Best ppi for lpr reddit. Steroids - Can’t take them.

Best ppi for lpr reddit Hello, I just want to preface a warning before I share my story and the things I've done to get me to this point in my journey. It contains alginates that create a raft on top of Not a Dr but this works for me: 20mg Pepcid before breakfast (first thing), 20mg Pepcid before dinner, Reflux Gourmet (vanilla) right before bed works best. I don't know if you have GERD or more LPR-like symptoms, but if the latter it's recommended to keep taking it for up to 6 months even after symptoms go down. 9 even before I took a PPI. Historically, management of patients with suspected LPR typically began with an empiric 8 to 12 week double-dose proton pump inhibitor (PPI) trial. I still get lots of symptoms (even though they are milder), especially after dinner. So, it's back to basics. More like first thing in the morning, and roughly after lunch, most times this covers meals, and as long as you don't eat right before bed ( you shouldn't anyway because it leads to reflux) you can cover any symptoms of rebound easily. I thought mine was GERD too but it's been gone for 2 weeks now thank goodness. PPI goes to the brain and do the damage there. I had been on Lansoprazole for 6 months before I stopped taking it because I felt it wasn't having much effect. I used to get really bad burping and heartburn episodes after eating, as well as a chronic sore throat, but this has all disappeared since I started taking esomeprazole (8 weeks ago). Just curious how many folks out there have tried "safe" foods only to have them give you more heartburn. I had to go back up to 80 mgs of a PPI (4 pills a day), plus Pepcid, gaviscon, and tums. There's some weird sore throat stuff going around that is off and on for months. Unlike with GERD Laryngopharyngeal Reflux (LPR) LPR is the more relatively severe type of stomach acid - but the symptoms varies. I am most comfortable on daily OTC dose PPI and my digestion seems best while still controlling heartburn and sore throat. I had developed ringing in ears. I tried ppi which made me worse. Steroids - Can’t take them. Two weeks at 40mg, and now I've dropped to 20mg a couple of days ago. esomeprazole 40mg (20mg twice a day) has helped my symptoms slightly, along with a very strict acid Gerd and Reflux is actually low stomach acid not high. They also have rabeprazole which worked best for me vs those other ones. I just increased the pepcid dose and then lowered the PPI dose a little and stayed there until I felt normal again, then lowered the dose again, waited until I felt normal and so on. I’m not going to start taking 80 mg PPI and destroy my digestive system (and other long term issues) for something that has not worked for me. I’ve tried nexium, Zantac, Pepcid, nothing ever keeps the reflux away for any sustainable period of time. There actually is medical controversy aroud treating ALL the cases of GERD with PPIs. i have lpr. My kids got strep at that time so that was the assumption and started antibiotics. Video Explaining Fixing LPR issues due to Pepcid: RefluxDoc | Fixing LPR. Standard is a month to begin to see relief. Killing bacteria permanently is not. Balance. I was advised to take famotidine instead because it’s less dangerous. It's only been 4 days. Dude - I solved my GERD issue. I also have a small hiatal hernia so I will always have to be careful about alcohol and certain foods but I feel like I'm cured (knock on wood), we'll see. I since have stopped the PPI around 3 weeks ago. You can purchase on Amazon. Now I'm ready to taper off my PPI's- I didn't want to be on them long term and want to get my gut back to where it was before I experienced GERD/LPR. I started a course of Prilosec, famotidine, and loratadine (antihistamine) last Thursday. He’s 90. When I stopped taking the PPI, it was brutal, it has been 3 months now and I no longer get any reflux. A number of uncontrolled patient series have suggested that a positive response to empiric PPI therapy for 2–3 months will reliably establish a diagnosis of LPR. harm both the stomach lining and the LES muscle. There can be serious long term consequences for taking PPIs. They are the best I've ever had. [1] The reason why I mention them here is that they are the most frequently Ideally you should be taking 20 mg twice daily. Ginger is another one I see frequently, and even when I have just one chunk of it Hey, i probably have LPR misdiagnosed as asthma - i ve been taking steroid inhaler for quite some time now and it somehow helps, but im still coughing and experience all your symptoms. Best idea is to just work on your diet. I developed chronic constipation whenever I started the PPI (never had this problem before) and it didn't get better yet. I’d say check with your GI to make sure, don’t necessarily trust another doctor that doesn’t deal in GERD as a specialty. The mucus is starting to get much much better now, which isn’t surprising since they day it takes 3-6 months to heal LPR and I’m at month 4. and not just gerd and gastritis-mental problems also, like anxiety, panic attacks, , then changes of high and