My GERD / Acid Reflux Diary

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roberto123
Regular Member


Date Joined Apr 2013
Total Posts : 32
   Posted 4/12/2013 8:48 AM (GMT -6)   
Hi Everyone,
 
I will share my experience so that it can give some idea to the new sufferers of Acid Reflux how it feels, how it is developed in my case and what triggers it and what to expect...sorry for the lengthily post but I wanted to give all the details..
 
I am a 33 y/o male. Generally I am (was) very healthy. I was also a bit overweight (around 10kg more than I was supposed to be for my height).
 
Let me start...Around 5 years ago, I had some swallowing problem and went to my local GP. He has referred me to a throat specialist who looked at my throat and said my swallowing reflexes are perfectly fine and gave me some nose spray to use. I used the spray and felt good afterwards...He never mentioned the possibility of acid reflux or GERD.
 
In the last 5 years, I have woken up in the middle of the night several times and jumped from the bed because my throat was full of liquid and I was basically chocking. This happened 3 or 4 times over 5 years period. I have a very busy life with my work and I quickly forgot about it and did nothing for it.
 
I think it is also important to admit that, I had number of work related issues from October 2012 until February 2013 and I had an extremely stressful few months before this all happened.
 
On Sunday 24th March (2013), me and my fiancé had a normal size dinner (please note we have eaten at the couch in front of TV like we always do - I would have learned very soon that this is a big mistake - we ate our dinners around 8pm and then around 10pm I almost always had a small snack such as cheese ). We have
finished the dinner and around 30 min later, I felt extremely bad. Like I have never felt before. My chest was completely pressurised, I thought I was probably having a minor heart attack (now I know that this is a common
indigestion symptom - I didn't have a clue at the time). My fiancé is very health and health conscious person and she kind of forced me to  go to A&E at the nearest hospital. I have to admit, I was feeling a little better when we have arrived to the hospital but still not great. The doctor checked me asked many questions such as if I am suffering from GERD (I didn't have a clue what that meant), extreme coughing (I didn't have it at the time) and he did a quick ECG scan and everything looked normal. He advised me that he is pretty sure it is a indigestion problem and told me to buy myself a Gaviscon (I have only seen some ads for this on TV but didn't know what exactly it was for)
 
We went back home and on the way we went to the supermarket and bought the OTC Gaviscon and went back home. When we come back home, I was still not perfect but help of the gaviscon I fell asleep. (At this stage my bed was just normal, straight bed!)
 
The next morning I felt much better and after the meals I took 1 spoon (around 5ml) Gaviscon after the meals as the doctor suggested. Felt a little bit uneasiness around the stomach area but was all manageable. In the following week we went out twice to local restaurants (I am still not recognising the signals of my body and continue my normal lifestyle at this stage) but in one of the restaurants, I ordered stake and chips and after eating half of the meal, I start to develop uneasiness and some swallowing problems (feels like there is a mucus in your throat and sometime there is something stuck in your throat). My gaviscon wasn't with me so we have left the restaurant and rushed back home. I felt extremely uneasy again (especially with my throat and having
have to cough and try to take the excessive mucus but it wasn't there!). I couldn't sleep until around 1am but then I started to feel a little better and fell asleep.
 
Following day, I went to my local GP and he gave me 20mg Omeprazole tablets for acid reflux problem. For people reading about Omeprazole for the first time, it is a type of Proton Pump Inhibitor (in short these medicines are called PPIs - they basically help stomach to limit acid production).
 
The next day (Friday 5th April), I woke up feeling pretty good and I took my 20mg Omeprazole in the morning. I was feeling very well and I decided to take up my brother's offer of meeting over the weekend to celebrate his birthday on Saturday. I drove around 3 hours and arrived at my brother's place. I was still feeling perfectly fine. His gf prepared some nice food (salad, pilav rice, mince meat, etc. and of course some chocolate cakes for desert. I have eaten (a bit smaller than the normal size thinking that my Acid should be fine if I eat
less) and felt really OK afterwards. Because I forgot to take my Gaviscon with me, I didn't take any Gaviscon and I didn't have the feeling I should take my Gaviscon. We watched a movie that night and went to bed.
 
The next morning, I felt perfectly OK again. We woke up a little late and my brother said let's not have breakfast but instead go to a Chinese Buffet instead (yes, the ones that you can eat as much as you can). I took my medicine (20 mg Omeprazole) before we left. On the way to the Chinese buffet, I felt a little sick in the car but as soon as I stand up to go to the restaurant I felt better. I had only 1 full plate of food with water (normally I always drink diet coke but this time just still water to look after my stomach. After the Chinese, we came back home (still feeling good no problem). I had one lager beer with my brother and then we went out to a bar with his friends to celebrate his birthday. I had one more beer in the bar then didn't want to mix alcohol and  Omeprazole so I asked for water. They were only serving carbonated water (BIG MISTAKE! I will learn later) so I have probably drank around 4 or 5 small glasses of carbonated water throughout the night. We have finished for
the night and on the way back everyone went to the local Kebab shop - at this time we were all hungry (and I shared one kebab with my brother - another big mistake!). We came back home and went to bed (still feeling good - no problem).
 
