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I was diagnosed with Barretts Oesophagus on 19-02-15 (sort segment 1cm) and subsequently I was put on 20mg omeprazole x 2/day for 2 weeks. In the following 2 weeks I have cut this down to 1 per day.
Would I be ok to stop Omeprazole completely as I have only been taking this PPI for 1 month?
The reason for doing so is that I would like to discuss with my Dr about having a manometry and 24 hr Ph test to determine the strength of the lower oesophageal sphincter (LES) and assess how much acid is coming up. (My GI specialist has stated that I have no hernia and the LES "looked" ok).
If the manometry results shows a normal LES then there must be other factors causing the reflux. Literature shows that one should get tested for:
1) H. Pylori (some argue for and against the link with GERD).
2) Celiac and gluten sensitivity
3) Food sensitivities
4) Bacterial overgrowth, yeast overgrowth, and parasites
Small intestinal bacterial overgrowth (SIBO) seems very plausable to me as in the past i have eaten a diet high in carbs/sugar and my stomach seems bloated. It is argued that the malabsorbtion of carbs (due to low stomach acid) creates gas and intra-abdominal pressure and thus reflux. Low stomach acid is the problem in this case and PPIs only serve to reduce the acid and hence your are stuck in this vicious cycle.
I hope once ive done these tests I can then determine what diet I should actually be on. At the moment I am on a no caffine, low fat, no alcohol/chocolate and eating more fruit/veg (high carbs) diet as recommended whilst taking PPIs.
If the above (SIBO) theory is correct then this diet is only adding to my problem and I should actually be limiting the carbs.
If I could get to the stage whereby no acid was coming up I would probably consider ablation of my BE even though theres no dysplasia.
Thanks for any advice and if i've missed anything out please could to add it to the discussion.
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