low blood pressure also, breathing problems because if stomach rises up, so does diaphragm, palpitations, fast heart beat or slow heart beat, irregular heart beats etc! I had really bad LPR symptoms for over a week. This led do LPR. I think we're dealing with so-called long COVID fallout here. I had a food poisoning incident in 2014 that caused me to spiral and now I’ve been on PPIs for almost 10 years. I’ve been nasal ppis are not bad for LPR any more/less than for any other condition. Study on Alternative to PPIs: A Comparison of Alkaline Water and Mediterranean Diet vs Proton Pump Inhibition for Treatment of Laryngopharyngeal Reflux. Feeling of fluid in ear. Keywords: Laryngopharyngeal reflux disease (LPRD), Proton pump inhibitors (ppi), Reflux symptom index (RSI, Reflux finding score (RFS) Introduction. And misaligned stomach is the main reason of gastritis, gerd and digestive problems in general. Gotcha! That’s a terrible feeling. Our sickness is the worst, is a cycle. So back to the ENT and saw redness/swelling again. After trying ppi for 1 month, did a endoscopy that was normal, mri normal, blood work normal, my primary gave me amitrypteline!!! I still with the swallowing but I think it’s a lot of anxiety related. The ppi ends up causing reflux when you try to stop taking it, which is fucked up cuz I didnt really suffer from regular reflux before and its one of those GERD was diagnosed in my late teens. It needs 3 to 4 days to build up in your system to start I’ve been on a few, but Dexilant (60mg) long term and it’s the best with the least side effects I’ve tried (though it is a PPI). PPI, ginger tea, small meals, and lying on your left side when sleeping (using a wedge also helps). Good luck! Gaviscon is worth trying as it has been shown to have similar efficacy for LPR sufferers compared to PPIs. Going to bed on an empty stomach is very important too along with a strict low acid diet. Went to the doctor, got prescribed a PPI. But if you are months on Nexium 40mg and still have some symptoms I would however recommend you to see a doctor. I personally found it far more comfortable than my memory foam neck pillow. true. 6K subscribers in the LPR community. Work HONESTLY on it and leave this reddit is the best advice I can give you, my LPR is always worse when I’m reading stuff here, its straight up suicide watch with ppl promoting surgeries. No symptoms related to gerd. That area will take far longer than the esophagus to heal because there’s no My cure for LPR!! Posted 6 years ago, 24 users are following. 4pH and has pretty much ended my Is it a good idea to try a PPI for a short time to resolve symptoms? All I hear is that they don't work for LPR. I was on pantoprazole for around 4 months due to my LPR like symptoms. Gastritis is incredibly easy to fix by drinking fresh cabbage juice or simply eating lots of fresh cabbage. Father in law has Barrett’s esophagus. It isn't really working yet. Felt like it took forever to digest food and I’d reflux it all the time. 4pH, but it never helped my gerd. In LPR the acid can leap up to the vocal cord or even the nose, albeit in smaller numbers (7 drops of acid in the vocal 2. I know it sounds like a joke, but have you also tried doing some breathing/meditation? I highly recommend wim hof breathing method. Water will dilute stomach acid and make you produce more, as Getting off ppi,I have a feeling they making things worse,I have started taking aloe Vera Juice , eating slowly,and chewing well and hoping for the best If no improvement I will try another gi consultant,but it not easy to see a doctor at the moment here in England because of the pandemic . One of my work colleagues takes a PPI everyday because she takes Motrin daily. My magnesium levels also have been historically around 1. It's not instant. This community is for discussions of GERD, Acid Reflux and Heartburn. Trying to get off of it was horrible and even after 3 month it was still unbearable which is why I decided to get surgery done (got a LINX band impanted). I have been newly diagnosed with LPR and take 40 mg pantoprazol in the morning now. I'm sure the same is true for these drugs. I know you all arent doctors and what not, but using your best judgement please give me advice. My route has been to stop taking ppi, after 2 days no ppi, take Pepcid 2x a day, not 12 hrs apart per day, but close. PPIs help some people with LPR, but for others they do nothing or make it worse. it depends on which ppi and the dosage of each pill. Gastroenterologist “It’s GERD!” Neurologist “It’s anemia!” Otolaryngology “It’s silent GERD” Treatments: PPI - Do not work for me. My primary dr. Neck pain. It forms a raft to help keep acid from flowing to our throats. But left with GERD symptoms now. So the current financed studies focus on where the money is. I am taking esomeprasole 40mg once a day and i was almost symptoms free for a few months but 2 months ago it seems that it isn't that effective anymore. Really helps me, at least for like an hour after I do it. A lot of reflux damage actually happens at night, and the symptoms show up during the day. The best way to