I woke up the next day (Sunday 7th April) and again took my 20mg Omeprazole and had a very rich breakfast (including: 2 different cheeses, some polish sausage, tomatoes, tea, etc.). I also had one cup of coffee with my brother before I left for home.
 
3 hours later I arrived my house (no problem on the road, felt very good). My fiancé has prepared a lasagne dish. Because I was more careful with what I was eating, I had a little bit of a salad and very small portion of lasagne.
 
This was the last straw for my body!
 
Around an hour after lasagne, I felt terrible. I jumped from where I was sitting and ran to the kitchen to get some water. I felt like choking again. It continued with extreme coughing and I had to have a pint of water in my hand and sip from it every 10 seconds or so to keep my throat open (at least I felt like that). After 15 min or so, the fealing eased a little and I was still feeling terrible. I took some Gaviscon straight away but it didn't help much. I felt terrible bloating on my stomach and I had to burp quite a few times every minutes (especially after drinking the water). My fiancé pushed me to go to the Emergency again but I refused. All I could do was walking around the house and waiting for this horrible feeling to pass away. Unfortunately it didn't. I couldn't sit down at all and I continued to walk until around 4am. I didn't know what to do so we called an emergency number just to ask if there is anything we can do. They advised that it should be digestion problem and the doctor has already seen me a few days ago so they suggested to have some more Gaviscon! I did, but it didn't help much at all. I managed to sleep around 1am.
 
The next day (Monday 8th April) I was still feeling terrible when I woke up. I called my GP straight away. My doctor gave me an appointment for the next day and he told me to keep up the 20mg  Omeprazole medicine and he told me that it taked at least 3-4 days for the medicine to work so I need to be patient.
 
Towards afternoon, I felt just a little bit better so at least I could sit on the couch - of course upright position only!). I was still having a lot of water to ease the throat (my throat at this stage was on spasm time to time due to acid touching it). In the evening my symptoms became much worse again so we went to the emergency around 9pm. Emergency doctor has seen me and advised me that some PPI medicine are not working for some people so one option is to change the medication and another option is to take at least around 40mg to try
that. We came back home, at least I knew that this wasn't going to kill me that night. Psychologically I felt better to see the doctor. I was still standing up in the house, going from room to room, feeling bloated, very uneasy and drinking my water all the time....
 
Around 5am I could finally sat down on the couch again and I fell asleep for 1:30hrs and woke up with uneasiness at 6:30am on (Tuesday 9th April). I haven't slept almost at all for two days and I was feeling tired and very down. I couldn't eat a thing since Sunday night but I wasn't hungry at all. At 9am, we went to my GP and he raised the dosage to 40mg. (he told me to take 1 in the morning and 1 in the evening). I was still feeling so bad, he told me that it will pass, I am a young man so my body should fix itself (not sure how true his
statement was!).
 
We came back home, and in the afternoon again it felt easier. I could sit down again, being so tired, I wanted to sleep a little but I couldn't. Towards late afternoon, I started to feel worse again, took my 20mg Omeprazole) but it didn't help much at all. I was feeling really bad again with all the typical acid reflux symptoms. I couldn't sleep at all. I was walking around and sometime sit down on the chair or couch (if I could for more than 5 min...) I felt acid burning my nose time to time and my ears was also kind of blocked..
 
I decided that my GP wasn't going to be helping me much as his advice didn't really work well so far, my fiancé started to look for a GERD specialist and found number of specialist in our area.She called them all on Wednesday morning (1oth April) and one of them could see us the next day at 3:30pm. This made me feel very happy, finally I was going to go to someone who understands my sympthoms and potentially could help me. On Wednesday, I felt a little better throughout the day but nowhere near recovered. After days of not eating, I read that apples are really good for me as a GERD sufferer and I managed to eat 1 apple and took Gaviscon afterwards. It didn't really disturb me so I finally found something maybe I could eat. In the late afternoon my fiancé cooked some very watery lentil soup (supposed to be really good for GERD again) and it worked very well. I felt a little uneasy
afterwards but it was manageable. I also read that drinking too much water is not good because it makes the acid to climb all the way from stomach to the throat (it makes a foamy substance with acid). so I limited my water drinking to minimum (but still needed to take sips when I feel my throat is tight). I managed to sleep 6.5 hours on Wednesday night. This was great. I felt good.
 
