GERD treatment: Diet vs. drugs

Posted by bonnieh218 @bonnieh218, Fri, Jun 28 1:09pm

I’m looking for anyone that is successfully treating their reflux with diet or supplements instead of drugs. In reading about the drugs used to treat reflux disease, I’m reading that they play a role in bone destruction. I have osteoporosis so I’m reluctant to start any drugs prescribed for reflux. Any suggestions would be most appreciated.
Bonnie

Bonnie, I have taken several of the PPI drugs you are concerned about for more than 10 years along with carefully controlling my diet and life style. Of course I am also concerned about the possible long term effects. But I am also concerned with the herd end now problems of trying to live with acid reflux and the possible esophageal damage resulting without the medication. I have not tried any supplements as an alternative. I don’t Have the patience to experiment with these options—various combinations and dosages. So I am gambling on continuing to take the PPI at the lowest possible dosage that works for me and watching my diet. Maybe surgery will have to be my eventual solution. But one day at a time. Good luck to you whatever you decide.

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@jackiem95

Bonnie, I have taken several of the PPI drugs you are concerned about for more than 10 years along with carefully controlling my diet and life style. Of course I am also concerned about the possible long term effects. But I am also concerned with the herd end now problems of trying to live with acid reflux and the possible esophageal damage resulting without the medication. I have not tried any supplements as an alternative. I don’t Have the patience to experiment with these options—various combinations and dosages. So I am gambling on continuing to take the PPI at the lowest possible dosage that works for me and watching my diet. Maybe surgery will have to be my eventual solution. But one day at a time. Good luck to you whatever you decide.

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I control my acid reflux with a strict diet. No Italian, Mexican, spicy foods. No mint or chocolate. No fried foods or fatty meats. No booze or soda. I eat a lot of turkey, baked chicken and baked fish. Breakfast is Cheerios and skim milk. I also am doing a fast walk each day. I average about 5-7 miles a day. I’ve lost 25# and have no reflux. I’m on a ppi for Barrett’s esophagus from my reflux.
Try this diet and hopefully it will end your reflux. I also stop eating at 3pm every day. Good luck! Steve

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I have had severe acid reflux for many years probably close to 40. I have taken every PPI i the word and non work for me. due to the acid reflux I have developed erosive gastritis, and esophagitis and a motility disorder. the top 2 muscles in my esophagus no longer work only the bottom one so swallowing food has been a chore. food gets stuck in my throat a lot and i have to bring it back up to get relief of severe chest pain. about 2 weeks ago i gave up on any drugs. I have gone on and ALL alkaline diet very strict, NOTHING acidic, and i juice celery and drink a good glass of it daily and also making fresh ginger tea and taking a strong probiotic 100 billion. drinking at least 4 bottles of water sometimes up to 6. I am using a concentrated mineral drop (40 drops a day) in my water. It seems to be work. after about day 10 i notice a lot of the burning is gone in my belly. and in the morning i dong have such a brown tongue and less acid has come up at night. i do have my bed seriously elevated with the 6 inch blocks plus a sedge pillow so over a foot of elevation. I also gave up LECTINS any food with lectins and that is when i started to see a bigger difference. lectins are know to cause leaky gut and other G I issues and i believe it to be true.so im praying in time what i am doing will help me heal and get over this. the docs said any kind of surgery will make me worse and its a horrible idea and they refuse to do it (3 surgeons) so this is my only hope. Oh also i drink ALOE GEL not the juice but the GEL its much thicker. just a shot in the morning and the evening and nothing afterwards for at least 30 min. it has to be the gel. at night i also use a heating pad with a damp cloth to its moist heat on my neck and moving it doing on my belly and it seems to soothe everything and bring blood flow to the area. also if i take 1/4 teaspoon of backing (aluminum free) in 4 ounces of water each morning and evening and it kills the acid immediately. so this is what i am doing and it does really seem to be starting to work after 2 weeks now. hope this help someone who suffers for the same things as i do. i does work but takes time but im healing something i have had at least 30 to 35 years so it wont happen overnight. i have just begun walking and doing some step aerobic because stress relief is part of the big answer. stress can do severe damage to the entire body i know it is what happened to me.