reduce the nighttime is to sleep at an incline. Eat healthier in general. This gives me hope. PPI’s help symptoms calm down. Face pain. I weaned myself off of it and the gerd came back with a vengeance and had been awful since. I would say hit the diet hard! I did it for at least 2 solid months at 100% before I saw results. And we will see. 28 votes, 73 comments. If that doesn't work, then try taking a daily PPI, like Prilosec or Nexium. My GERD/LPR came roaring back worse than ever. Keep your clean diet, have a cheat meal sometimes and a gaviscon after to prevent damage, take Betain HCL, carefully with drinking, stop drinking 3 hours before bed. A lot of the time treating LPR with a PPI I'd like throwing stuff on a wall and hoping it will stick. I think that people who feel like they want to post about GERD online are probably people who really struggle and for whom “normal remedies” like PPIs don’t work or stop working or they have trouble getting off I had the same issue with respect to my GERD getting worse on PPIs. Pretty sure gastritis cannot be the reason of your LPR and burping issues - gastritis sometimes goes together with but is independent from LPR. Lists goes on Back to the NaHCO3 thing- this won't do shit either and you can check yourself with a Dx-pH probe or even some litmus paper. So after talking to my GI doctor the plan for tapering is going down to 20mg for two weeks, then going to 20mg every other day (using pepcid instead when needed) and then going off them completely using antacids as needed. Which is now causing some more mucus in my throat and a nasty taste, and a cool feeling when breathing in. 23 votes, 50 comments. taking "two ppis a day" isn't necessarily an issue. I’m worried because I took an at home blood test for both vitamin b12 and vitamin D last October and my levels for both were much higher so either they were inaccurate or something Hello folks. I was diagnosed with LPR in July 2017 having gone to my GP with a feeling of a lump in my throat. Be careful with weaning off. I wouldn’t wish it on my worst enemy. I had that in the beginning right after a bad LPR attack of throat clearing, which led to a weird feeling around my larynx (no pain or hoarseness, just felt different). PPI's facilitate recovery, not outright cure you. I have an appointment with the ENT soon and I’m sure he will offer me PPIs because I most likely have LPR. I wouldn't even be surprised if my GERD/LPR flareup over the past few years hasn't been caused 100% by COVID. My simple point here is, it’s hard to know these things for certain. What I gleaned from my research was that Drs really don't know much about LPR, but there know a little more about GERD. I usually take 40 mg pantoprazole but I found out that I feel best the first few days I start the PPI or the first few days after I stopped them. Last year I became chronically constipated. Nexium made me feel extremely fatigued and weak and depressed. My ENT said I could but wanted me to take an H2 antagonist instead. Sadly, as others gave mentioned, coffee really does seem to exacerbate it and so try to limit or cut that out completely too. I started having pain in both elbows. What were your symptoms? cause I've been dealing with this for about 8 weeks have really bad globus sensation, sore throat also swallowing difficulties with chest discomfort just feels like food doesn't want to go down right anymore been on soft food/liquid diet for almost 6 weeks now had a endoscopy recently diagnosed with bile reflux gastritis and esphagatis but my doc didn't View community ranking In the Top 5% of largest communities on Reddit. This was caused by b12 deficiency and d3. Bad enough that I get acid throat and it irritates my airways. In August my throat started getting incredibly sore. FYI - I am currently not on PPIs but I am considering them (waiting on my next doctor appointment). Doubled ppi to 40mg almost 4 weeks ago. This wears off after a while. One sunny morning about 9 months ago, after a night of binging on way too many things (food, weed, alcohol), I woke up with all the classic symptoms of LPR (wheezing when laying down, coughing, sore throat, and mucus/globus in my throat, 24/7. Ear aches. However things like spicy foods, coffee, etc. We try to share helpful advice, engage in discussions, vent I already do pretty much all the lifestyle changes to combat LPR, but PPI's pretty much have the strongest effect for reducing my symptoms and I would have to get surgery if I could not use them. PPIs made my symptoms The consensus from a couple other studies seems to be to take 10 mL x 4 times a day (after meals and at bedtime). Every single person in this group with lpr should know about this treatment- h2 blockers are much safer than ppi's and are available otc. And have LPR. Has anyone experienced chronic constipation on PPI and did it last after stopping the meds as well? I take both. My pylori test is negative by the way. Do I need to try a new PPI or stick to what’s working for now? Best Products for Summer Health Hazards Read this list of the best OTC health care products to ensure a safe and healthy