GERD - Resources and Treatment Options

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Admin
Forum Administrator


Date Joined Jan 2003
Total Posts : 9743
   Posted 10/23/2003 9:56 AM (GMT -7)   
So you found our forum, but do you know about all the wonderful resources HealingWell.com has to offer?  You have a number of places to start:
  • Top and bottom page navigation links to information, articles, video webcasts, resources, newsletter, books and much more.
  • Direct links to topic disease-specific areas (see right column under heading "Links"), which change based on the forum you are viewing.
  • As always, you can visit the GERD - Heartburn Resource Center located at http://www.healingwell.com/GERD/ for all this and more.

Take a moment to explore, we hope that you will stay awhile and visit HealingWell.com often.

Post Edited By Moderator (stkitt) : 10/7/2012 11:53:30 AM (GMT-6)


stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 8/14/2011 8:07 AM (GMT -7)   
Denise's Nissen Recovery Journal
My Forum Journal
www.healingwell.com/community/default.aspx?f=45&m=2183443

Bill's Nissen Recovery Journal
www.healingwell.com/community/default.aspx?f=45&m=2337138

JPT's LINX Recovery Journal
www.healingwell.com/community/default.aspx?f=45&m=2639859

Nissen Surgery Information:
www.webmd.com/heartburn-gerd/fundoplication-surgery-for-gastroesophageal-reflux-disease-gerd


Post Nissen Diet Information
www.oregonsurgical.com/pdfs/Nissen_Fundoplication_Diet.pdf

www.upmc.com/patients-visitors/education/nutrition/pages/diet-after-nissen-fundoplication-surgery.aspx

Anti-Dumping Diet Information
gicare.com/diets/anti-dumping-post-gastrectomy-diet/

/uvahealth.com/services/digestive-health/images-and-docs/dumping-syndrome.pdf

Postoperative Gastrointestinal Complaints After Laparoscopic Nissen Fundoplication
A study from the Journal of the Society of Laproscopic Surgeons
It's a little technical, but generally easy to follow.
www.ncbi.nlm.nih.gov/pmc/articles/PMC3015672/

Caution: These links are for your information only and should never take the place of instructions given to you per your surgeon.

Post Edited By Moderator (dencha) : 5/13/2015 8:12:48 AM (GMT-6)


stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 4/20/2012 3:06 PM (GMT -7)   
GERD Treatment Options !
 
  • A doctor said that you have gastroesophageal reflux disease (GERD), a chronic disease that causes ongoing pain and burning in the chest and throat (heartburn). GERD is also called “acid reflux disease.”
  • You want to know what research says about your options.
  • Check out this link provided by Denise, one of our wise members.  Thanks Denise.

http://effectivehealthcare.ahrq.gov/index.cfm/search-for-guides-reviews-and-reports/?productid=756&pageaction=displayproduct

GERD - Putting it all together !
 
 
Here are some suggested lifestyle changes   to help acid reflux (GERD).
 
 
Here is a document that emphasizes the correct way to take PPIs.

~~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."

Post Edited (stkitt) : 6/28/2013 11:04:04 AM (GMT-6)


stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 4/25/2013 8:52 AM (GMT -7)   
When GERD and IBS Symptoms Overlap

www.everydayhealth.com/gerd/gerd-ibs-connection.aspx


Caution: This link is for your information only and should never take the place of instructions given to you per your Physician

Post Edited By Moderator (dencha) : 7/7/2014 8:11:27 PM (GMT-6)


dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7180
   Posted 5/20/2013 6:21 AM (GMT -7)   
HEALTH ANXIETY
Often painful and chronic GERD symptoms can lead to Health Anxiety. This anxiety can become overwhelming, and can even make your symptoms worse. Here are some great resources to help deal with Health Anxiety issues. Just work through each module, and the process can help you understand and deal with that troubling symptom that can interfere with your life. Good luck!

PS...No matter how hard I try, some of these links won't work. Just copy and paste them into your Google search and they will come up ! Click on the Google topic response and you will open up the PDF file.

Remember you must put the link for each module into the search engine one by one.

Module 1:
www.cci.health.wa.gov.au/docs/Health%20Anxiety%20Module%201.pdf

Module 2:
http://www.cci.health.wa.gov.au/docs/Health%20Anxiety%20Module%202.pdf

Module 3:
http://www.cci.health.wa.gov.au/docs/Health%20Anxiety%20Module%203.pdf

Module 4:
http://www.cci.health.wa.gov.au/docs/ACF6425.pdf

Module 5:
http://www.cci.health.wa.gov.au/docs/ACF88A2.pdf

Module 6:
http://www.cci.health.wa.gov.au/docs/Health%20Anxiety%20Module%206.pdf

Module 7:
http://www.cci.health.wa.gov.au/docs/ACF6428.pdf

Module 8:
http://www.cci.health.wa.gov.au/docs/Health%20Anxiety%20Module%208.pdf

Module 9:
http://www.cci.health.wa.gov.au/docs/Health%20Anxiety%20Module%209.pdf

If you can't view the PDF documents it's likely you don't have a PDF viewer installed on your computer.
You can get a safe and free download at Adobe Reader here:
http://get.adobe.com/reader/
GERD/Heartburn Moderator
Nissen Fundoplication 2/09
Allergy/Asthma

"Whatever you fight, you strengthen, and what you resist, persists.”