Yesterday (11th April), I woke up quite OK (not perfect). I had one banana and one apple in the morning and felt OK at first but suffered a little bit toward afternoon. I also had some more lentil soup (very small portion) which was good.
 
We went to the GERD Consultant yesterday at 3:30pm. He was a very pleasant doctor and understood exactly what I am going through. He basically said that we need to find the cause of the problem (the GERD is the symptom). So he suggested I should go for endoscopy (where they put a little tube camera from your mouth to your stomach and check for problems). He said that there might be number of problems causing this from lifestyle to bacteria, in some cases ulcers in the stomach or hernia, etc. I will go through the endoscopy in the next 2-4 weeks when the referral arrives to my GP.
 
He has also doubled the dosage of Omeprazole to 80mg. I discussed the sideaffects of the medicine with the doctor and found out that some people are getting up to 160mg a day and some baby's around 40-80mg. He also told me to take 300mg of Ranitidine (it is called Zantac in the US - it is basically a H2 receptor which inhibits stomach acid production). He told me to use this only if I feel bad again. He also told me to have a food diary which I was doing for sometime anyway. For sleeping, he wanted me to raise my bed so hat my stomach fluids do not travel to my mouth during the night.
 
We left the doctor around 4:30pm and I took my 40mg Omeprazole at around 5:30pm so that I can eat something around 6:30pm (you need to wait at least an hour after taking the medicine). After some more light food I had some Gaviscon and felt really good. Towards bed time, we have raised the bed and just before going to bed I had 2 spoonfulls of Gaviscon (10ml) and I slept like a baby.
 
This morning I woke up with very minor cough (but I am also having some cold at the same time, the nose is blocked which doesn't really help). I took 40mg Omeprazole in the morning and had banana and apples again (easy start to the day). Felt really good, no problem. I have just also had some lunch around 30 min ago (green salad and small lentil soup) - I am still feeling very good.
 
I am hoping to continue my diary for at least around a month so that I hope it can help some other sufferers like me. Don't forget you are not alone!
 
So far I have learned the following:
 
- GERD / Acid Reflux can become a problem very fast! Unexpectedly!
- First few days are very scary because you don't know what you are going through
- Reading about GERD and Acid Reflux definitely was good, I am learning what I am dealing with!
- Apples, banana, salad and lentil soup are all alkaline forming food and can be digested easily.
- If you think you have GERD go to a specialist as soon as possible
- Omeprazole + Gaviscon combination is finally proving effective for me. A little patience is needed for the medicine to start working. In my condtion I needed the higher dose from the beginning.
- GERD is manageable for me. I need to try and test different combination of foods and drinks to see what triggers it.
- I am not alone, there are many other sufferers and tons of good information (and some rubbish) online.

stkitt
Elite Member


Date Joined Apr 2007
Total Posts : 32602
   Posted 4/12/2013 10:58 AM (GMT -6)   

Welcome to HealingWell  and  our GERD - Heartburn peer support discussion forum.

Thank you for sharing your history of GERD with all here in the forum; by sharing our stories we help others understand that they are not alone and also will find that there are many symptoms to GERD.   Also there is silent GERD...........we do have some info in our Resource Thread at the top of the page which may also help people understaned the difference in in the types of GERD as well as LPR.

Again a warm welcome.


~~Kitt~~
Moderator: Anxiety, Osteoarthritis,
GERD/Heartburn and Heart/Cardiovascular Disease.



"The wind blows, the sun rises, the snow falls and the ocean relentlessly pounds the shore. Life rolls on with fresh new possibilities at every turn."

ericapeace2000
Veteran Member


Date Joined Mar 2012
Total Posts : 1110
   Posted 4/12/2013 11:29 AM (GMT -6)   
Welcome to the forum! Keep us all posted. GERD is a tricky condition. You will learn a lot on this forum.
GERD Moderator; Diagnosed GERD, no other medical conditions (this one is enough) ; Gluten free since 2012; low dairy since 2012

Lil Peanut
New Member


Date Joined Apr 2013
Total Posts : 1
   Posted 4/12/2013 12:14 PM (GMT -6)   
Hi Roberto, I believe I can learn a lot from what you've gone through. My short story is I've had some symptoms most of my life but gotten much worse the past year or so. I'm on 20mg of Omeprazole for 4 months and it has done nothing. GP and throat dr. did many tests/procedures now sent to GI. Am waiting results of Endo/Colonoscopy and biopsies. An ulcer and irregular z line were found. I've also found that apples help, bananas give me heartburn. It's terrible that I can't even exercise mildly without acid coming up in my throat. I too drink many sips of water. I'll too keep a diary. Thank you for your story.

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 5028
   Posted 4/12/2013 12:36 PM (GMT -6)   
Welcome to the forum Roberto and Lil Peanut. Peanut, you can start your own thread and get more responses just for you.

