Severe Reflux from PPIs
Moderators: Rosie, Stanz, Jean, CAMary, moremuscle, JFR, Dee, xet, Peggy, Matthew, Gabes-Apg, grannyh, Gloria, Mars, starfire, Polly, Joefnh
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nsaidcolitis
- Adélie Penguin
- Posts: 92
- Joined: Mon Nov 04, 2013 4:25 pm
Severe Reflux from PPIs
please everyone could you suggest wat to do for my LES to regain its strength? im going throu severe rebound and coughing up blood with a lot of troat irritation, made worse after being retreated for h pylori. I dont want to go back on PPIS since they caused the issue in the first place. im very scared of going back on them.
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Gabes-Apg
- Emperor Penguin
- Posts: 8332
- Joined: Mon Dec 21, 2009 3:12 pm
- Location: Hunter Valley NSW Australia
are you taking Vit D and magnesium?
good levels of these will be essential for healing
google 'strengthen LES' there are great You Tube videos etc that show the exercises /breathing exercises that can strengthen it.
good levels of these will be essential for healing
google 'strengthen LES' there are great You Tube videos etc that show the exercises /breathing exercises that can strengthen it.
Gabes Ryan
"Anything that contradicts experience and logic should be abandoned"
Dalai Lama
"Anything that contradicts experience and logic should be abandoned"
Dalai Lama
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nsaidcolitis
- Adélie Penguin
- Posts: 92
- Joined: Mon Nov 04, 2013 4:25 pm
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Gabes-Apg
- Emperor Penguin
- Posts: 8332
- Joined: Mon Dec 21, 2009 3:12 pm
- Location: Hunter Valley NSW Australia
Vit D3 - minimum of 5000iu per day (if you havent taken any for a while then you might consider 7000iu-8000iu for a few weeks then drop back to 5000iu)
to optimise Vit D use, you may need some Vit K
I have two Vit D products, one with Vit K and one without, so that i can get good doses of Vit D and not overdo the K
(does this make sense)
magnesium - aim to get at least 500mg elemental magnesium per day for 8 weeks then maybe drop back to 350mg elemental magnesium.
(each product can be different for dosage so check the label)
quite a few people here are having fantastic results using ReMag powder/liquid. well absorbed, no gut issues if spread through the day.
be patient it may take a few weeks (3-8 weeks) to get the Vit D and magnesium levels up to help the healing etc...
do the exercises and over time things should improve.
to optimise Vit D use, you may need some Vit K
I have two Vit D products, one with Vit K and one without, so that i can get good doses of Vit D and not overdo the K
(does this make sense)
magnesium - aim to get at least 500mg elemental magnesium per day for 8 weeks then maybe drop back to 350mg elemental magnesium.
(each product can be different for dosage so check the label)
quite a few people here are having fantastic results using ReMag powder/liquid. well absorbed, no gut issues if spread through the day.
be patient it may take a few weeks (3-8 weeks) to get the Vit D and magnesium levels up to help the healing etc...
do the exercises and over time things should improve.
Gabes Ryan
"Anything that contradicts experience and logic should be abandoned"
Dalai Lama
"Anything that contradicts experience and logic should be abandoned"
Dalai Lama
Nsaid,
Use an H2 blocker to help suppress the acidity as needed while you are recovering from the PPI damage. Some people find that Pepcid works better than Zantac, but you may have to experiment. As your LES slowly strengthens, you should be able to reduce the dosage and/or the frequency of the H2 blocker and eventually you should be able to wean off the H2 blocker completely.
H2 blockers do not cause the rebound effect that PPIs cause, and they only last for a few hours, unlike PPIs which suppress acid production for about 3 days.
You'll find some more tips in this download:
http://www.microscopiccolitisfoundation ... 011616.pdf
Recovering from the problems caused by a PPI is tough, but it can be done.
Tex
Use an H2 blocker to help suppress the acidity as needed while you are recovering from the PPI damage. Some people find that Pepcid works better than Zantac, but you may have to experiment. As your LES slowly strengthens, you should be able to reduce the dosage and/or the frequency of the H2 blocker and eventually you should be able to wean off the H2 blocker completely.
H2 blockers do not cause the rebound effect that PPIs cause, and they only last for a few hours, unlike PPIs which suppress acid production for about 3 days.