“Worry pretends to be necessary but serves no useful purpose”

“Accept - then act. Whatever the present moment contains, accept it as if you had chosen it. Always work with it, not against it.”
Eckhart Tolle

Post Edited (dencha) : 7/7/2014 8:18:56 PM (GMT-6)


stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 6/24/2013 8:03 AM (GMT -7)   
Medications and Side Effects:
 
 

Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment.

Data sources include Micromedex™ (updated May 17th, 2013), Cerner Multum™ (updated June 18th, 2013),


~~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."

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 8/18/2014 7:35 PM (GMT -7)   
Information on ACV aka Apple Cider Vinegar

www.healingwell.com/community/default.aspx?f=45&m=3157034

This link is for an on going thread about one person's experience, and the possible side effects of Apple Cider Vinegar.
www.healingwell.com/community/default.aspx?f=45&m=3147061


Please consult with your doctor before starting any new treatments for GERD/LPR.

Take care,
Bill

Post Edited By Moderator (dencha) : 8/19/2014 7:44:11 AM (GMT-6)


dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7180
   Posted 8/18/2015 1:08 PM (GMT -7)   
The document above describing a PDF that explains how to take your PPI properly is no longer available online. The pertinent information has been copied below. It is written for medical professionals, so there is some technical information included. Just take what is useful to you and disregard the rest!

"You want to assure patients that PPIs are very effective drugs; however, it is important that they be equally aware that it may take some time before they have symptomatic relief. Then, whether or not they experience immediate relief, this medication must be taken everyday continuously and on a long-term basis in order for it to be effective.

Taking PPIs on an as needed basis will not provide adequate acid inhibition in patients with more complex reflux, as PPIs do not permanently bind to proton pumps. Without routine use of the drugs, actions can be reversed by regulatory body mechanisms. Principally, glutathione reductase is responsible for reversal of acid inhibition by breaking the covalent bonds between the drug and the proton pumps.

Additionally, PPIs only work on activated proton pumps. Because of the body’s natural regulation process, inactivated ones will ultimately be activated, resuming acid secretion. Eventually, with continual and consistent use, maximal suppression of acid secretion can be achieved. Conversly, once PPIs have been discontinued, symptoms can return quickly, reinforcing that PPIs are not a cure for acid reflux.

All these points cannot be emphasized enough to patients.
Next, it is prudent that patients understand the importance of taking PPIs properly. Patients should be instructed to take PPIs in the morning, as this is when the amount of proton pumps located on the parietal cells is the greatest. PPIs should also be taken at least an hour before breakfast because they are absorbed in the small intestine, and it takes at least 30–40 minutes for the drug to empty out of the stomach and into the small intestine. Maximizing the absorption of the medication is the first step to ensuring optimal drug benefits.
If a PPI is taken with food, complete absorption and subsequently, full drug effects, will be lost. After the hour has passed, the type of meal eaten
after taking a PPI is very important for maximizing the effectiveness of the medication. Patients should be informed that their first meal after a PPI should be a protein-rich meal (e.g., milk, cheese, yogurt). Protein stimulates the release of gastrin, the major hormone responsible for regulating acid secretion. Gastrin is located in the antrum and stimulates acid secretion through various mechanisms including direct stimulation of proton pumps on the parietal cells and enhancing histamine release.


Without sufficient protein in the meal following PPI intake, only about 10% of the proton pumps will be stimulated by the meal, and the other 90% of the pumps will remain inactive or “asleep.” A protein-rich meal will better activate the release of gastrin to stimulate all available proton pumps, this ensures therapy is most effective, as PPIs can inhibit meal-stimulated acid secretion.

I find that one of the best ways for patients to understand the repercussions is to talk in dollars and cents. They will only get 10 cents on every dollar if they do not eat enough protein after PPI intake.

Dose escalation may be necessary, so it is important patients try not to get discouraged with their therapy. Dosing is highly individualized, based on the level of inhibition required for each patient. Some patients will require twice a day dosing with PPIs due to severe reflux. For such patients, their first dose should be taken in the morning, an hour before breakfast, and their second dose should be taken in the evening, an hour before dinner. Patients should also be instructed to avoid taking their evening dose at bedtime.

An even smaller subset of patients will have nocturnal acid breakthrough (NAB), requiring an H2-blocker at bedtime. Patients should be directed not to take H2-blockers simultaneously with their PPI doses, or it may result in reduced efficacy on acid inhibition overall.

Separating the evening PPI dose and bedtime H2-blocker dose as much as possible will ensure optimal acid inhibition. Unfortunately, resistance to H2- blockers may occur quickly. A 2002 study evaluated the combination of twice a day PPI therapy with bedtime H2-blockers for patients with complicated gastroesophageal reflux disease.

While results showed an 18% initial response rate, NAB resumed in 50% of those patients after one week and in 62% after one month. Hence, emphasizing the importance of continued use despite the lack of symptomatic relief becomes
critical."

SOURCE:
14 PRACTICAL GASTROENTEROLOGY • JANUARY 2007
Digesting the Complexity of
PPI Management and Care
Stuart A. Frank, M.D., FACG, Clinical Associate Professor
of Internal Medicine, South Western Medical
School, Dallas, Texas.
by Stuart A. Frank
GERD/Heartburn Moderator
Nissen Fundoplication 2/09
Allergy/Asthma

"Whatever you fight, you strengthen, and what you resist, persists.”

“Worry pretends to be necessary but serves no useful purpose”

“Accept - then act. Whatever the present moment contains, accept it as if you had chosen it. Always work with it, not against it.”
Eckhart Tolle

Post Edited (dencha) : 8/18/2015 2:22:34 PM (GMT-6)

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