tea, very soothing

ive tried acv and honey with some lessening of the burn but not completely getting rid of-

dr appt on 10/15-

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