Roberto, are you eating a little breakfast half an hour after taking your morning PPI? It makes a big difference. They don't work unless you eat. As far as the evening dose, I never had any relief from it.

Great! You are keeping a diary!!!! It's helpful to be able to go back and see what works and if you have any specific food triggers. Keep it up!

Besides the endoscopy I would ask for a barium swallow. This test shows if you have a valve at the bottom of the esophagus, the lower esophageal sphincter or LES, that is staying open. It also shows if part of your stomach is getting above the diaphragm, hiatal hernia. If the hernia is not large it does no harm, but if it is large it can keep the LES open. Just looking inside the esophagus might find a hiatal hernia, but if you aren't swallowing it can be missed.

I'd eat my evening meal at least 3 hours before going to bed and not eat a snack later.

Best wishes.

roberto123
Regular Member


Date Joined Apr 2013
Total Posts : 32
   Posted 4/12/2013 1:03 PM (GMT -6)   
Dear All,

Thank you very much indeed for your prompt replies. It is great to hear from you all.

Lil - all the best with your endoscopy results. I hope everything will be fine and easy to fix. I will continue this thread so you can see my progress.

Alcie - Thank you very much indeed for your post and for your tip on the Barium Swallow. I definitely would like that to be tested as well. Regarding the PPI, I take it first thing with empty stomach the first thing in the morning around 7am. My doctor advised me to give an hour before eating so I listened to him this morning and had my breakfast exactly one hour later. Regarding my evening PPI, I take it around 5:30pm and then eat around 6:30pm (I used to eat around 8:30pm or 9pm in front of TV!). I normally go to bed around 10:30pm-11:00pm so it gives me at least 3 hrs before going to bed.

This evening, I have eaten 1 grilled aubergine and few little pieces of courgette and some seaweed (all supposed to be good GERD diet). So far I feel quite alright with small random swallowing problem time to time. (I drink sip of water when this happens). That's the only trouble so far but if there is any bloating, etc. I will report in another post. I am hoping that I can sleep as good as last night tonight.

roberto123
Regular Member


Date Joined Apr 2013
Total Posts : 32
   Posted 4/13/2013 12:58 PM (GMT -6)   
Dear All,

Here is my daily update.

I felt a little full after my meal last night but after I started feeling better and slept very very well all night. Please note I have a home made wedge on my bed now and also raised my bed around 15cm by putting some tiles under the bed legs.

Today was overall the best day since my Acid Reflux / GERD situation has started. I think sticking to Alkaline foods proving good for me but time will tell... I had the following food today:

Breakfast: Banana and apple smoothy (my fiancé made it for me in the mixer - just one normal size water glass) mixed with Nutri1st Whey Protein (just a little bit not to upset the stomach)

Lunch: small Fish (grilled), green salad and some humus

Snack: 4 strawberries and half an avocado (not the skin just inside)

Dinner: Green Salad (including carrot, sweetcorn and some seeds), Some Lentils (boiled), Humus and cucumbers

After all the meals I felt a little bloated which took around 30-45 min to clear totally. I had my 40mg omeprazole first thing in the morning and another one in the evening (I always leave 1 hour gap for food after taking the medicine - seems working fine). I also had Gaviscon (only 1 spoonful in the morning and 2 spoonfulls for the dinner).

I am hoping to watch some TV normally tonight and hopefully not feeling bad later and then sleep well. I will update you again tomorrow.

I wish you all a pleasant day.

Willovercome
Regular Member


Date Joined Mar 2013
Total Posts : 105
   Posted 4/13/2013 2:26 PM (GMT -6)   
Don't want to be a party pooper but i recommand you to get off ppi as soon as possible. Go with h-blockers like ratinidine.
Also don't be so surprised if you develop weird side effects. It will happen.

This is a link for the NPR article about the study of ppi rebound. Please read every single words carefully and take it seriously. Here in this forum, there are more people who suffer from side effects of ppi than gerd itself.

http://www.npr.org/templates/story/story.php?storyId=112564382

And this is the link to the actual study published in the journal "Gastroenterology"
http://download.journals.elsevierhealth.com/pdfs/journals/0016-5085/PIIS0016508509005228.pdf

Proven:
1. when you even had not had the gerd at all before your ppi, you will have gerd if you once start the ppi,
2. It wii take up tp 8 wks to flush out all the rebound symptoms AFTER you are done with the ppi.


This is another article about side effects from the non profit site called the people's pharmacy.

http://www.peoplespharmacy.com/2011/09/05/do-heartburn-drugs-deserve-strong-warning/

roberto123
Regular Member


Date Joined Apr 2013
Total Posts : 32
   Posted 4/13/2013 2:53 PM (GMT -6)   
Hi Willovercome,

I really appreciate your input. I will read the articles very carefully.

