Oesophagitis( esophagitis) and gastritis

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Croftboy
Regular Member


Date Joined May 2014
Total Posts : 71
   Posted 5/10/2014 5:46 AM (GMT -6)   
Hi everyone I am a new member and obviously not alone in feeling miserable and frightened about their GORD (GERD IN US) symptoms; which is reassuring. I am a 57 year old UK resident.
I have been on a really low dose of Omeprazole ( 10mg) for seven years following chronic reflux and 2 episodes of oesophageal spasm ( which is the scariest thing ever IMO). Been absolutely fine until 4 weeks ago when went on holiday to France where we have a little place after a really stressful period ( building a new build house - a nightmare for various reasons). The first week I was ok but had a little discomfort in the stomach which I ignored and some indigestion. Ate all the fab food and drank plenty of red wine as usual :blush . Met up with sister and friends and probably over did it a little . Second week was meant to be chilling time but had gastritis and felt awful- doubled my dose for a couple of days and seemed fine again but same thing happened after a couple of days-I also had pain behind my breastbone which I had never had before as far as I can remember - it was/ is very scary. It only lasted for a short while but it started me worrying - I also lost about 5 or 6 pounds in weight so that added to my anxiety and I started to imagine all the worst things ( I am a terrible worrier - not helped by being an ex nurse!) as others on here clearly do. I guess the weight loss could be explained by the massive reduction in food intake and anxiety though? I seem to have stabilised my weight agin but I am still not at the same weight ( I was 11 stone 2lb now 10 stone 12) This pattern continued for the rest of the holiday- ie ok for a day or two then feeling terrible with stomach and sometimes chest pain.
I went to see my GP on my return who examined me and said she agreed with me that it seemed to be oesophagitis and doubled my dose to 20mg but said I could take 40 if necessary. The last 2 weeks have been a roller coaster - joy when I think I'm fine followed by depression and anxiety when I'm not a couple of days later. I have only taken the 40mg three times so far including last night when the chest pain lasted longer the before ( usually max an hour but last night about 3-4 but did eat pizza and drink red wine as I was so bloody fed up with it).
I am terrified of having a gastroscopy so am worried about going back to Dr. I have been telling myself to give it time to heal - I.e at least 4 weeks but at the moment don't feel like I will ever be ok again - hopefully I am being irrational!
Has anyone else had a similar history? And can they give me any hope ?
I must say reading some of the posts I feel much luckier so far than some poor individuals who seem to have suffered far worse for far longer than me.It does help to know you are not alone.

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 5004
   Posted 5/10/2014 7:24 AM (GMT -6)   
Welcome to the forum, Croftboy.

You are not alone! Sorry this is worrying you so much. When you read the posts remember they're mostly from people with complaints. When everything's fine people mostly don't post. So don't think the worst!

You might cut out the wine and pizza for a month or so and see if that helps. Start keeping a food journal - look that up in the search box at the top of the page. You may find you have trigger foods like a lot of us do.

Omeprazole doesn't work for everyone, and as you said, you have been on a very low dose. If upping your dose doesn't work, tell your doctor and see if you can switch to another of the many products available.

I found that I could control my reflux events by eliminating my trigger foods. I still had a bad lower esophageal sphincter, LES, and had some stomach fluids leaking up when lying down, but at least what came up was non-acid. At least I didn't have the pain after eating and tachycardia (my reaction to trigger foods). Check your heart rate when you're having an event.

You really need to follow the manufacturers directions in taking PPIs. They don't work if you just take them when you have symptoms. If you take your dose first thing in the morning, followed by food after a half hour to an hour, then the medicine works better. The acid pumps have to be turned on for the medicine to work. Medicines that have to be metabolized need usually around 45 minutes to get changed by your body to the form that works.

I know it's tough to get anything done in the UK, but you might ask if you could have a barium swallow to see if you have a hiatal hernia and how bad your reflux is. It doesn't hurt and non-invasive. Scopes aren't really bad but they can miss things and won't show how the stomach is behaving when there's something in it. Getting the scope is something you must do though.