summer. I have terrible globus sensation all the time and some throat burning and slightly weak voice sometimes. Positives are that he doesn’t have esophageal cancer, and can eat normally. Went to the gastro after pulmonologist thought my sob was gerd. I had GERD but wasn’t officially diagnosed with it for years because it wasn’t “that bad” enough to need a PPI, just an antacid every now and then. I take both. I'm taking PPI's in addition to a bevy of supplements (d-limonene, mastic gum, zinc carsonine) and Gaviscon as needed - in addition to a very low acid diet - but nothing seems to help for very long. My doc just prescribed me 10mg Amitriptyline the other day (after roughly 10 years of trying everything else for GERD/LPR). By working on that, and supplementing with HCL all the while, my gut is better and the LPR is gone. When my hiatal hernia and GERD worsened recently, about 8 weeks ago, my doctor prescribed Nexium (esomeprazole) 40 mg daily. I started Pepcid and stopped omeprazole. What I really think has made a huge difference is the low acid diet. Antacid - Upsets my GERD (???) Antibiotics - Worse and serious allergic reaction. hello! my ENT recently scoped my nose and throat and indicated that acid reflux/LPR could be the cause of my symptoms (cobblestone throat, tons and tons of mucus, productive/non-productive cough, hoarseness) and prescribed me Pantoprazole 20mg twice a day. I didn’t notice any huge progress until a couple months on the diet. Although, i am afraid to go to the GI, i just wont handle the endoscopy. Reply reply As for the PPI be proactive stop smoking, drinking alcohol and reduce your intake of coffee. Sorry that this method didnt work out for you. I am so happy to hear it worked for you and you're still feeling great. She is the doctor who coined the term for LPR and has specialized in it since the 80s. If I’m feeling like I need it, I go up I have gotten rid of throatburn (larynx showed inflammation) and voice fatigue with PPI and strict low acid diet. I take a probiotic before bed and has helped me immensely. Also, on my PPI’s its listed that you can get stomach problems (nausia, pain, etc), as side effects. I have GERD and was Upper GI (barium swallow) tested years ago. Google vitamins that help with GERD or reflux, and take those. 8-1. Honestly, if I could go back and redo my diet and not have the 4 years of GERD and LPR that I have suffered with, I would limit my caffeine, eat better, and find ways to lower my stress. X-rays revealed that I now have osteopenia. In every GERD friendly cookbook I find, Bananas and soy sauce are always listed, and yet they are two of my worst offenders (even green Bananas, which are less acidic than ripe bananas). The pain is back. We try to share helpful advice, engage in discussions, vent There are a lot of PPI medications and there is no way for your doctor to know which one will work best for you until you try them - it is normal and expected that you might have to switch to another PPI or switch doses. After trying everything under the sun (diet, famotidine, exercise, etc. It's nice. I stopped PPI's roughly a week ago and just now start noticing healthier complete stools. Did a two week course of ppi’s per my Dr and then things got really bad. Im making an appointment to see a GI, but my Primary doctor in the mean time gave me ppi for burning throat and reflux. You definitely want to work with your doctor and probably start smaller and avoid PPIs altogether if possible. Neither did a thing for me at that time. If you reduce it, something else becomes an issue. I’ve been diagnosed with GERD in 2019, which later turned out to be LPR. You had an issue, you talked to your doctor, you changed your treatment plan. I started taking PPI before going out regularly and daily in my early twenties. I am really suffering with anxiety and this is not helping Warning. PPI kills 90% of stomach acid, H2 kills 70% of stomach acid. 1) anytime I feel heartburn or acid creeping I was on a high Omeprazole dose for about 4 months and a new doctor suggested switching to Pantoprazole to see if a different PPI might help. My family friend ENT suggested this should've been done at the same time my PPI's were prescribed. I changed my diet with the Acid Waters Diet and stopped PPI's and lost 10lbs I needed to lose. I'm thinking about changing it so what are you recommending, which ppi gives you the best results. When PPI is withdrawn your body does not immediately recognize that new proton pumps are functional and it will continue producing an excessive amount for some time. The article makes it clear Laminaria hyperborea is the best source for alginates that help with GERD (not all alginates are created equal). The best approach will be to taper down the PPI while supplementing with the h2 blocker. If you haven't tried a lengthy course 3+ months, recommend giving it a go. He indicated that it would reduce the amount of acid reflux, as well as reduce the inflammation of my esophagus. I sleep higher now, and am at this moment one week off ppi. If you have already been on PPI's, ask for the blood test as PPI's can lessen detection of the stool test. Well it never got better. Most people with LPR (real, objective LPR, not reddit somatoform LPR) have impaired esophageal clearance mechanisms plus depleted epithelial secretions/defense which results in acidification of the Oropharynx. I just started to have more issues with it. You can find all this information online by searching ‘LPR ncbi’ for the most recent publications. That's because pharma makes a lot of money on PPIs (esp since people get hooked on them and have a hard time weaning off), so there's no I don’t need alcohol to enjoy my life. 