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@bayarea58

Thank you so much Linda for your feedback! I am getting the 24 hr PH test shortly and it will be interesting to see what it says. Whether or not I test positive for GERD, I think being cautious with circumstances that may increase the risk of aspiration just makes strong sense. My GI doctor keeps stressing that GERD can be quite transient, active one day, not active the next, presenting challenges for a definitive diagnosis.

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Replies to "Thank you so much Linda for your feedback! I am getting the 24 hr PH test..."

Even if you test positive for GERD, taking proton pump inhibitors will not make GERD/reflux go away. Rather it turns the acid reflux into non-acid (alkaline) reflux. Gastro doctors, in my experience, have a low threshold for prescribing PPIs. Pulmonary says with bronchiectasis no PPIs unless there is a pathology (dysplasia, which I think they mean pre-cancerous lesion). Pulmonary points out there a multiple known side risks to PPIs (memory loss, osteoporosis, kidney problems, increased risk of infection...) enough to give one pause.