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Home > Archive > Heartburn Support > January 2005 > Anything we can do for breakthrough?
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Anything we can do for breakthrough?
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| I'm on a 30mg dosage of a PPI, lanparazole (sp?). Had some chinese
food tonight (ate too much, darn it), now I have that "stuck belch"
feeling and actually had, uh, high reflux, something that actually
rarely happens.
When we get a breakthrough attack of reflux, is there anything we can
do to lessen the attack? I'm unsure if it's OK to take antacids or a
OTC histamine antagonist while on a PPI.
Oddly, my only pain is in the right LOWER quadrant, just to the side
of my hipbone (I'm female), dunno if this is just gas - it's a pain I
get very infrequently, but which has been bugging me on-and-off the
last few days - it was gone till I had the chinese food.
Chinese food never caused an attack before, thinking it was more the
quantity than the quality - I'm more likely to have an attack if I
overeat. I know this, but sometimes forget.
Anyway, anyone have suggestions?
jmc
usenet [at] jodi [dit] ws
Any day you learn something isn't a total waste.
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| Hi jmc,
I find that the high quantities of sodium monoglutamate that they put in
Chinese food causes me great problems. I always ask them not to put it in.
If they say that this is not possible then I do not eat at that particular
restaurant. I also stick to
very basic dishes (not fatty, not overly sweet or sour). However, I find
that Chinese food is difficult to regulate because you do not know what they
put in and I think that the quality/age of the oil that is used also makes a
big difference. I always take a PPI (20 mg pantoprazole now, changed from
Nexium just before Xmas) before I go out
eating. Try sticking to restaurants that understands your needs and eat
vegetarian
(difficult I know).
Having said that I very rarely eat out because I also have gall bladder
problems.
I get lower stomach pains too, but I also have problems with adhesions and
Crohn's Disease so I really can't sort out what pain belongs to which health
disorder.
Discuss the medication question with your doc. Mine says that I can take up
to 80 mg PPI or more on a day if things get out of control. Unfortunately, I
do start to overdose when I take 40 mg a day for a few weeks. I have only
taken 80 mg (Nexium then) on a day once and I felt as sick as a dog - worse
than having
the reflux.
All the best,
Vanny
"jmc" <NOnewsgroupsSPAM@NOjodiBODY.HOMEus> schrieb im Newsbeitrag
news:cc7ou0l19rhi8p33e3ceeg5rpost2pd1vs@4ax.com...
I'm on a 30mg dosage of a PPI, lanparazole (sp?). Had some chinese
food tonight (ate too much, darn it), now I have that "stuck belch"
feeling and actually had, uh, high reflux, something that actually
rarely happens.
When we get a breakthrough attack of reflux, is there anything we can
do to lessen the attack? I'm unsure if it's OK to take antacids or a
OTC histamine antagonist while on a PPI.
Oddly, my only pain is in the right LOWER quadrant, just to the side
of my hipbone (I'm female), dunno if this is just gas - it's a pain I
get very infrequently, but which has been bugging me on-and-off the
last few days - it was gone till I had the chinese food.
Chinese food never caused an attack before, thinking it was more the
quantity than the quality - I'm more likely to have an attack if I
overeat. I know this, but sometimes forget.
Anyway, anyone have suggestions?
jmc
usenet [at] jodi [dit] ws
Any day you learn something isn't a total waste.
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| John Que 2005-01-19, 11:08 am |
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"jmc" <NOnewsgroupsSPAM@NOjodiBODY.HOMEus> wrote in message
news:cc7ou0l19rhi8p33e3ceeg5rpost2pd1vs@4ax.com...
> I'm on a 30mg dosage of a PPI, lanparazole (sp?). Had some chinese
> food tonight (ate too much, darn it), now I have that "stuck belch"
> feeling and actually had, uh, high reflux, something that actually
> rarely happens.
>
> When we get a breakthrough attack of reflux, is there anything we can
> do to lessen the attack? I'm unsure if it's OK to take antacids or a
> OTC histamine antagonist while on a PPI.
I've seen mention of the use of H-2 blockers in conjunction PPI meds in
Medscape articles and in Pubmed abstracts including linked articles.
There such a thing as night time break thru with PPI meds. One the
Medscape article has some nice charts. I recall it was a larger article
so it took while to download.
I suspect that belching is caused by overly motile stomach trying to empty
too much of its contents in duodenum. The result is likely a mix of
bile and pancreatic enzymes in the stomach and
the cause of belching and meals that just SEEM to set in the stomach.
Possible solutions are another drug to
alter motility, small meals, or an acid supplement
in persons not on the PPI meds. The last suggestion is alternative medicine.
In a healthy person as compared to GERD patient on PPI meds,
when the stomach contents/chyme become sufficiently acidic and are starting
to pass into the small intestine, the highly acid chyme triggers the
release of hormones that modulates the stomachs motility among
other things.
>
> Oddly, my only pain is in the right LOWER quadrant, just to the side
> of my hipbone (I'm female), dunno if this is just gas - it's a pain I
> get very infrequently, but which has been bugging me on-and-off the
> last few days - it was gone till I had the chinese food.
>
> Chinese food never caused an attack before, thinking it was more the
> quantity than the quality - I'm more likely to have an attack if I
> overeat. I know this, but sometimes forget.
Quantity is a good way for me to in trouble. I like watermelon
and it fine is restrict myself to a small slice but if I eat more
................
>
> Anyway, anyone have suggestions?
I believe the bulk of GERD damage is done at night when people
are laying in their beds on the level. If you start sleeping is a
recliner in will help tip the balance toward getting healed.
Remember it takes weeks to heal so be patient.
It is vital that a GERD patient sleep with their torso
inclined such that stomach acid can't leak into the
esophagus. Six inches blocks under the head of
the bed will help but it isn't enough incline to
attain best effect. I'll suggest you sleep in
a recliner as much as possible. If you
want to "sleep" on the level in the morning
with the husband after a night in the recliner,
take a Carafate tablet or perhaps some
Gaviscon.
> jmc
> usenet [at] jodi [dit] ws
> Any day you learn something isn't a total waste.
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| Howard McCollister 2005-01-19, 11:08 am |
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"John Que" <123456789travelguide@hotmail.com> wrote in message
news:41ee5c9d$0$74596$a32e20b9@news.nntpservers.com...
>
>
> I suspect that belching is caused by overly motile stomach trying to empty
> too much of its contents in duodenum. The result is likely a mix of
> bile and pancreatic enzymes in the stomach and
> the cause of belching and meals that just SEEM to set in the stomach.
While there may be some change in gastric motility mediated by hormones,
these play a small role that likely has negligible symptomatic effect on the
patient. The reason for increased belching is almost entirely due to the air
swallowing that GERD patients develop as a habit they use to repeatedly
clear the lower esophagus of refluxate. It's a losing battle, of course,
since air swallowing leads to belching which in turn leads to more reflux,
but it is neverthess the primary operative mechanism. It's a difficult habit
to break, and is the major contributing factor in the gas-bloat symptoms and
increased flatus that are often exacerbated after gastric fundoplication
wherein the patient often has more difficulty belching.
HMc
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