😂 if you find anything anytime soon, i'd appreciate it very much if you could update me on it. Tried it again for 2 days because my LPR symptoms were still bad which resulted in me regurgitating my food after everything I ate. Check out Dr Jamie Koufman’s website. If GERD was so simple, everybody would be cured. hello! so i’ve been having LPR symptoms (throat clearing, mucus in throat, hoarseness, cough) for a little over 5 months at this point and have been on a PPI for 3 months! i started on pantoprazole but have switched to esomeprazole after pantoprazole seemingly stopped working. If you're overweight then eating healthier will make a huge difference too since losing weight helps with many people, mainly eating healthier and a little bit of activity like LPR, GERD, Acid Reflux, Heartburn, and more. put me on 14 days of Pepcid and switched me to 30 days course of PPI(Pantoprazole 40mg/day) since Pepcid didn’t help. IMHO it is the highly caffeinated energy drinks that are opening I have LPR that was asymptomatic, so in March I asked to go off my 20mgs of omeprazole (1 pill a day). I tried everything, I mean EVERYTHING and nothing really helped long term. LPR is known to need higher doses of ppi’s for a longer period of time. If this doesn't work, try the extra strength dosages. In contrast After 10 years on PPI, horrible side effects, and many doctor visits/tests. He’s 75. You can take all 3 meds together. 80mg PPI for LPR? hello! so i’ve been having LPR symptoms (throat clearing, mucus in throat, hoarseness, cough) for a little over 5 months at this point and have been on a PPI for 3 months! i started on pantoprazole but have switched to esomeprazole after pantoprazole Omg this is the post I needed to see right now. Whenever I go back to the hopsital, or go to new hospital, they just prescripe me a new type of PPI and send me on my way. LPR is tricky to treat. Antihistamines - Makes things worse. Worse thing is he didn't point out that it could be from PPI's I had to google at home to find researches that supports that. I thought I had MS. Share experiences, tips, and find guidance on managing symptoms and improving quality of life. I believe I found the root cause to my GERD on my own. What’s the best time of day to take a PPI in this case? I’ve previously read that it’s generally best to take it in the morning, but since my symptoms show up at night, wondering if it’s best to take right before dinner or right before bed? It was a minor thing, I wasn’t suicidal or anything it was just weird and I’m not asthmatic anyway outside of LPR, which I didn’t have then, so I stopped taking them. Gaviscon Double Action literally gave me my life back while PPI's felt like they were destroying my insides. I am currently taking 40mg of esomeprazole per day (1 tablet in morning) to treat suspected LPR. Severe nausea and reflux burning/rising feeling. Early 2021, my reflux started to slowly ramp up again. It was slow and steady. I’ve been fighting a real bad lpr flare up that makes me clear my throat nonstop all day and feels like a brick on my chest. it stops gas from attacking my throat and let it heal. That's how medical care works. It has tons of specific advice for lots of different gut health conditions, including Hiatal Hernia and Gastritis and GERD and so on. Eff with my heart. I started taking Prilosec 20 mg last year and my doctor prescribed pantoprazole 40 mg a couple of months ago. permalink; embed; save; report; I started to take 2 days on ppi one day off for a week and next week 1 day on ppi two days off LPR, GERD, Acid Reflux, Heartburn, and more. I also take Claritin daily (I have a lot of sinus issues because of LPR) and sometimes mucinex. I was diagnosed with LPR (silent reflux) about a week ago at urgent care when I thought I had food stuck in my throat but it was actually just the globus sensation. . Try to get an endoscopy to see you exactly what's causing your gerd. One thing that’s helped me a lot is getting a pillow like this. After all the best business is where the patient has to take his Meds daily. Also note there are plenty of scary stories on Google, but in many cases, PPI's have saved people's lives. Pylori, n Esophagitis due to gerd. ) I have gone back on the PPI for a short time. (Tried for 3 full weeks but got miserable reflux and LPR). I got a full blown attack of GERD after Christmas and until now I have started feeling slightly better. It looks like PPI’s are plenty safe in the short-term, rest of your life term, that’s harder to say. This goes with practically all