You'll find some more tips in this download:
http://www.microscopiccolitisfoundation ... 011616.pdf
Recovering from the problems caused by a PPI is tough, but it can be done.
Tex
It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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nsaidcolitis
- Adélie Penguin
- Posts: 92
- Joined: Mon Nov 04, 2013 4:25 pm
thanks tex and gabes i bought vitamind gelcaps d3 but it irritates my stomach a lot, 1000ui doesnt seem to hurt that much, would it be ok to start with 1000ui , i noticed improvement i really wish i could go for 5000uis a day but my stomach is really in a bad shape from h pylori! 
ppis might just leave me disabled the reflux it caused is really bad, i was doing so fine before them! i wnder if the les it can gain back its strength before i tuched that poison.
ppis might just leave me disabled the reflux it caused is really bad, i was doing so fine before them! i wnder if the les it can gain back its strength before i tuched that poison.
Regarding vitamin D supplement rates — anything is better than nothing. In some countries, sublingual forms of vitamin D are available. Sublingual lozenges or liquids are designed to dissolve under the tongue where they are immediately absorbed into the bloodstream, thereby bypassing the stomach and the digestive system. They shouldn't cause any stomach problems.
Yes, the LES is a muscle so it can slowly recover it's strength as long as PPIs are avoided, but it can take months to recover, depending on how much damage it suffered.
Tex
Yes, the LES is a muscle so it can slowly recover it's strength as long as PPIs are avoided, but it can take months to recover, depending on how much damage it suffered.
Tex
It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
nsaid,
When I was treated for HPylori, I had to stay on H2 blocker for about 6 months after treatment. It took awhile for everything to heal but remaining on the H2 blocker was better than the burning. You may heal faster and not need it for that long, we're all different. My doctor warned me that it could take up to 6 months so I wasn't too surprised when I had to continue using it.
Hang in there, you will get better.
When I was treated for HPylori, I had to stay on H2 blocker for about 6 months after treatment. It took awhile for everything to heal but remaining on the H2 blocker was better than the burning. You may heal faster and not need it for that long, we're all different. My doctor warned me that it could take up to 6 months so I wasn't too surprised when I had to continue using it.
Hang in there, you will get better.
Diana
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nsaidcolitis
- Adélie Penguin
- Posts: 92
- Joined: Mon Nov 04, 2013 4:25 pm
thanks everyone. Ill try to avoid all meds till thins get out of control. Even if t means stayin in the couch reclined to the left for months (it works).is fat and meat really bad for reflux? Im not sure wat to eat to minimize dmg at this point. should i eat normally to strethen the les (low ph foods) or stick to high ph foods? any advice tex? what did u do durin those months in terms of diet?
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nsaidcolitis
- Adélie Penguin
- Posts: 92
- Joined: Mon Nov 04, 2013 4:25 pm
btw, i bougth this spray sublinual the ingredients seem ok for me but the vitamin k2 do u think it could be too much gabes?
https://goodhealthusa.com/products/Vita ... ay/#buynow
has 125% of K2 per eaec 1000UI of D3, so i would be gettin 625% of K2 daily
https://goodhealthusa.com/products/Vita ... ay/#buynow
has 125% of K2 per eaec 1000UI of D3, so i would be gettin 625% of K2 daily
If you need to take something for the acid, H2 blockers are much safer than PPIs. But of course don't take more than needed.
I'm not sure if pH is as much of a problem as just avoiding certain foods. A low carb diet is the key to treating/preventing acid reflux and heartburn. The main foods to avoid are alcohol (especially red wine), citrus fruits and citrus juice (including tomatoes), black pepper, garlic, raw onions, and other spicy foods, chocolate, coffee, and other caffeinated drinks, and peppermint.
Greasy foods are a problem, and it's usually a good idea to minimize or avoid fatty foods while recovering. I avoided those foods and avoided lying on my right side. Protein sources such as turkey, chicken, eggs, and fish are probably easier to digest than red meat (provide that you can tolerate them).