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@riflemanz64

I control my acid reflux with a strict diet. No Italian, Mexican, spicy foods. No mint or chocolate. No fried foods or fatty meats. No booze or soda. I eat a lot of turkey, baked chicken and baked fish. Breakfast is Cheerios and skim milk. I also am doing a fast walk each day. I average about 5-7 miles a day. I’ve lost 25# and have no reflux. I’m on a ppi for Barrett’s esophagus from my reflux.
Try this diet and hopefully it will end your reflux. I also stop eating at 3pm every day. Good luck! Steve

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just a little FYI. meat, dairy products and grains are the most acidic foods on earth. if your still having symptoms you might want to stop eating this things. google "alkaline food chart" and see what foods are acidic and alkaline you will be surprised. its not just the friend and spicy foods its all kinds of food. good luck on your healing journey.

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Other than Dr. Internet, what is The scientific basis for your comment about “the most acidic foods on earth”?

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I also drink lot's of water all day. I also drink 1-2 cups of low acid coffee each morning. It's healthwise coffee with a PH of 6.18
I'll find out how my diet is doing in 3yrs when i get another EGD.

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I have had acid reflux for 20+ years. I was taking a proton pump inhibitor for the first year or two and then became allergic to it: itching, and rash. Then the same thing happened with all the h2 acid blockers. I have managed all these years just taking Gaviscon (the tablets although gastroenterologists say the liquid form is more effective) and sometimes; very occasionally a liquid antacid . I have been scoped over the years and there is no damage to my stomach lining . I actually am happy that I can't take these medications. The thinking has changed now and I've read that you shouldn't be on ppi's longterm.
For the most part I avoid the foods that for me trigger reflux. No spicy hot foods, tomato sauces, alcohol. (Love pesto sauce but it doesn't love me!). I am so used to having acid reflux and non-ulcer dyspepsia that I hardly notice it anymore.

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@sue225

I have had acid reflux for 20+ years. I was taking a proton pump inhibitor for the first year or two and then became allergic to it: itching, and rash. Then the same thing happened with all the h2 acid blockers. I have managed all these years just taking Gaviscon (the tablets although gastroenterologists say the liquid form is more effective) and sometimes; very occasionally a liquid antacid . I have been scoped over the years and there is no damage to my stomach lining . I actually am happy that I can't take these medications. The thinking has changed now and I've read that you shouldn't be on ppi's longterm.
For the most part I avoid the foods that for me trigger reflux. No spicy hot foods, tomato sauces, alcohol. (Love pesto sauce but it doesn't love me!). I am so used to having acid reflux and non-ulcer dyspepsia that I hardly notice it anymore.

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Oh forgot to mention: sleeping elevate so the acid from the stomach doesn't flow back into the esophagus. Put a couple of bricks under the box spring.

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@jackiem95

Other than Dr. Internet, what is The scientific basis for your comment about “the most acidic foods on earth”?

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i go see a nutritionist at shands and also go to a motility clinic at florida hospital in orlando which is the #2 hospital i the U S. . they are the top of the line in their practice of gastro issues and i feel they have the up most of credentials to suggest this diet. it "IS" working and when i do eat the foods on the "ACIDIC" chart i get the reflux seriously. eating this list of foods on the alkaline list are "HEALING" me . I was skeptical as you are but i had noting to lose to try and it a "miracle" happened im healing for the first time in 40 years im healing. Im sold on it. its working better than anything ever has and i'm losing weight and getting into shape. more energy and even my mental status and all around feeling are a huge upgrade. why stop something that is working a miracle for you !!I sold on it 100%. take sometime and do some reading on an alkaline diet and the different lists of alkaline and acidic foods. you have noting to lose but an illness.

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@riflemanz64

I also drink lot's of water all day. I also drink 1-2 cups of low acid coffee each morning. It's healthwise coffee with a PH of 6.18
I'll find out how my diet is doing in 3yrs when i get another EGD.

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good luck with your diet but so much meat and dairy products took me on a road to severe damage to my belly and esophagus. i regret is now..the coffee bean has a negative effect on the G I tract no matter the PH level. i gave that up also. Read up on lectins you will be surprised what they do to your G I tract. I know taking all of these things out of my diet has had a huge positive impact on my life and illness. I will never go back to the old way of eating. this has been a miracle to me. i drink only the fresh juiced celery juice and its a miracle and has been know to even kill cancer. i also drink the fresh ginger tea i make from the root and water only. all i know it in just over 2 weeks i can see at least a 40% difference in my over all health.