medications. For the first 7 or 8 weeks almost all of my symptoms lifted and it was really promising. My grandfather also takes a PPI and has for years. The way I feel right now without alcohol is miserable. LPR isnt like heartburn or regular GERD where it attacks after u eat. Many doctors are quick to provide PPI for GERD because it's one of the few things available to them. I have LPR and a doctors appointment in a month but I still wanted to know if anyone made a similar experience. But Treating/Managing GERD is a billion dollar business. The longer you're on PPI the longer it takes to taper off by reducing dose slowly. It was getting annoying. Stomach gripping/hourglass syndrome. Initially, I only felt heartburn during sleep and the globus sensation in my throat. GERD is a symptom not the underlying cause. After ditching the PPI my symptoms have gradually started to wane. But now the les is basically wider?! I also have h pylori which made me take PPI in first place, last test showed I’m finally negative but still has gastritis, i will get off PPI and make a test after 1-3 months depending on the symptoms. Sorry about bad english 😔 View community ranking In the Top 5% of largest communities on Reddit. Thank you for the update! I have heard that a small procentage of people with GERD actually has it because they have too little stomach acid. Over time I was able to reduce but not eliminate my ppi intake Been LPR and gerd controlled for 6 years and it recently came back- however I’ve been sort of out of control w my coffee and red pepper intake- basically got cocky- and now have to sort of start over the healing process. Posted by u/Tricky_Investment_67 - 12 votes and 59 comments I started ppi treatment like almost 2 months ago, that feeling only got better after I had an endoscopy and was diagnosed with H. Ive done some preliminary googling that showed it wasnt really an option to buy either the hyperborea seaweed directly or the alginate extraction from hyperborea. My ENT said it was LPR and had some photos taking inside my throat. While I'm still not healed and I still expect it to take several months to fully recover, I finally have some hope that my life will go back to normal. Like doctors would have you believe. Hello, just wondering if you could share an update on how your GERD/LPR is doing now? I'm also in recovery from bulimia and suspect that I have a weak LES problem. Christine Comizio and Lisa Esposito June 20, 2024 The dosage is on the bottle. It's needed to function properly. You can order it through Amazon or I get mine online at Brittish Pharmcare. My sore throat came from the acid coming up at night, I think. This ensures you’re are covering all 24hrs. i've been on as high as 40mg 2x a day for omeprazole and pantoprazole. they just don't seem to be as helpful for many sufferers of lpr. I feel like I stepped in a time machine back to 5 years ago. I also got diagnosed with LPR about a month and a half ago. I have Celiac Disease, asthma, Idiopathic Intracranial Hypertension (too much CSF/pressure in my brain), recent vision loss due to untreated IIH, double vision, nystagmus in my right eye, GERD, ITP, ADHD, OSA, complex cyst requiring surgery next week on Friday, vitamin deficiencies, yet to be diagnosed GI condition, and chronic migraines. I know it’s not good for me to take PPI on the long term and I want to stop taking it. LPR is a complex topic but these nuro drugs have nothing to do with PPI or PPI rebound. The ranitidine the doctor prescribed me made me very sick, horrible sinus infection that lasted 2 weeks. The fact that HCL helped me tells me that my digestive system must have been in rough shape. PPI every morning, and in the evening for a while until symptoms start to get better, and then PPI every day for at least 6 months. I’m sorry, I went on PPI’s for months - months - and saw no improvement. This is the place for anything related to Acid Reflux / GERD, including discussions, scientific studies, funny posts and much more! r/AcidReflux is a community for people who suffer from acid reflux. I’ve been taking PPI ever since non-stop. Then they go a prescribe antacid and PPI which lower your acid more. Since PPI’s purpose is to tell the body to produce less stomach acid, that can make your GERD worse. I’m on it for almost 6 months. I have a lot of anxiety and i am sure, that College is my cause of LPR. after looking through this page it seems that most people who do have success with PPI usually take a higher dose of I’ve had severe acid reflux for a long time. Idk how to completely stop it, i wish i could. I didn’t have any pain indicating gastritis, or bloating due to h. You can also find information about symptoms and related treatments. Had an endoscopy n she found gastritis due to h. Protonix gives me extreme dizziness/vertigo and nausea Taking a PPI and avoiding online forums like the plague along with other to anxiety-reducing behaviors (returning to the gym, seeing a therapist, deep breathing) have been the only things that have helped me get to this level of healing. I took 40mg once a day pantoprazole it took 6 weeks to