GERD issues

Posted by janarose @janarose, Feb 29, 2012

I am 22 years old. I don't smoke or drink. Growing up I can remember having a slight hoarse voice in the morning if I ate to late at nights. But never anything too miserable. It would go away within a hour after drinking water.
March 2011 on a Wednesday. I woke up with a hoarse voice that never went away. After a few weeks I started to get slightly worried so I went to my family doctor. I went 3 times over a course of 5-6 weeks and they had no idea after giving me multiple steroids and antibiotics that did nothing. I also had no pain in the beginning my throat didn't hurt at all. My only symptom was the voice. So they sent me to a throat specialist. (Audiologist) He did a throat endoscopy and told me I have GERD. He prescribed me omeprazole 20mg once a day. I changed my diet. I stopped eating hours before I went to sleep. I have never been a soda drinker, I am not a fan of fatty foods. The fattiest thing I like to eat sometimes is chocolate.. So I gave that up. I don't eat big meals. I have always been a snacker. But I didn't seem to get that much better so back as planned in 6weeks. He told me to start taking it twice a day. my throat started to hurt and become really sore around this point. I would wake up in severe pain, and it would hurt through out the day. I would take 2- 20mg omeprazole and I would also drink baking soda mixed with water whenever I couldn't handle the constant burn anymore.. I wouldn't drink the baking soda/water at the same time as taking the omeprazole. I made sure I did that hours apart from one another.
So about 10-12 weeks later my symptoms got much worse. It wasn't working. Nothing seemed to work.
So I went back to the doctor. They did another endoscopy and my throat is more swollen than the first. It's starting to swell up even higher around where my thyroid is.
I started having chest pains and it has become hard to swallow anything.
My heart rate gets insanely high in random occasions.
I feel a knock/thump whenever I swallow.
My throat is always hurting.
I am nauseous when I eat.
It's painful to eat or drink anything; I have lost almost 30lbs because of it.

So I have had a endoscopy twice now,
I got a barium swallow done and he told me I have acid reflux. probe test done,.,Blood work....How many more test need to be done?
I haven’t heard my voice in a year now. It's to the point where I am becoming depressed and I ignore talking to people. I ignore hanging out with friends, because if I talk to much my throat becomes incredibly sore to the point where I won't be able to sleep. I can't yell or whisper. I have one tone. If I yell then I’m pretty much out for the rest of the day because my throat hurts so badly.
I am thinking about going to the Mayo Clinic. Has anyone else been through this? Do you think they will be able to help? Could it be something else?
Im desperate.

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Profile picture for karthickvelanmani @karthickvelanmani

Hi all,

Pls help me for my problem. I have lost last 8 months because of burping issue.

I used to burp 100-150 time a day. I have no Gerd/regurgitation or no pain in stomach, no indigestion.Daily 2times I am passing stool.

My burp is not so easy as normal person, it pushes me down, if I am standing. I used to feel heavy pressure, noise in middle of stomach. Sometimes it accumulate there and when I move from chair, it causes dizzy and unstability. Sometimes my nerves tingle, followed by burp immediately, sometimes blood flow in hand will be less, followed by burp. After burp is released I will be a normal person until next gas accumulation.

Morning I woke up with full gas in stomach, and with 20min I will burp 20-30times, which sometimes pushes me down in bed (though i had dinner at 7pm before day - nearly 12 hrs of fasting)

Endoscopy done says H- pyroli positive and hiatus hernia grade 4 - I have no gerd or regurgitation. After antibiotics for 14 days h-pyroli stool test came negative. Still I have burping problem.

Followed by CT small bowl done everything normal and CRP value in blood test is around 20 quite high, doctor gave rifaxamine for 14 days 1100mg/day. I am on day 10 but no improvement.

Because of this issue it makes me unstable and reduces my confidence and reduced 20kgs in 7months.

please suggestions me your valuable options. Hiatus is there but no gerd or regurgitation only burping. I have checked many MD DM gastero doctor they are saying it is nothing, burp is least symptoms in gastero.

