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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?
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