That is exactly my idea. I want to reduce and get off the pills ASAP however today was the first day I felt normal (but still had some bloating on my belly area for 2 hrs after eating). It is kind of scary for me to go back to how I felt last week.

I haven't used the h2 blocker yet. The doctor told me to take it only if omprozole is not effective - he advised to take 2 pills (300mg) if necessary especially be forgoing to bed. I didn't need them so far.

You are so right, I just don't want to fill my body with all sorts of chemicals but I thought I should give 80mg a shot for a week or so then reduce it slowly to 60mg, 40mg and then 20mg over the following week...(of course providing that I feel ok to do so)

What is your opinion? And what kind of side effects should I expect?

Many thanks

inpinkagony
Regular Member


Date Joined Mar 2013
Total Posts : 274
   Posted 4/13/2013 4:14 PM (GMT -6)   
Roberto: You are such kind person thank you for replying in my thread and I am glad to know you are going through the same thing as I am. I have LPR but I refuse to be on medication because of the different side effects that come with it and like will said (hey ej) its really bad for you. My symptoms, got so much worse after I was on protonix for 4 months straight. I have not been able to resolve my symptoms at all right now here are my symptoms.
time to time heartburn
mucus in nose and throat but very mild slowly building up
and bloating and indigestion, I am getting a barium, mamotry and 24 prob done to see what's causing this.
and this lump in the throat (my worst symptom of all)
The scope from my ENT found redness in my throat (voice box) and irritation in esophagus)

I just want to know I am not the only one out there dealing with this but some things you might want to know about LPR it could be caused from malfunctioning nerve or anxiety or more, when I go back to my doctor I will talk to him about this so I can see what's causing my prob, I think you should explore what's causing yours and maybe you can find a really amazing solution. Let's hope we see better day's it's bad enough having GERD but on top LPR is just icing on bad cake :)

Yes LPR supposibly can be greatly reduced on HIGH alkaline diet, and look into by HIGH alkaline water at 8.8 pepsin is deactivated which is the thing that get's into our airways causing the mucus and LPR symptoms. But anything below ph of 6.5 will trigger it the lower you go the higher the activity of pepsin and I would also look into eating the diet by dr. koufman i am trying to follow her dropping acid book and see if I have any improvement

Other things I would do, get 48 testing see if you produce little acid I am planning to get this in year because I maxed my insurance out. cause if that's the case some digestive enzymes would help, and gaviscon advance from the UK is suppose to catch the pepsin but the biggest hurdle is the bile because when we reflux we bring back with us acid and bile and pepsin, pepsin can be deactivated by our choice of foods, acid can be brought down by the pills or what you eat to reflux less but bile stays and nothing you can do about it and this is another thing that stays around in our esophagus and seems to find its way into our airways and throat etc. I really hope I have given you some useful information, there must be something causing your reflux I would explore my options if my insurance was strong enough i would have done that but I am maxed for the year.

Willovercome
Regular Member


Date Joined Mar 2013
Total Posts : 105
   Posted 4/13/2013 4:19 PM (GMT -6)   
Hey, roberto
First of all, You might expect to have heart palpitation. Take magnesium and vit b12(not the huge multi vit for it is not good for your digestion) while you are taking ppi. it may help.

Anxiety and depression might come together with the heart palpitation. Some people claim they feel muscle weakness or spasm due to the magnesium defficiency. Some insomnia.

This side effects never occur to some people, i really do hope you are one of them.
It's just that we who suffer gerd usually can't eat very well and lose weight severely hence we tend to lack this essntial minerals and vitamins in the first place.(have you lost a lot of weight? If so search for 'weight loss' here you will see how peopel suffer weight loss and sacred of it)
So it's a lot more common than you or doctors think. When you ask them they shrug and say "nah, only when you were on it for a long time" but the thing is this ppi is hard to stop and once you start you have a big chance that you ARE GOING TO BE ON IT FOR A LONG TIME.

If you sense any of the side effects don't be alarmed and worried too much about it but talk to your doctor to SWITCH to h blockers not adding it to your ppi.

Also, you are exposed to all sorts of germs now due to the fact that your acid is blocked completely so you are more prone to have infection. So you should be more careful around people.

Bone fracture is especially possible for older woman but younshould be ok if you take for a short period.

Again, i understand you that you want to be on it for while since you have tasted the beauty of the drug. You don't want to go back to that agony and nightmare. You are elated and sing praise for this powerful drug now. Trust me, I know because i've been there, done that.
But once you feel normal and stop the drug, after a few days you'd feel your problem again if not worse. You would want to go back to ppi. It's called acid rebound. If you have read the article you would known that by now.