My problem is not burp, it is only pressure of gas and its accumulation which causes dizzy

PPI tablets, prokinetic tablets doesn't helped me

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I had the same issue and no doctor could tell me what was wrong. With mine, I had severe pain in the stomach from the gas and also severe diarrhea. Ask to have a fructose tolerance test--very simple test-drink sugar water and blow in a balloon at different time intervals. I eat no foods that contain sugar (no carbs, rice, potatoes, fruit, certain veggies). I am also gluten and dairy free so I live primarily on meat. Give the fructose test a try. Linda

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Profile picture for jenatsky @jenatsky

I just heard a program on XM Sirius Doctor Radio on the subject. Seems it’s either air you swallow from eating to quickly or the normal amount we ordinarily swallow when eating or talking or it’s gas produced by your GI system digestive process. You might consider a breath test to rule out SIBO first since it’s non-invasive. This will hopefully provide a definitive answer as to whether it gas or air. Both can be treated with meds and/or diet change. Good luck. I was recently diagnosed with SIBO but didn’t have burping. My symptoms were all at the other end. You might try keeping a food and symptom diary so you can track what’s occurring when and with what foods. I changed my diet after an antibiotic that cured my SIBO.

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Thanks for your reply.Yes I had Hydrogen breath test but it is negative. Though doctor preferred me rifaxamine for 14 days, stool quality improved but no improvement in burping.

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Profile picture for jimaddessi @jimaddessi

I am a relatively healthy 69 year old male who has had bouts of gerd (acid reflex) in my life. I've had several endoscopy"s done, most recently January of 2022 diagnosis of Gastritis. I don't smoke and drink in moderation socially (not a lot). Recently I developed my worst symptoms ever, not sleeping very good ( I have elevated bed),very bad pressure in chest which creates tremendous anxiety making it had to breathe and catch my breath, floor pacing...terrible stress on body. Oddly enough it's been worse every other morning when I wake up. I take Protonix and Pepcid, Mylanta and I just got some new stuff called Nutrasec, a tablet like Tums only better that you take after eating that helps a little. I was cruising right along until 10 days ago the it hit me like a tank. I gave up coffee and changed my diet drastically and am trying to schedule another endoscopy. I'm hoping maybe my esophagus needs stretched or I'm a candidate for esophagus sphincter surgery. I feel beat and it sucks trying to sleep on my left side all night. Anybody out there having similar problems?

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I just had the worst acid reflux and heartburn ever. I thought I was going to die,
Esophagus, throat, and even my ears were burning. I have a hiatal hernia. I take famotidine twice a day and omeprazole 1 time a day. I ate bread, drank water and milk, took extra pills, 3 tums chewable and after maybe an hour I’m starting to feel better. If this ever happens again what should I do? I plan on seeing my doctor as soon as I can get in.

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Profile picture for boneyjoany @boneyjoany

I just had the worst acid reflux and heartburn ever. I thought I was going to die,
Esophagus, throat, and even my ears were burning. I have a hiatal hernia. I take famotidine twice a day and omeprazole 1 time a day. I ate bread, drank water and milk, took extra pills, 3 tums chewable and after maybe an hour I’m starting to feel better. If this ever happens again what should I do? I plan on seeing my doctor as soon as I can get in.

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try Gaviscon advance or Rennie dual action alginate. They create a barrier between the stomach (acid) and your esophagus.

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Profile picture for boneyjoany @boneyjoany

I just had the worst acid reflux and heartburn ever. I thought I was going to die,
Esophagus, throat, and even my ears were burning. I have a hiatal hernia. I take famotidine twice a day and omeprazole 1 time a day. I ate bread, drank water and milk, took extra pills, 3 tums chewable and after maybe an hour I’m starting to feel better. If this ever happens again what should I do? I plan on seeing my doctor as soon as I can get in.

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Hi @boneyjoany . Awful, just awful. I so hope this was something isolated. Good call to contact your doctor.