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@sue225

I have had acid reflux for 20+ years. I was taking a proton pump inhibitor for the first year or two and then became allergic to it: itching, and rash. Then the same thing happened with all the h2 acid blockers. I have managed all these years just taking Gaviscon (the tablets although gastroenterologists say the liquid form is more effective) and sometimes; very occasionally a liquid antacid . I have been scoped over the years and there is no damage to my stomach lining . I actually am happy that I can't take these medications. The thinking has changed now and I've read that you shouldn't be on ppi's longterm.
For the most part I avoid the foods that for me trigger reflux. No spicy hot foods, tomato sauces, alcohol. (Love pesto sauce but it doesn't love me!). I am so used to having acid reflux and non-ulcer dyspepsia that I hardly notice it anymore.

Jump to this post

yes the PPI's are super bad for you and also gaviscon the aluminum level is bad for you. i used to take a lot of that and yes the liquid was better but again high levels or aluminum. there are so many other foods other than what you mentioned that are acidic and will cause you reflux problems you nee to search for acidic and alkaline food charts/ until my nutritionist showed me the first chart i was shocked to see how many foods are seriously acidic that i never knew about and some "healthy foods" just have an acidic effect on the body. also some acidic foods that become alkaline i the belly like .lime and lemon. wonderful for the belly . dont ever get used to having reflux it will destroy your insides in time like mine did. learn ways to get rid of it. the drugs are not the answer. their diet but an all alkaline diet is the answer. trust me.

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@sue225

Oh forgot to mention: sleeping elevate so the acid from the stomach doesn't flow back into the esophagus. Put a couple of bricks under the box spring.

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yes u r right my bed is elevated at the top 12 inches and it helps a lot.

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@jackiem95

Other than Dr. Internet, what is The scientific basis for your comment about “the most acidic foods on earth”?

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This info below came for the MAYO CLINIC website so since your on the may clininc i would assume you trust and believe them. take some time and go over the list of alkaline and acidic.
The chart below is based in part from the information in my collection of nutrition and alternative health books and in part on personal experience. Almost every chart on the subject of how to classify foods by pH is different depending on what book or study you read. The list below is my best guess of what is correct but most likely may still contain some errors, so please use it with that caveat in mind. The books I own that seem to that seem to have the most accurate acid-alkaline charts are: The Paleo Diet 1 , Mayo Clinic Diet Manual, Seventh Edition 2, and The Acid Alkaline Food Guide: A Quick Reference to Foods & Their Effect on pH Levels 3.

Please note that the chart below lists whether a food is acid, neutral or alkaline forming in the body after being ingested, not the pH of the food itself. Citrus fruits have an acid pH but leave an alkaline ash after being metabolized.