Unfortunately There is no no-pain cure for the acid rebound. You have to wean off ppi and go with the ranitidine, suffering through up to 8 wks. Sooner you stop quicker you acid rebound will end.

I have been on it two separate times for a month each,( i was done with ppi but after a while had to go back, you see) and when it's been a month after i am done with the last ppi, I still have acid rebound problem which forces me to take care of with zantac on and off.
I was a healthy person, full of energy when i had an epidsode last Nov and started ppi. Since than i don't even remeber what i was like. 5 months of hell, imagine!

See, if you are going to have to wean it off after all, either after a month or three months or even years,(there are many here who have been on ppi for years because they are hooked)why not make it sooner than later? Do you know how much that drug is promoted right now? It's a huge money maker.

Have you done endoscopy? I suggest one if you are not cured completely after you are done with the ppi. Once you are clear with the result you should be good to go with ratinidine. And careful diet of course. Some people can't take h blockers for various reasons, or it simply doesn't work very well for some people. I just hope you are ok with the h blockers.

Be positive is good. Important for this thing.
'Cause my friend, gerd doesn't go away quietly.

roberto123
Regular Member


Date Joined Apr 2013
Total Posts : 32
   Posted 4/14/2013 1:48 PM (GMT -6)   
Dear All,

inpinkagony & Willovercome thank you very much indeed for your inputs. Very much appreciated.

After my post yesterday, I watched TV with my fiancé but felt really bloated on my belly area and some belching. I was quite uncomfortable really. Then felt alittle better and went to bed around 10:30pm after taking 10ml Gaviscon.

I woke up at 12:00am midnight with a bit of a cough and I needed water to clean my throat (felt like Acid travelled all the way up although I was sleeping on the wedge...). I fell asleep again and then woke up at around 2am, this time worse then before, I needed to drink again and then walk around the house just to settle my stomach...It took around 15 minutes and after some belching I felt better. Went bed and slept till morning.

When I woke up, I felt excellent. My fiancé and I are getting married next month in a church where we used to live (around 2.5hrs away from our current location) and we went for a wedding rehearsal appointment today in the church - so this was my first long trip since last Sunday.

I took my 40mg Omeprazole and we left quite early in he morning. First I was driving for 30 min or so but felt a little uneasy so my fiancé started driving. I felt bloated during the journey. As a breakfast I had some home made smoothy with apple, bananas and a little mix of Whey protein. After taking this felt a little better. We have been to the church for the rehearsal and I felt excellent (I was probably quite happy at the time so this makes me also thinks the psychological aspects of gerd and how moods can affect it...)

For Lunch, I had quarter blowl of green salad with carrots and some cuscus with chickpeas falafel. I had around 5ml Gaviscon after lunch.

As a snack on the way back, I had 6 strawberries (no Gaviscon). Felt OKfor about 30 min but then felt belching and a bit of bloating on the way back..wasn't too bad (compared to whaat I have been through last week).

We arrived home and took our 2 black labs for 30 min walk. Felt perfect. We came back and sat in the garden for 30 min and I had dandelion tea. No problems.

As a dinner I had 3 chickpea falafels, 4 green beans, a small portion of humus and half avocado (Please note the avocado is a miracle superfood for me. I am feeling that it is really helping me).

Here I am writing to you around 45 min after lunch and feeling very good at the moment. I hope it will continue throughout the night and during sleep.

I will update again tomorrow. Take care all.

roberto123
Regular Member


Date Joined Apr 2013
Total Posts : 32
   Posted 4/15/2013 2:26 PM (GMT -6)   
Hi all,

Here is today's update:

Slept very well last night without any disruptions.

This morning I woke up quite well. Took my 40mg Ompr. and 1 hour later I have ate my new usual breakfast of banana and apple smoothy with whey protein.

Felt overall very good today generally but I can still feel some pressure (I think there is still liquid climbing to my throat but not disturbing me as much - my acid levels are low because of PPIs but this is worrying because the symptoms are still there and I don't know why this liquid is still climbing up! Probably weakened stomach muscles but we will see that after endoscopy).

Also the PH strips that I ordered arrived today. You basically spit into a spoon and use the strips or alternatively you can use it first thing in the morning with your urine. I use the spit test and it ave me the result of 6.25 which was acidic. My finace did the same and she was 7.25 to 7.50 which is very good.

For snack after breakfast I had one apple and one cucumber.

For lunch I had very small chicken breast pieces, salad and humus and 3 chickpea falafels. +5ml gaviscon

I had another 40mg Ompr. one hour before dinner.

For dinner: I had mall chicken breast, humus and salad again...+5ml gaviscon

For snack: I had 6 almonds.