I have a difficult time figuring out when the horribleness happens if it’s something I’ve done to prompt it or if it’s my body having a mind of its own. It sounds like you conquered the worst of this episode for now and are able to start recovering. On to gingerly re-entering life a bit. My go-tos are to reset my diet and activity routines.

Are you able to stay active and maybe go back to basics with your diet for a bit? Would it make sense to not lie completely down when you sleep tonight?

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Profile picture for boneyjoany @boneyjoany

I just had the worst acid reflux and heartburn ever. I thought I was going to die,
Esophagus, throat, and even my ears were burning. I have a hiatal hernia. I take famotidine twice a day and omeprazole 1 time a day. I ate bread, drank water and milk, took extra pills, 3 tums chewable and after maybe an hour I’m starting to feel better. If this ever happens again what should I do? I plan on seeing my doctor as soon as I can get in.

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The medications yiu mentioned while can be bought over the counter come with some very serious side effects
Long-term omeprazole use has been linked to several potential problems, including bone fractures, gut infections, and nutritional deficiencies. Specifically, prolonged use can increase the risk of fractures, particularly of the hip, wrist, and spine, due to impaired calcium absorption. Additionally, there's a higher risk of certain infections, such as Clostridioides difficile infection and pneumonia. Nutritional deficiencies, like vitamin B12 deficiency, can also occur.
Elaboration:
Bone Fractures:
Omeprazole can interfere with calcium absorption, potentially leading to lower bone density and an increased risk of fractures, especially in older adults.
Gut Infections:
Long-term PPI use can alter the gut microbiome, potentially increasing the risk of infections like Clostridioides difficile, which can cause severe diarrhea.
Nutritional Deficiencies:
Omeprazole can impair the absorption of essential nutrients, including vitamin B12, magnesium, and iron, leading to deficiencies and associated symptoms.
Other Potential Concerns:
Some studies have also suggested a possible link between long-term PPI use and an increased risk of dementia, though more research is needed.
Important Considerations:
It's crucial to discuss the potential risks and benefits of long-term omeprazole use with a healthcare professional, especially if you're taking it for more than a few weeks or months. They can help determine if an alternative treatment plan is necessary.
Famotidine, like any medication, carries potential risks and side effects. It's crucial to be aware of these before taking the drug, either by prescription or over-the-counter.
Common Side Effects:
Digestive Issues: Constipation and diarrhea are among the most common side effects.
Headache and Dizziness: These are also frequently reported side effects.
Less Common: Nausea, abdominal discomfort, and dry mouth are less commonly reported.
Serious Side Effects (Rare):
Central Nervous System Effects: Confusion, delirium, hallucinations, agitation, and seizures are rare but serious side effects, particularly in older adults or those with kidney problems.
Heart Rhythm Problems: Irregular heartbeat, heart block, palpitations, and prolonged QT interval are rare cardiovascular side effects.
Liver Problems: Liver damage, hepatitis, jaundice, and abnormal liver enzyme levels are potential but uncommon risks.
Severe Allergic Reactions: Hives, rash, itching, swelling (face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs), hoarseness, and difficulty breathing or swallowing are signs of a severe allergic reaction requiring immediate medical attention.
Low Blood Counts: Famotidine can rarely cause thrombocytopenia (low platelet count), leukopenia (low white blood cell count), and agranulocytosis (severe deficiency of white blood cells), increasing the risk of bleeding or infection.
Important Warnings and Precautions:
Kidney Disease: People with moderate to severe kidney disease may be at higher risk for central nervous system and heart rhythm problems, as famotidine is primarily eliminated through the kidneys. Dosage adjustments may be necessary.
Older Adults: Older adults may be more susceptible to central nervous system side effects like confusion and hallucinations.
Pregnancy and Breastfeeding: It's unclear if famotidine is safe during pregnancy. It passes into breast milk, but the effects on a nursing infant are unknown. Consult your doctor before taking famotidine if you are pregnant or breastfeeding.
Allergies: Do not take famotidine if you are allergic to it or similar medications.
Other Medications: Famotidine can interact with certain drugs, including HIV medications, antifungals, and cancer drugs, potentially making them less effective.
Always consult your doctor or pharmacist before starting famotidine, especially if you have any pre-existing health conditions or are taking other medications. They can assess your individual risks and benefits and determine if famotidine is the right choice for you.