Tex
I'm not sure if pH is as much of a problem as just avoiding certain foods. A low carb diet is the key to treating/preventing acid reflux and heartburn. The main foods to avoid are alcohol (especially red wine), citrus fruits and citrus juice (including tomatoes), black pepper, garlic, raw onions, and other spicy foods, chocolate, coffee, and other caffeinated drinks, and peppermint.
Greasy foods are a problem, and it's usually a good idea to minimize or avoid fatty foods while recovering. I avoided those foods and avoided lying on my right side. Protein sources such as turkey, chicken, eggs, and fish are probably easier to digest than red meat (provide that you can tolerate them).
Tex
It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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nsaidcolitis
- Adélie Penguin
- Posts: 92
- Joined: Mon Nov 04, 2013 4:25 pm
ey just an update, reflux still bad only lyin down 2-3 hours a day. But luckily i checked texs comment on softgel vitamin D and i tried this brand and it doesnt affect me at all, i tried all others(not softgels) they hurt inflame my tummy. Idk if its bc of the ingredients or the consistency of softgels supplements. Im glad im takin vitD. I ordered for my mom too i want her healthy and eat all the gluten in the world i cant ;).
https://www.amazon.com/dp/B00JGCBGZQ/re ... 65478&sr=5
I bought the magnesium spray gabes recommended too ! Reflux is worst later on the day and worst with carbs but it seems im fine with bananas and not melons or other fruits, and so so with starch(rice crackers) with a lot of fat(slows digestion) which leads me to believe i have severe enzyme deficiency from colitis/h pylori which i did not have a year ago. Im gonna try to drop all starch soon but dk which veggies are safe I know potatoes/carrots are only OK if al dente (steamed not too long).
https://www.amazon.com/dp/B00JGCBGZQ/re ... 65478&sr=5
I bought the magnesium spray gabes recommended too ! Reflux is worst later on the day and worst with carbs but it seems im fine with bananas and not melons or other fruits, and so so with starch(rice crackers) with a lot of fat(slows digestion) which leads me to believe i have severe enzyme deficiency from colitis/h pylori which i did not have a year ago. Im gonna try to drop all starch soon but dk which veggies are safe I know potatoes/carrots are only OK if al dente (steamed not too long).
That's good news. Vitamin D and magnesium will help.
Yes, most of us have trouble digesting fat when we are reacting, but any fat that you can handle is probably helpful (for health). We all have enzyme deficiencies when our intestines are inflamed. That problem will go away as you heal.
Tex
Yes, most of us have trouble digesting fat when we are reacting, but any fat that you can handle is probably helpful (for health). We all have enzyme deficiencies when our intestines are inflamed. That problem will go away as you heal.
Tex
It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
Are fatty foods things like hamburgers and fries? Is Olive oil considered a fatty food? I'm eating very low carb (keto) for my PPI rebound (and PPI induced GERD) and am finding I need some fat (ie olive oil or avocado oil) to keep from losing more weight as I'm already stick thin...(my diet right now consists of fish, chicken, green leafy veggies, avocado oil and olive oil)...
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Gabes-Apg
- Emperor Penguin
- Posts: 8332
- Joined: Mon Dec 21, 2009 3:12 pm
- Location: Hunter Valley NSW Australia
Fatty foods are processed foods and foods cooked in soy oil etc
using healthier oils is a good thing, from the experience of members here, coconut oil is a very good option.
good brands of pure avocado oil or olive oil are ok (cheap olive oil has been found to have soy oil in it)
the good thing is small amount of animal fat, (not to excess) but enough to help digest the meal
make sure that you are looking forward to the meal - and you are chewing well, and relaxed while eating.
glad you have got the Vit D and magnesium, you should start to improvements within a few weeks of good dosages of these
progress not perfection...
using healthier oils is a good thing, from the experience of members here, coconut oil is a very good option.
good brands of pure avocado oil or olive oil are ok (cheap olive oil has been found to have soy oil in it)
the good thing is small amount of animal fat, (not to excess) but enough to help digest the meal
make sure that you are looking forward to the meal - and you are chewing well, and relaxed while eating.
glad you have got the Vit D and magnesium, you should start to improvements within a few weeks of good dosages of these
progress not perfection...
Gabes Ryan
"Anything that contradicts experience and logic should be abandoned"
Dalai Lama
"Anything that contradicts experience and logic should be abandoned"
Dalai Lama