GERD issues

Avoid coffee. caffeinated tea, chocolate, also avoid alcohol and spicy food. Chew your food very well, don't eat a few hours before bedtime... I don't know what the EMI is, try what the US doctor suggests.

No soda, booze, don’t eat 3 hrs before bedtime. Raise your head board on your bed 6”. No fried fatty foods. I get scoped next year for my Barretts. I also have silent gerd.

Is there any evidence that albuterol and/or Trelegy can contribute to GERD?

Mayo Clinic did a lab test on me, and determined I am a rapid metabolizer of PPI's, which didn't work. I was put on rabeprazole (Aciphex), which helps. but I still can get heartburn -- sometimes no rhyme or reason. I was told to get Gaviscon Extra (from the UK) or Reflux Gourmet, which is the same thing they say, but without artificial sweeteners. Neither Gaviscon or Reflux Gourmet helps. I was told if that doesn't help then take a Pepcid AC. Again, when I tried it once, it didn't help. When I get heartburn, I just have to lay off eating for a day or two until it subsides. I still keep the head of the bed raised & lay on two pillows. I had many GI tests at Mayo, which also showed I have heartburn a lot.

I was diagnosed two years ago with Barrett's Esophagus. I followed the recommendations in THE ACID WATCHER DIET by Dr. Jonathan Aviv, many of which are suggested above. The following year, I had another endoscopy which showed no sign of Barrett's. The diet, plus the elevated mattress, can work wonders if you strictly adhere to it.

About 12 years ago, after receiving no real help from my PCP or my gastroenterologist, I spent two months eating only plain rice and plain potatoes. Then I started adding foods one at a time. To make a long and painful story short, the most important thing I found was that fat in beef and chicken bothered me terribly. I then started looking at the nutrition labels of everything I ate. I was shocked at how many foods had a ton of fat in them.

For a few years I could eat lean beef and chicken, and then couldn't eat the beef any more. I could eat lean chicken, but after a couple years, that had to go too.

I never ate fried foods. My mother didn't make them when I was growing up, and I just never liked them. So if you've eliminated citrus and tomato, etc, and still having problems, try checking the nutrition label of your beef and chicken, get the lowest fat content you can find, and just roast it. If you put it on a rack or crumpled up aluminum foil, any fat it does have will run off.

You can't escape all the fat. After a few years, I had to eliminate beef, then a couple more years and the chicken had to go. I ate fish, but now certain fish bothers me, and that had to go.

Try going without beef for a couple weeks, and just have plain roasted chicken tenderloins with low, low fat, and see if that helps.

Best wishes to all.
Cookie

Me too. So tired of stomach pain. I have lost 28 pounds. Waiting months to get an appt at Mayo Clinic in Phoenix. Don’t understand why it is taking so long just to get an appointment????!!!

@lgumerman - Have you heard anything back from Mayo in Phoenix since you applied? If not, contact them again to check on the progress. It appears that GI appointments are in short supply.

I feel for you. I’ve been on every PPI. Nothing. Been hospitalized 3 times this year from internal bleeding. 5 transfusions all together. Every local test they have, has been performed. Nothing.

Prilosec was working in combination with my latest PPI before my recent hospitalization. They took me off it and the Protonix and now back on Omeprazole.

Have they checked your gastrin levels to rule out Zollinger Ellison?

You are correct. Florida has the better options. I’m waiting to hear back from my case review. Crossing fingers 🤞🤞that I get in.