see significant improvement. Diet and lifestyle changes will go further, though PPI's often make recovery a much quicker route. U definitely should make a gastro appt. LPR, GERD, Acid Reflux, Heartburn, and more. Over the course of my surgical recovery, I would get distinct LPR / pepsin gurgles in my throat. Severe deficiencies. I take Dexilant and it changed my life and ability to live without GERD pain/complications for the most part. From the first day of starting PPI, I have heartburn every time after eating. I want to stress that there are many causes of this condition, and for some a PPI will simply not help. But GERD is different for everyone and those with LPR have usually a longer treatment period. They also don’t actually help LPR. I just recently decided to stop taking PPI's and switched to Fomatadine and now I'm going regularly. I’d have the air hunger for hours sometimes. They do make me much more sensitive to FODMAPs and slow my digestion (mild gastroparesis), but they make LPR symptoms manageable. PPI will have rebound effect after stopping, H2 will not have. So much better that a lot of the time I don't notice the LPR anymore. It seems like all of the doctors I talked to about my GERD were always pushing PPIs. The one from UK is stronger and doesn't have aluminum in it like the US one does. I find this funny cus i was given perscription vitamin d3's 1000mg i believe 2 years ago by my old Gastro due to my vitamin D deficiency and have never thought to put the two together, i wish they would explain these kinds of things to us because For those of us with non heartburn acid reflux LPR, Gaviscon Advance Anise flavor from the UK is best. But, abruptly, seemingly without much wind up or warning, I've been dealing with a reoccurrence of LPR symptoms. Burping is slowly becoming less. I think generally the max is like 6-8 per day, so taking 1 per day is certainly not going to hurt you. Refractory GERD can present as I had LPR symptoms and my ENT basically tried nuking them with extreme doses of PPI/H2 and it made me way worse. I'm guessing my acid reflux started because I caught that disease and it's getting better after the treatment. I was regurgitating from the ppi, throat tightness, and consitpation. Im still trying to fix it for sure, just not as "freaked out" my best advice is to just drink warm/hot water everytime possible, and eat strict to minimize damage to the throat. I’ve had the symptoms off/on for decades, and struggled to control it. I’m only now starting to recover from a severe b12 deficiency. I had a gerd diagnosis from the general practice dr who put me on the PPI originally but moved and no longer see him. He’s taken a PPI for decades and is in great health. The water from my ionizer is also right around 9. PPIs seem to be the gold standard in treating it, but it reduces stomach acid production so food doesn't get digested as quickly. m , use a wedge pillow, take your PPI and add a probiotic. If you have LPR, drinking alkaline water should also help denature the pepsin enzymes in your oesophagus permanently. No caffeine, alcohol or nicotine, they're the worst triggers. Last spring I was diagnosed with LPR and put on a PPI eventually, a yr ago or so. My only question Is there any evidence the lax LES can be fixed after stopping PPI? Hey everyone. Good look, be consistent. Best of luck! Same situation here again, but im on lexapro though. Which also made my symptoms bad again. I didn't wean off them on a schedule. If you need it every single day, though, it's probably not doing that much to help, either. It doesn’t help anymore but my doctor switched me to Pepcid 20mg twice daily and my gerd resolved completely for about two years. I tried Rabeprazole in between and that couldn’t control my Gerd at all. H2 will not cross BBB (Blood–brain barrier) brain. All told, it was around 6 weeks total to completely wean off the PPI and then 2 weeks to stop the pepcid. Maybe most cases of gerd are actually caused by too much acid, idk, and a lot of doctors dont know either. Made things worse. Was on it for 3 weeks but it only made my symptoms worse, though it probably allowed my esophagus and throat to heal anyway. Just a word of warning, I couldn't digest some foods on LPR, GERD, Acid Reflux, Heartburn, and more. 6 Current guidelines recommend high dose If Esomeprazole 40 is working decent for me. If you see more immediate results yay! Diet is very important. Need to taper off. 1- be off PPI and having very manageable gerd 2- I have many days that I don't even have to remember I have gerd 3- being able to sleep flat 4- many natural remedies that didn't work before now work to control reflux So I can't say I am 100% normal, but I am getting better every day and gerd is rarely the problem it used to be In fact, this condition actually has a name, Refractory GERD: Refractory gastroesophageal reflux disease (GERD) is very common and may affect up to 40% of patients who use a proton pump inhibitor (PPI) once daily. I did some research my self and found some studies suggesting 44% of people in a study for LPR had H pylori - which was quite