Is there anyone here dealing with Bile Reflux?

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T
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Post by T »

Yes 1 Pepcid A day.
Now that you mention it my anxiety has been up lately and for me it means more magnesium.
Something I cant figure out my BP has been slowly going down all summer after I started two anxiety meds.Wed. it was 122/60
I have never been below 70 and I take Lisinopril HCTZ.

Thanks Tex


Terry
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Post by tex »

Yes, anxiety was a symptom for me also when I was losing weight (before increasing my magnesium intake). My BP is way down after resolving my magnesium deficiency. Some days I skip Lisinopril because it will tend to push my BP below 100/60, and I don't see any reason to allow it to go that low.

Note that most antidepressants/antianxiety meds are powerful antihistamines, FWIW.

You're most welcome,
Tex
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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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Post by T »

Well its been A while and the Pepcid does not work just getting by on Pepto and Imodium the smallest amount of grease flairs the Bile Reflux.
It took me A while to find A GI that specialized in colitis and reflux I hope he is A keeper.
I could not believe it he had to see my recent blood work and pathologists results before he would take me as A patient but now the wait
I see him at the end of this month and its almost A ninety minute drive hopefully I can report back A keeper for MC patients.


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Post by tex »

Terry,

Good luck with the appointment.

Tex
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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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Post by henrym »

tex wrote:
or if it might actually be due to lymphocytic infiltration. IOW I wonder if the pathologist failed to look for lymphocytes and just assumed that chemical damage caused the inflammation (based on appearances).

Normally a pathologist would never look for the markers of MC in the stomach or the duodenum because the official medical definition of the term "colitis" restricts the disease to the colon. They wouldn't waste their time looking for the markers of a disease where it couldn't exist (that is, they would assume that it couldn't exist there because of the medical meaning of the term "colitis".


Tex

I am dealing with stomach pain since 6 months now. After reading Tex's answer I am wondering if my problem comes from my MC. I will try to give some quick history. Hope anyone can help here. Because I am feeling stuck..

I was having acid reflux in the middle of the night for a couple of months already in the first half of 2016. The reflux problem progressed slowly till one night, last august, it became so severe that I got an acute pain in my stomach area which stayed after the reflux problems disappeared. Basically this pain was continues after this night. I tried to stay calm, eat less and rest a lot during the days after the pain started. This helped a little. But the pain didn't go away.. Also my poop changed in color (lighter) and smell :(.

I went to the specialist. They did a gastroscopy, looked at my organs.

The result from the gastroscopy was: "the antrum shows minor foveolar hyperplasia without atypia, in the lamina propia small number of plasmacells and lymphocytes without detection of granulocytes. No H. Pylori. Diagnose: mild chronic H.P negative Antrumgastritis. No Mataplasia, no dysplasia."

The echo didn't show anything, my organs looked fine ;)

According to my doctor the chronic gastritis is not a big problem. He gave me stomach acid reducers, Pantoprazole, which helped. But when I stopped after almost 3 months of using them, the pain quickly returned. Now I am back on Panteprazole twice daily and the stomach pain is greatly reduced.

I am wondering if this problem comes from MC or has another cause. Hope anyone has some insight on this and what to do.
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Post by tex »

The reason why the pain returned after discontinuing use of the PPI is because PPIs quickly force the body to develop a dependency. They cause the very symptoms that they are prescribed to treat (GERD), but because they prevent the stomach from producing acid, the patient never notices the damage because without acid, there is no pain. When the patient tries to wean off them, a rebound effect (involving higher than normal amounts of acid production) occurs that causes symptoms worse than they were originally.

Here's a link to an article with more details about PPIs and GERD.

http://www.microscopiccolitisfoundation ... 112716.pdf

Foveolar hyperplasia is a rare disorder characterized by an overgrowth of mucous cells in the stomach. It can be caused by an abnormal rate of surface cell exfoliation (removal of old or dead cells and replacement by new cells), or by cytokines or other inflammation modulators. But basically, whenever mucus production is stimulated anywhere in the GI tract, it's a result of inflammation that the body "thinks" may be coming from the material (food and anything else that is ingested) that is flowing through it. This is similar to the intestines producing copious amounts of mucus because of the inflammation caused by MC.

The increase of plasmacells (mature B cells) and lymphocytes in the lamina propria (with no granulocytes) is similar to the markers of MC in the colon.

I hope that some of this is helpful.

Tex
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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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Post by henrym »

Thanks Tex! I had a feeling the use of PPI would be harmful. I will go to my specialist tomorrow and ask for H2 blockers and try to gradually taper down and see what happens. Also I guess it would be wise to take more D3, I've recently started with 5000, maybe should go for twice a day?
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Post by Gabes-Apg »

Henry
along with the Vit D3, magnesium is also important. are you taking a good quality magnesium?
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Post by tex »

Henry,

Yes, unless you know that your vitamin D level is already in the upper part of the normal range, higher doses of vitamin D may help to reduce your symptoms. Research shows that vitamin D helps to great acid reflux, and a recently-published research report shows that high doses of vitamin D can help to maintain remission in Crohn's disease, so there is a very good chance that high doses of vitamin D can also help to reduce MC symptoms. Here's a link to an article about that:

http://www.microscopiccolitisfoundation ... s-new.html

Tex
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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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Post by henrym »

Hi Gabes, I also started to use magnesium oil recently. I will up the dosage of the D3 and the Magnesium. Thanks you guys make me feel a bit better now in taking on this problem! I have also ordered LDN, I am hopeful this will boost up my system a bit to make it easier to stay in remission.
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Post by henrym »

Today I talked to my doctor about the h2 blockers. He didn't want to prescribe them, instead advised me to wean of the PPI's slowly. 'Switch from twice to once a day, then taking them every other day, then every 3 days, etc..' As said, I am upping my D3 and Mag intake. I hope this will help. Unfortunately a week ago I had a flare up of my MC, which I am not able to get under control by diet yet. I was off Entocort for 6 weeks.. Now I am thinking about starting Entocort again. Or should I wait a bit longer?
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Post by Gabes-Apg »

Henry
in Australia and the USA, H2 blockers are available over the counter - no prescription needed.

have you investigated this option?
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Post by henrym »

I checked, in Germany its not possible without prescription.

EDIT Yes they are! in a lower dose (75mg) there is no prescription needed.
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Post by Gabes-Apg »

sorry that is the case

if you are having a flare after stopping the entorcort, then there is something in your environment - food, surrounds that is causing inflammation.
The Vit D3 and magnesium will help with the GERD/reflux but if there are high levels of inflammation it will have limited scope of success.

you may need to go back to a really bland, low amount of ingredients eating plan.
using the entorcort in the meantime maybe a good option to help your body while you taper off the PPI's and increase the Vit D3 and magnesium levels in your body.
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Post by henrym »

Thanks Gabes. Ive started the bland diet (with bonebroth), it didnt calm the inflammation yet. I have never been able to do it by diet only after I get a flare. I wish I could though! Maybe I am doing something wrong. The good thing is I have found prescription free H2 blockers.
I think this time the flare was due to exhaustion an not to food. It happened after an exhausting day after a night of almost no sleep..
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