Too much or too little acid!
Posted , 11 users are following.
Hi all
From what I've been reading there are two schools of thought regarding acid reflux. One stating that it is caused by too much acid, whilst the other argues that it is actually too little acid leading to bacterial overgrowth whereby food sits and ferments in the stomach.
Im only two weeks into my PPI medication and was wandering that the correct clinical pathway to treat GERD should be not to issue PPIs immediately but to perform PH testing first. I have silent reflux and I have no idea whether the PPIs are helping. If someone has low stomach acid and the second school of thought happens to be correct then medication will only make the problem worse. Any thoughts on this anyone?
cheers
S
3 likes, 24 replies
marie66624 Sdfuk
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anastasia51692 Sdfuk
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Dyezee Sdfuk
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jenny1306 Sdfuk
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Sdfuk jenny1306
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Yes, I'm taking probiotics at the moment. My trouble is that I've never had any GERD symptoms whatsoever. I needed an endoscopy to investigate a lump sensation in my throat. However, since the endoscopy was done Ive had a sharp pain in my chest for 1 week, this has subsided to a dull ache in the 3rd week. I also get a pain just below sternum and don't know if this is the procedure or the PPIs. Prior to going into hospital I was fine. maybe it's just a bit of bruising!!
cheers S
wknight Sdfuk
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Doing ph testing staright away doesn't make sense as its quite an invasive test, depending on how its done, and expensive, my last one was private and cost around £1000. Many people could be put through a very unnecessary procedure
Sdfuk
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thanks for the replies. I'm seeing my consultant this Wednesday for my biopsie results and have a whole load of questions ready to ask. E.G. Testing for H.pylori, candida, etc. what I really hope to get from him is a clinical pathway rather than you've had chronic reflux and now you will need PPIs for the rest of your life.
If I have no hernia and if the LES is just relaxed from diet then I can change that and hopefully come off medication. I was big coffee/ tea drinker, also loved my chocolate and probably 5 nights out of 7 had a couple of glasses of wine. It's also probably down to stress too for various reasons so I need to address that.
You're probably correct regarding the cost of a Ph test but I have also seen a test where they place a small capsule in your oesophagus and leave it there so no need for a tube to be left in the nose for 24 hours. Not sure on the cost though.
Off to have my Becks Blue now (once all the bubbles have gone)......living the high life!
Cheers
S
wknight Sdfuk
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Sdfuk wknight
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Thanks for the info. How long was the capsule in for? Also, does the attachment dissolve allowing it to pass through your body or do you need another endoscopy for removal?
Cheers
S
wknight Sdfuk
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The capsule simply drops off (hopefully) and passes through you. I never saw it but assume it has gone.
frederick_22022 Sdfuk
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Indigestion is always caused by having insufficient stomach acid due to the nature of the food that we have eaten such as oily food, heavy proteins, drinking too much of beverage along with food. This I now realised, after having become a patient myself.
As I have mentioned in other forums, PPI or H2 blockers should always be the last resort and only when patients have stomach ulcers. Doctors should ask patients to monitor their diet habits first before assuming.
After having reduced our stomach acid, it is not easy to reverse the damage done. Firstly, when we stop taking PPIs or H2 Blockers, we may have a rebound. We need to wean off rather than stop cold turkey.
Meanwhile, what I have done to to take a tablespoon of apple cider vinegar mixed with water, digestive enzymes and probiotics. This has done wonders especially when I take a heavy meal. I might drop my apple cider vinegar and digestive enzymes, and replace them with digestive enzymes capsules that contain HCl.
Try to avoid endoscopy unless necessary because chances are you might get your esophagus damaged if the doctor is not experienced enough.
I believe in natural remedies more as there is lesser chance of side effects.
Hope this helps. Good luck.
amy56547 Sdfuk
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mick20498 Sdfuk
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Baking Soda test. First thing in the morning before eating or drinking, have about ¼ tsp of baking soda in a glass of water and drink. Notice if you've burped in the next 2 to 3 minutes (stomach acid and baking soda react to form carbon dioxide gas). If you do NOT, you probably have low stomach acid. Do for 3 or 4 mornings in a row.
Betaine HCl Challenge Test. Don't do this if you have ulcers. Bacically you buy some Betaine and day 1 start with 1 or 2 600 ml pills. Your goal is to find out how many tablets it takes to feel a warmth or burning in your stomach. Patients with normal stomach acid levels would feel this with one, or sometimes two pills. On the first day, take one right before or at the beginning of large meal. On the second day, take two before or at the beginning of a large meal. On the third day, take three before or at the beginning of a large meal….etc up to the 7th day and 7 tablets, if needed (some versions of this test go up to ten days and 10 tablets). The more tablets you have to take to feel that warmth, the more likely you have low stomach acid. NOTE: if this test produces excess burning in the beginning, it’s a sign you have too much stomach acid and this test should immediately stop. Otherwise, this test is only meant to be used until you feel that burn/warmth, which could happen before the seventh day.”
amy56547 Sdfuk
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amy56547 Sdfuk
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wknight amy56547
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I have said this many times, if you are worried about safety don't drive or go in a car, that is way more dangerous.