Hi, I am on ppis too but I keep trying to manage without because of side effects, in particular low blood pressure and bad skin rash. There is evidence that ppis increase food allergy, both worsening existing food sensitivities and increasing the risk of new allergy. This is a big concern, but on the other hand you don't want out of control GERD because that has it's own risks and- as we all know - it's no fun at all! Like Denise said your GERD may have changed anyway, but if you already had proven food allergies they could have changed too. Make sure you have been tested for helicobacter and coeliac disease. You could also try keeping a food and symptom diary to help pinpoint any trigger foods. Diarrhoea can be a drug side effect but if it happens in response to certain foods then you need to avoid them until things are calm and under control. If you have true food allergies you will have to avoid them indefinitely. Some formal blood tests combined with skin prick tests may help pin down any allergies (but please don't use any high street or Internet allergy tests as they are not reliable).
I would love to be off ppis but I never manage it for long. I certainly wouldn't try until I'd had good symptom control for a couple of months, then I'd try stepping down and using Zantac to help wean off. I managed this once already but after 2 months I had a sudden flare up, like just overnight with no warning and for no reason that I could fathom. I would aim for finding the lowest dose that keeps you feeling good, but you gotta let things heal for a while first. Acid rebound coming off ppis is no fun either, peaks at 10 days for me, and that might be what happened when you tried coming off them. I took 300 mg Zantac instead of my ppi and then for a couple of months I was ok on 150 mg zantac. It was long enough for me to separate out side effects from the true symptoms of GERD. So you might manage a similar experiment, where you at least end up knowing what is side effect and what isn't! Good luck with your next appt!
New stuff: GERD. Interstitial Cystitis
Lifelong stuff: Food allergies, eczema, asthma
Post Edited (mudmagnetmum) : 6/28/2011 6:23:52 AM (GMT-6)