Croftboy
Regular Member


Date Joined May 2014
Total Posts : 71
   Posted 5/10/2014 7:43 AM (GMT -6)   
Thanks Alcie I will try your suggestions - no red wine for a month will be tough though :) I know I should get scoped but really am quite phobic about it and what it might find! Stupid I know -I thought I would give it a little longer and keep my dose at 40 - 20 in morning and 20 about 8 pm for a week to see if it makes any difference - BTW. What I'd 'LES' I've seen it on a few posts and guess it's something that is a US term ?
Anyway hope you continue to be well and thanks for taking time to reply x

Croftboy
Regular Member


Date Joined May 2014
Total Posts : 71
   Posted 5/10/2014 7:47 AM (GMT -6)   
I meant what is LES. -sorry x

Andy1986
Veteran Member


Date Joined Dec 2012
Total Posts : 1171
   Posted 5/11/2014 3:43 AM (GMT -6)   
I think if you take care with your diet youll likely be ok. Avoid fatty and spicy foods, no alcohol or coffee or carbonated or acidic drinks (try to stick to water). Avoid trigger foods like raw veg, veg with skins, onuons, garlic, cheese, or too much meat.

You should be feeling better in a couple of weeks then slowly introduce tings again.
GERD, Anxiety, Depression, Rolling Hiatus Hernia, Esophageal Hypersensitivity

Croftboy
Regular Member


Date Joined May 2014
Total Posts : 71
   Posted 5/11/2014 6:02 AM (GMT -6)   
Thanks Andy I have to say I haven't been very careful with the diet- soon as I feel ok I eat and drink normally which is probably why I keep relapsing- I will make more of an effort this coming week- trouble is it's all the things I like! Garlic, red wine and meat- but now need to sort it out.
Thanks for your advice

Croftboy
Regular Member


Date Joined May 2014
Total Posts : 71
   Posted 5/11/2014 6:41 AM (GMT -6)   
I've been on 40mg Omeprazole since having a bad evening on Friday and so far so good- but been there too many times over last three weeks to believe that's it!
I woke up today with a horrible 'metallic' taste in my mouth which I still have this afternoon- has anyone else had this? Is it a result of the increase dose ??

Andy1986
Veteran Member


Date Joined Dec 2012
Total Posts : 1171
   Posted 5/11/2014 4:09 PM (GMT -6)   
Ive had a lot of strange tastes in my mouth, PPIs can make your mouth a bit dry and taste funny.

Try taking 20mg before breakfast and 20mg before dinner in the evening. I find it much more effective as PPIs get less and less strong over time, I find the booster before the evening helps as thats when I have the most food.

Keep taking it easy, its good to feel better but for the next few weeks any little slip up and you'll be back where u started, believe me I know!
GERD, Anxiety, Depression, Rolling Hiatus Hernia, Esophageal Hypersensitivity

Croftboy
Regular Member


Date Joined May 2014
Total Posts : 71
   Posted 5/12/2014 12:31 PM (GMT -6)   
Cheers Andy that is really helpful- I have been taking it like that - just realised that I have forgotten to take it before dinner tonight which I have just eaten ( not too bad so far- a tiny bit 'tight' but fine) so will have to take later now- I've decided to stay on the 40 mg until Friday then go back to Dr to see what she thinks I should do re ongoing dosage. I'm also wondering whether to ask her to test for H pylori and whether it might be worth trying a different PPI seeing as how I've been on Omeprazole so long.
It's my birthday on Friday - what a lovely present!
The taste thing not there really today so far which is a hell of a relief - ruined my glass of red last night! ( I know :) but three days alcohol free now)
I do take your point about being careful - I am learning slowly- it's just so difficult as you all know- thing is I've been practically symptom free for 7 years on a tiny dose so it's just SO depressing to feel like this. Like others on here I've been panicking as I have lost a bit of weight ( approx 5lb) in this 4 weeks - and of course it's a vicious circle as the anxiety causes more weight loss and stomach gripes.
I have to say that the forum has been a real help wives and friends don't really understand how it is or why you are so worried.
thanks again - I'm really grateful for your support
Hope you are on a good run
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