first dont feel guilty. we all struggle with this ugly disease and sometimes make turns in the decision making tree that turn out not to work out. many of us are desperate for answers and solutions, so dont beat yourself up... seems to me ive been where you are and it hurts bad...you are not alone
second...you said, "I feel pain after the effect of the drugs wear off, 3-4 hours after the PPI,..." just to be clear PPIs have a long period of onset for effectiveness and a long "effective" half life. while it is true the body eliminates the PPI from the system fairly quickly, the effect on the parietal cells (where acid in produced in the stomach) is long lasting.
i am not a doctor nor a medical professional of any kind so you should not take my words for granted as true...always check out everything with your doctor. but from what i have read and been told by authoritative sources is that PPIs shouldnt be "wearing off" three hours after last dose.
talk to your doctor, it may be that a different PPI or a different dose or the addition of an H2 may be appropriate...or some other solution. the best way to approach this is to be an informed patient AND to take that to your doctor and discuss and make a "team" decision
i would definitely put guilt behind me, go see the doc and tell the truth.
any doc that judges a patient harshly because of human frailty...well... i would change doctors because it is important for people in the helping professions to avoid being "judgmental.
please see your doctor
hang in there, and stay in touch, people here will help
i want to recommend a strategy that you may or may not have heard about
for several days,eat small meals...eat the same amount of food you usually do, or if overweight, a little less, but divide your daily intake into smaller amounts so that you eat no more food in volume than the size of your fist...and then wait at least two hours for the next meal
also during this time eat just skinless white chicken meat, steamed broccoli, brown rice, egg whites, mashed boiled carrots, light white fish (not oily...for example no salmon etc) water melon or other highly recommended foods that are helpful for people with gerd
(avoid all foods that are notorious for
opening the lower esophageal sphincter.... that is... no chocolate, mint of any kind, no tomatoes nor potatoes (nightshade vegetables), and no alcohol) (check to see if you are taking other drugs that "
open" the LES- talk to doctor if so)
then after 3 days of this see how you feel?
Post Edited (mock turtle) : 10/28/2011 12:04:43 PM (GMT-6)