GERD can also occur because of too little stomach acid, if your doctor advised you to take these, get a new doctor, Get a good GI workup to determine the cause, see if you have a weak Lower esophageal sphincter, ask about reactivation of viruses, then google specific diagnosis and ask if a specific food affect that to see if it has help you, .there are many food, teas, spices and herbs that relax the LES and can make GERD worse if in fact that is your problem. that kind of pain needs to be evaluated to determine the actual source, "sorry you are in pain

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Profile picture for t98 @t98

try Gaviscon advance or Rennie dual action alginate. They create a barrier between the stomach (acid) and your esophagus.

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These medications can come with some serious side effects before recommending specific meds, people need to first find out the real cause of the pain and a doctor needs to know what comorbid illness a person may have,

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Profile picture for boneyjoany @boneyjoany

I just had the worst acid reflux and heartburn ever. I thought I was going to die,
Esophagus, throat, and even my ears were burning. I have a hiatal hernia. I take famotidine twice a day and omeprazole 1 time a day. I ate bread, drank water and milk, took extra pills, 3 tums chewable and after maybe an hour I’m starting to feel better. If this ever happens again what should I do? I plan on seeing my doctor as soon as I can get in.

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Gerd is the worst stuff !!! You can’t get rid of the after taste, it’s terrible ! The only thing I’ve found is my doctor prescribed me 40mg of Omeprazole in the morning. I have Barrett’s Esophagus. Don’t go to bed on a full stomach or after you eat. I’ve found it often hits after dinner when I straight to bed.

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Profile picture for biga282 @biga282

Gerd is the worst stuff !!! You can’t get rid of the after taste, it’s terrible ! The only thing I’ve found is my doctor prescribed me 40mg of Omeprazole in the morning. I have Barrett’s Esophagus. Don’t go to bed on a full stomach or after you eat. I’ve found it often hits after dinner when I straight to bed.

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Just a thought! Maybe you could take your PPI before dinner since it is worse after dinner. Ask your doctor first. That's when I take mine.

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Profile picture for biga282 @biga282

Gerd is the worst stuff !!! You can’t get rid of the after taste, it’s terrible ! The only thing I’ve found is my doctor prescribed me 40mg of Omeprazole in the morning. I have Barrett’s Esophagus. Don’t go to bed on a full stomach or after you eat. I’ve found it often hits after dinner when I straight to bed.

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@biga282 and @waterlilly I have had GERD due to a hiatal hernia too. I have been told the hernia repair causes problems of its own, so I will not go through that. I don’t think my hernia is big enough to warrant surgery anyway, as no doctor has suggested getting it repaired.

What has helped me is: I stop eating and drinking by 8:00 p.m. - 9:00 p.m. the latest - since I usually go to bed around midnight. I take one Lansoprazole 30mg. at bedtime only. I used to use bed risers (available at Amazon and any bed and most department stores) to raise the head of my bed a few inches which helped keep the GERD episodes to a minimum. Now I have an adjustable bed, which is even better for me as I can custom raise the head of my bed (added bonus, even the foot of my bed if I ever need to - haven’t used that feature since no need yet but a handy thing to have should I need it)!

I do experience chest pains that feel like a heart attack, usually during the day if I strain my stomach muscles lifting anything heavy or even bending down to do some work. When I get those pains I take sips of water and it settles down. Sometimes I get these pains during the night though not too often, but I keep a bottle of water handy to ease them.

I also wear loose fitting clothes that don’t put pressure on my waist and stomach. I have a big enough belly that pushes against my stomach when I sleep on my side with my legs bent, causing chest pain sometimes, so I have to be mindful to keep them straight when I sleep.

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