Vegetables

Alkaline
Forming

Broccoli
X

Carrots
X

Cauliflower
X

Celery
X

Chicory
X

Cucumber
X

Eggplant
X

Green peppers
X

Lettuce
X

Leeks
X

Mushrooms
X

Onions
X

Potatoes
X

Radish
X

Spinach
X

Tomatoes
X

Zucchini
X
Meat, Fish and Eggs

Acid Forming

Beef
X

Chicken
X

Cod
X

Eggs
X

Herring
X

Pork
X

Trout
X

Turkey
X

Dairy Foods

Acid Forming

Butter
X

Buttermilk
X

Cheese
X

Cottage Cheese
X

Processed Cheese
X

Sour Cream
X

Whole Milk
X

Yogurt
X

Grains

Acid Formimg

Brown Rice
X

Cake
X

Cookies
X

Corn
X

Cornflakes
X

Egg noodles
X

Mixed wheat bread
X

Rolled Oats
X

Rye Bread
X

Spaghetti
X

White bread
X

White rice
X

Fruit

Alkaline
Forming

Apples
X

Apricots
X

Bananas
X

Black Currents
X

Cherries
X

Coconut
X

Cranberries
X

Kiwi
X

Peaches
X

Pineapple
X

Plums
X

Prunes
X

X

Raisins
X

Watermelon
X

Legumes, Beans and Nuts

Neutral

Beans
X

Lentils
X

Peas
X

Peanuts
X

Peanut Butter
X

Soy milk
X

Tofu
X

Beverages and Miscellaneous Foods

Neutral

Alkaline
Forming
Baking soda
X

Acid Forming beverages

Chocolate
X

Coffee
X

Neutral beverages

Distilled Water
X

Mineral Water
X

Oils
X

Tea
X

Controversial & Noteworthy Foods
Oranges, Grapefruit and Other Citrus Fruits – start out as acid but usually make the urine alkaline after being metabolized by the body. If you are just looking at a chart of the pH of various uneaten foods in their natural state, citrus fruits are usually shown as being acidic. If you are looking at a chart of whether they leave an acid ash or an alkaline ash in the body, they are usually shown as being alkaline forming.

Sugar – I'm not sure about sugar. I've never wanted to eat a whole bunch of sugar as a test so for me the pH forming ability of sugar remains a mystery. The Mayo Clinic Diet Manual, Seventh Edition lists it as a neutral food. In the book The Acid Alkaline Food Guide, it is listed as a highly acid forming food. Most of the alternative health books I own claim it is acid forming. One thing I do know is that I rarely get any kind of cold, sore throat or sinus infection unless I eat a lot of sugary foods. (I can eat honey with no problems.) So my best advice would be to simply avoid refined sugar if you can help it.

Cabbage – Cabbage juice is a traditional remedy for ulcers and acid indigestion. Based on my experience I would say there indeed is something unique in cabbage that has acid lowering qualities above and beyond other alkaline vegetables. I think one of the reasons many people get gas from cabbage is because it can lower stomach acid in some people too much, making it easier for harmful bacteria and other pathogenic microbes to thrive.

Distilled Water – Theoretically distilled water is supposed to be a neutral pH food. But every type of bottled distilled water I have tested from the store to date has tested acidic, and seems to leave an acid ash in the body. You can read more on why this occurs here.

Dairy Products – In my experience, dairy products with active cultures can be very acid forming. Foods that may have active cultures include sour cream, acidophilus milk, buttermilk, yogurt and buttermilk pancakes. In the U.S. yogurt that has active cultures is usually labeled as such. As far as whole milk, I have seen it listed as a neutral, acid and alkaline forming food. In some Ayurvedic textbooks it is listed as an alkaline forming food good for ulcers. One of my children thinks it helps whenever he has an over-acid stomach, so between that tidbit and the Ayurvedic classification I have it listed as alkaline forming on my chart.

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@bonnieh218 I have Barrett's Esophagus so I do have to take a PPI. I take 20mg of omeprazole in the morning. I hate having to take it, I know it has negative long-term effects but without it I risk esophageal cancer so at this point I think it's the lesser of the two evils.
I would try to see if I could control with diet if that is possible though. I don't have an endo appointment until September so I will definitely speak to him about that, or if there other PPIs that have a lesser long-term effect.
JK

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@debiobrien

yes the PPI's are super bad for you and also gaviscon the aluminum level is bad for you. i used to take a lot of that and yes the liquid was better but again high levels or aluminum. there are so many other foods other than what you mentioned that are acidic and will cause you reflux problems you nee to search for acidic and alkaline food charts/ until my nutritionist showed me the first chart i was shocked to see how many foods are seriously acidic that i never knew about and some "healthy foods" just have an acidic effect on the body. also some acidic foods that become alkaline i the belly like .lime and lemon. wonderful for the belly . dont ever get used to having reflux it will destroy your insides in time like mine did. learn ways to get rid of it. the drugs are not the answer. their diet but an all alkaline diet is the answer. trust me.

Jump to this post

I am already 65 years old. I have had more endoscopies than are necessary (usually at my urging). There have never been any sinister findings. At this point after being reassured by more than one gastroenterologist I no longer worry about my reflux. As for the aluminum, I have my bottle of gaviscon chewable foam tabs in front of me and each tab contains 313 mg Alginic Acid (which is a seaweed derivative) and 63mg of Magnesium Carbonate. Nor do any of the non-medicinal ingredients contain aluminum. I am in Canada so possibly the Gaviscon formula is different in the U S. Also not all antacids contain aluminum.

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