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@bayarea58

Thanks Linda, and my apologies if this seems daft, but when you say “many of us are also concerned about exercise” do you mean doing exercise after eating (because that presents similar aspiration risks)? I do exercise daily, and never fasted, so wondering if I need to tweak my approach. I am in the middle of a workup evaluating for GERD, no traditional symptoms but occasionally dry cough. So far, no positive results but two more procedures to go. But I have read that everyone aspirates a little; I didn’t realize exercise may increase the risk of aspiration. Though perhaps I am not understanding your last comment. p.s. I bought a copy of your book and found it very helpful, such a great resource!

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Replies to "Thanks Linda, and my apologies if this seems daft, but when you say “many of us..."

Hi there! I’m happy you found my book helpful 🙂

Rereading what I wrote, I can see why it was confusing!

Yes! If we eat and then immediately exercise that can cause reflux. Especially if we drink a lot of water. Just as we don’t lie down after eating or do airway clearance after eating, we perhaps should not exercise after eating.

I know this creates a time management issue for many in our community. How do we fit it all in?? That’s why I like the idea of an alginate. It puts an algae raft on the top of my stomach contents so I am less likely to reflux as I go about my day.

Another suggestion per Dr Huitt from NJH is to eat a carb such as a piece of bread or some pretzels if you’re going to be drinking a lot of water while exercising. She says it will absorb the liquid in your stomach. And according to her, there’s always 6 ounces of fluids, including digestive enzymes in our stomach.

What’s interesting about my testing is that the 24 hour ph impedance test showed no episodes lying down. All of my episodes occurred during the day. Reflux can happen even when you’re sitting upright, but when you’re bending at the waist, loading the dishwasher, making the bed, stretching, etc, the possibility of reflux and perhaps aspirating is greater.

So that’s my two cents. I’m an health educator not a clinician so before changing your current care in any way, be sure to run it by your medical team.

All the best to you, Linda