Recently diagnosed with GERD, a few questions

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RyGuy55
New Member


Date Joined Jan 2013
Total Posts : 2
   Posted 1/7/2013 6:48 PM (GMT -6)   
Hi everyone, I've been taking Nexium off and on for heartburn for a few months but recently had an endoscopy and GERD was confirmed. The doctor wasn't my normal doctor, was pretty short in explaining what was going on, and after looking over these forums and the Internet in general I had a few questions. I checked out Fast Tract to Digestion and will hopefully get my hands on it soon, but in the mean time hopefully someone can help me get started.

To start, I'm assuming my GERD is mild as when I take 40 mg Nexium daily I have absolutely no heartburn, but after about 5 days of not taking Nexium it gradually comes back. So my questions are mostly about moderation and how everything heals.

1. I was told to 'avoid' caffeine. I personally drink an 8 oz cup of coffee in the morning and will occasionally have a second after lunch depending how my day is going. Do I need to cut this out entirely or is 1 or 2 cups a day safe?

2. For fried and fatty foods, I eat relatively healthy (my problem was with spicy stuff, unfortunately I know that's entirely out), but I'll say maybe once a week I get a burger for lunch and also once a week will get some type of take-out, usually Chinese. Once again, is a fatty meal once or twice a week still a problem? To re-iterate, I can't judge this off of whether or not it causes reflux as my reflux builds over a few days and is only triggered instantly by super spicy things.

3. Milk helps sooth the reflux, but I haven't read anything good about it. Is 2% milk good?

4. I read that it's helpful to have an apple, pineapple, ginger, or apple cider vinegar after meals to settle the stomach. Anyone do this? Is it something I should adopt?

5. Last one, I'm a little confused as to how the healing process works. If I'm not feeling the heartburn does it mean everything is gradually getting better? When I stop the Nexium after a while, the heartburn comes back as quickly and strong as ever. I just want some idea how I can know if I'm making progress.

Thanks in advance, I really appreciate the help!

Johnah
Regular Member


Date Joined Nov 2012
Total Posts : 34
   Posted 1/7/2013 7:55 PM (GMT -6)   
Everyone is different (with some exceptions like caffeine which is universally a problem) when it comes to which foods trigger their reflux. Might want to start a food diary and try to understand what triggers it for you. This is how I learned to manage it, eat something see how it plays out. Fact is there are a lot of foods that you probably love that won't be advisable in the future. I hated stopping coffee but I had to.

For some sadly reflux never goes away, it is a disease so lifestyle changes, diet are permanent as well as the drugs. It doesn't sound like yours is very severe if you can go for days without Nexium. It may never go away though if your esophageal sphincter is not working properly, you are only treating the symptoms with Nexium. The drug does not fix the sphincter it only reduces the amount of acid coming up your esophagus. Less acid in your stomach , less to move up your throat.

If you Google ulcer diets it will give you an idea of what should be avoided as most anything that causes ulcers increases acid production and reflux as well.

You can try apple cider vinegar as well as a lot of home based treatments for reflux, see if they work, most times they don't. None of them worked for me but some will swear by them and claim
drugs like Nexium are just the pharmaceutical industries way of extracting billions from the public. For me only the drugs , diet and lifestyle changes helped.

Post Edited (Johnah) : 1/7/2013 6:05:29 PM (GMT-7)


thegspeak
Regular Member


Date Joined Nov 2012
Total Posts : 196
   Posted 1/7/2013 8:41 PM (GMT -6)   
1. I was told to 'avoid' caffeine. I personally drink an 8 oz cup of coffee in the morning and will occasionally have a second after lunch depending how my day is going. Do I need to cut this out entirely or is 1 or 2 cups a day safe?

MY DOC WHO IS EXTREMELY KNOWLEDGABLE about REFLUX AND LPR ALLOWS 1 CUP A DAY PREFERABLY WITH MILK.

2. For fried and fatty foods, I eat relatively healthy (my problem was with spicy stuff, unfortunately I know that's entirely out), but I'll say maybe once a week I get a burger for lunch and also once a week will get some type of take-out, usually Chinese. Once again, is a fatty meal once or twice a week still a problem? To re-iterate, I can't judge this off of whether or not it causes reflux as my reflux builds over a few days and is only triggered instantly by super spicy things.

I WOULD WATCH THE FAT (AND MSG) ...LIFESTYLE CHANGES CAN MAKE A BIG DIFFERENCE. YOU MIGHT NOT HAVE MANY SYMPTOMS NOW BUT DOWN THE ROAD YOU MAY REGRET INVITING MORE ACID INTO YOUR ESOPHAGUS BY EATING HIGH FAT MEALS EVERY WEEK BECAUSE YOU MIGHT CAUSE MORE DAMAGE.

3. Milk helps sooth the reflux, but I haven't read anything good about it. Is 2% milk good?

MY DOCTOR RECOMMENDS LOW FAT MILK AND EVEN BETTER LACTOSE FREE LOW FAT. IT'S ALL about HOW MUCH ACID YOUR STOMACH HAS TO CREATE TO DIGEST IT.

4. I read that it's helpful to have an apple, pineapple, ginger, or apple cider vinegar after meals to settle the stomach. Anyone do this? Is it something I should adopt?

APPLE YES BUT NOT GREEN ONES, PINEAPPLE NOOOO OUCH, GINGER YES AND APPLE CIDER VINEGAR MIGHT WORK BUT YOU'RE ON PPI'S THAT CUT THE ACID SO IT MIGHT BE COUNTERINTUITIVE TO DO BOTH AT THE SAME TIME.

5. Last one, I'm a little confused as to how the healing process works. If I'm not feeling the heartburn does it mean everything is gradually getting better? When I stop the Nexium after a while, the heartburn comes back as quickly and strong as ever. I just want some idea how I can know if I'm making progress.

SILENT REFLUX CAN STILL DO A LOT OF DAMAGE TO YOUR ESOPHAGUS. NOT SURE WHAT TESTS YOUR DOC HAS DONE BUT THERE ARE MANY TESTS THAT WILL GIVE YOU A CLEARER IDEA WHAT IS GOING ON.

Pat Tall
Veteran Member


Date Joined Aug 2012
Total Posts : 950
   Posted 1/7/2013 10:01 PM (GMT -6)   
RyGuy. You might also want to take a look at the book Droping Acid by Dr Kaufman. There are quite a few entries on this forum on ths book. Maybe it can help. You can see it on Amazon, maybe local library. Also she has her own web site that has helpful information.

Kitt. Thanks for the info. I'll be better about it. It's just that so many have hope for the Linx. But I sincerely do understand the forums point and will not bump so often. Thanks for all you do.
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