It has been 1:30 hrs since I had my dinner but still feeling a bit bloated right now. I am hoping that it will get better soon. (normally it does after 3 or 4 belching)

See you tomorrow and take care.

roberto123
Regular Member


Date Joined Apr 2013
Total Posts : 32
   Posted 4/17/2013 4:16 AM (GMT -6)   
Hi All,

I had some problems during the night previous night. The acid travelled all the way to my throat and I had to wake up 2 times again. However last night I slept good. There is really no pattern. The acid seems to be coming and going. I am pretty much eating the same alkaline diet.

I was at work first time after some time yesterday. And felt quite OK at the office. Still needed to sip the water time to time. It now disturbs me psychologically as well as physically if I don't have my bottle of water with me at all times. I don't want to be 'addicted' to it so trying to limit it.

My endoscopy is now scheduled for next Tuesday (23rd April) and I am a little terrified so decided to do it with sedation. I hope it won't reveal any terrible news. We shall see.

This morning I woke up pretty well. Had my breakfast in the morning but forgot to take my Gaviscon. I can feel a little fullness in my throat as I write (mid morning at the moment)...

Take care.

roberto123
Regular Member


Date Joined Apr 2013
Total Posts : 32
   Posted 4/17/2013 11:06 AM (GMT -6)   
Hi all,

Just fond out that I need to give up all the PPIs from today for the endoscopy! My doctor never told me about that before, somebody told me so I asked the doctors and they confirmed. Doctors want to see the state of the stomach without PPIs. I don't know how my body will react as I normally take 40mg Ompr. in the morning and another 40mg at night. I have already taken today's morning pills but won't take any more until next Tuesday. I am hoping that I will not get an immediate acid rebound...

I am feeling very well at the moment. Had fruits and veg in the morning and afternoon. I will have my last meal at around 5:30pm today as I don't know what to expect without PPIs.

I will update you guys tomorrow.

Take care.

Willovercome
Regular Member


Date Joined Mar 2013
Total Posts : 105
   Posted 4/17/2013 2:18 PM (GMT -6)   
That's interesting. My doctor had no problem with me taking ppi in the morning of the endoscopy.(timing sake) I just couldn't because it was early in the morning and they said not to drink even a sip of water so...
You still may take ranitidine just in case you get heartburn the night before(tonight), i am sure, though.
Best luck with you endoscopy!

roberto123
Regular Member


Date Joined Apr 2013
Total Posts : 32
   Posted 4/18/2013 2:18 AM (GMT -6)   
Hi Willovercome,

It also says here:


"Patients undergoing endoscopy should be free from medication with either a PPI or an H2-receptor antagonist (H2RA) for a minimum of two weeks. "

The doctor also advised not to take even the H2-receptors if I can manage. If I have to take something then he suggested only 20mg Ompr.

I haven't taken my second dose of 40mg Ompr. last night and woke up in the middle of night with some reflux. It wasn't too much and lasted for about 20-30 min and I had to take sips of water to calm it down then I fell asleep again. This morning I woke up very well. Had my fruit and vegetable juices and had 10ml Gaviscon. Feeling alright at the moment. Will be a very busy day at work (as I am travelling to 2 clients today) and hoping to feel well later.

Take care.

roberto123
Regular Member


Date Joined Apr 2013
Total Posts : 32
   Posted 4/18/2013 2:18 AM (GMT -6)   
sorry forgot to paste the link in the previous post:

http://www.patient.co.uk/doctor/gastro-oesophageal-reflux-disease

roberto123
Regular Member


Date Joined Apr 2013
Total Posts : 32
   Posted 4/19/2013 2:48 AM (GMT -6)   
Hi all,

had a really busy day yesterday. Travelling with train to clients around 2 hours. Felt OK all day apart from Train journeys. I felt really sick on the way back home, I had to cough a lot in the train and had sips of water.
However when I arrived home, I felt much better and had a very good sleep last night.

I woke up OK this morning and just had my usual breakfast. Life without PPIs at the moment seems tolerable and I am hoping that the acid levels will not really raise up until my endoscopy on Tuesday.

Take care

Willovercome
Regular Member


Date Joined Mar 2013
Total Posts : 105
   Posted 4/19/2013 12:30 PM (GMT -6)   
Thank you roberto,
It seems to be uk link. They are doing things a little differntly from here. Eg. They are allowed(?) to give you ppi only a few days at a time only when the symptom is especially bad unlkie American drug bombardment ;)
Anyway, there must be a good reason for the precautions. But then what could have happend, i wonder? Mine showed mild case against my actual feeing. Maybe that's why! :) i was taking it for a week before the endoscopy according to 'doctor's' recommendation.
Oh well, what is done is done and life goes on...
Good luck. Hope you will be ok.:)

cirebon
New Member


Date Joined Apr 2013
Total Posts : 3
   Posted 4/20/2013 12:14 AM (GMT -6)   
Hi...all,

I have had a problem with GERD for 4 years now, but I didn't care too much about it until now when it got really bad. I just had my endoscopy and it showed that I had erosion and ulcer in my esophagus due to prolonged acid reflux. I have frequent stomach pains every day, I feel dizzy, every time I have a meal, my stomach is so bloated and pain in left side of the chest, and to make things even worse, I feel like there is a lump in my throat.

I took PPI's (nexium), and at first it was working like magic but over time it didn't seem to help anymore. The result of taking PPI's for a long period causes fundic gland polyps which they found as well during my endoscopy. I was so concerned about the PPI's and fundic gland polyps even though my GP said was safe, I decided to stop it and I replaced it with H2 antagonist like zantac or gaviscon which works better for me too.

At the moment I'm trying a gluten free diet (5 days already), just to know if all this acid reflux and stomach pain was caused by gluten sensitivity. I will stick to it for at least for 4 weeks to see if it actually works.

We should find what causes the acid reflux, not just try to stop it with medication, as taking medication for a long period will eventually have side effects.

Take care all....

roberto123
Regular Member


Date Joined Apr 2013
Total Posts : 32
   Posted 4/21/2013 3:19 AM (GMT -6)   
Hello Cirebon,

Thank you for sharing your experience. It looks like we are having very similar symptoms. I am specifically experiencing the lump on the throat sensation, especially towards the evening and just before sleeping. I need to take sips of water or swallow but I can feel that sometimes I can not swallow properly and sometimes even panic (feels like muscles are twitching because of acid and I need to clear it with water).

Regarding the diet, I am on a strict diet myself. I am eating 90% alkaline foods at the moment. It definitely helped.

I am without PPIs since Thursday now. Generally I am ok but I am finding it more difficult in the evening especially around 8pm-11pm, it looks like I am having throat problems and some bloating. Please note I eat the last meal normally around 6:30pm so it should give enough time for the stomach to be emptied before going to bed around 10:30-11pm.

I have my endoscopy on Tuesday at 4:30pm (and not really looking for it as I am a little scared from it but good job I will do it with sedation - so hoping that it will be an easy one). You said you have erosion and ulcer in your esophagus. What is the treatment for that? What did the doctor say? Will the ulcer go away over time?

Take care

cirebon
New Member


Date Joined Apr 2013
Total Posts : 3
   Posted 4/22/2013 2:18 AM (GMT -6)   
Hi..roberto,

My stomach pain has gone since I took zantac and at the moment I continue with gaviscon. I still have that lump in the throat feeling, but I am kind of happy if that's the only problem, I just need to deal with it slowly,and try to find natural medicine for it as my GP told me to take PPIs for the rest of my life, which worries me, especially after finding out what PPIs can do to my health.

For my erosion and ulcer in my oesophagus, my GP wants to treat it with PPIs, but I refused. So now I just have to change my pattern of eating, so instead of 3 times a day, I eat smaller portions 5 times a day, this way I avoid the acid reflux and hopefully over time the ulcer will heal itself, and gaviscon also will help heal it.

Don't worry for your endoscopy tomorrow, I have done that procedure 3 times. The Dr will put you asleep, by the time you wake up you won't even know that they've done it.

Good luck for Tuesday.

roberto123
Regular Member


Date Joined Apr 2013
Total Posts : 32
   Posted 4/23/2013 12:03 PM (GMT -6)   
Hi All,

I am really angry myself today. Went to the hospital for the endoscopy. Really lovely doctor and nurses. They gave me sedation. Unfortunately the sedation almost not work at all...I thought I would be at least sleepy but NOTHING! I warned them aout this but they said it can take 5min-10min and started to prepare other stiff. When it comes tothje actual thing, I was wide awake and she started to put the tube for the first time, I completely freaked out....then she tried the second time...the same again. They terminated the operation and told me that the only thing I can do in this circumstances is Barium test. Which will be done int he next few days due to que, etc. Really disappointed with my self not to be able to going through with it but I just couldn't....Let's see what will happen after this stage...

roberto123
Regular Member


Date Joined Apr 2013
Total Posts : 32
   Posted 4/23/2013 12:03 PM (GMT -6)   
Hi All,

I am really angry myself today. Went to the hospital for the endoscopy. Really lovely doctor and nurses. They gave me sedation. Unfortunately the sedation almost not work at all...I thought I would be at least sleepy but NOTHING! I warned them aout this but they said it can take 5min-10min and started to prepare other stiff. When it comes tothje actual thing, I was wide awake and she started to put the tube for the first time, I completely freaked out....then she tried the second time...the same again. They terminated the operation and told me that the only thing I can do in this circumstances is Barium test. Which will be done int he next few days due to que, etc. Really disappointed with my self not to be able to going through with it but I just couldn't....Let's see what will happen after this stage...
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