significant. Leading to the next problem. Irritated throat. Without it I feel like I'm going to DIE!!!2!!1! And also, my GERD has gotten SO MUCH WORSE since I started the PPI, the PPI is obviously causing my GERD to GET WORSE!!!1!!1!!!!!" In reality they are experiencing normal, predictable PPI rebound and it would work itself out in 3-6 weeks if people can tolerate the pain that long. With respect to diet, try cutting alcohol and sugar (although I still have GERD without these things in my diet). Anxiety causes GERD, and GERD causes anxiety. PPIs to cure GERD/LPR When I get the burning sensation, I have to take PPI's for several weeks to months to get it to go away, then spend a few more weeks weaning off of them, but I've never been able to go more than a year or two without a flare-up. Try Gaviscon Advance from the UK. LPR symptoms have been shown to significantly improve after 2 months. Pylori. I rest my case. I take both these but still have little relief at night time. Share experiences, tips, and find guidance on managing symptoms Pharmacotherapy Proton Pump Inhibitors. other ppi's require different dosages to achieve the same effect. Indeed, within the first few weeks most of my GERD symptoms had improved or disappeared. It is constant or every 5-10 minutes then stops for 1-2 mins then go again. The daily PPI is the strongest OTC med available, but it only works if you take it every day, not as needed. The PPI effect is actually two purposes (1) reduce the acid (2) allow digestive system to heal, eliminate body inflammation, and allow body digestive system to return to normal non-inflamed size. Every day, every meal. Laryngopharyngeal reflux is defined as the retrograde flow of stomach contents to the larynx and pharynx whereby this material comes in contact with the upper aerodigestive tract . It went away again after 3 more months on ppi's but my throat still feels a little weird lately. H2 blockers have also been known to provide more effective night time relief when taken before bed. I have gotten a lot better! The GERD pillow helps to angle your stomach to prevent the back flow of acid up the esophasgus. To reduce negative side effects from PPI's, supplement with magnesium, eat healthy, drink plenty of water, exercise, and take a good quality probiotic for IBS/GERD. I had that throat clearing whole time, ear ache and throat pain and all of 3 could be LPR symptoms. The symptoms that I have and the things I've done may not give you the same outcomes as I have as we are all different people with different symptoms, and different severities of our LPR/GERD, but I definitely have been wanting to share my findings I don’t have excessive burping. If u have enough stomach acid, ur LES will close and LPR gas will not go up to ur larynx. Suggest you speak to your gastro get and endoscopy then listen to their advice with regards to PPI's. So since my last post here I've gotten significantly better and I want to share some encouragement for others suffering. Some bodies take longer for the inflammation to subside. (We have a good rapport, so he wasn’t being rude). I think alot of people that come on here are naturally anxious people, which will be cause a vicious cycle of having GERD/LPR feeling the symptoms getting anxious about them getting worse symptoms, etc, etc. The more dangerous thing is the PPI. I have a ph test and manometry coming up. I turned to reddit and started doing some of the common anecdotal stuff - alginate therapy + high dose PPI's. Irritated tongue. Now I drink FLOW (naturally alkaline spring water, +8. I have been on high dose PPI for 7 months for LPR and I’m not convinced they’ve helped at all but I don’t think they are making the things worse. That will cause an overproduction of acid. but that doesn't At least 3 months. all decisions is mine and mine alone, so please dont hold back. PPI will change gut microbiome, H2 will not. My next step is to c another ent for a video bioscopy. Unfortunately PPI’s have been shown to be less than effective for LPR. What's interesting is that I'd been drinking store-bought alkaline water for years - I tested it and it measured around 9. He also has a website with lots of articles but the book breaks the advice down by condition and is so much Omeprazole in the morning to manage day time gerd, Ranitidine before bed to manage LPR while you sleep. Since then I'm struggling with lots of gerd and inflamed stomach lining, like it's actually so weird I can feel it being swollen. The standard Has anyone found pantoprazole to be more effective than other PPIs such as esmoprazole (prescription nexium)? I’ve been on 40mg of Esomeprazole and omeprazole are both PPIs that can fight GERD and acid reflux, so how do they compare? Review their differences and side effects at GoodRx. It's hard at first but it does get better. This review examines the Proton-pump inhibitors (PPIs) are effective against classic acid reflux (GERD) but do not work any better than a placebo for LPR treatment. Very interesting so basically it is what causes LPR to be the issue in the first place, then from there causes the awful symptoms of LPR. ppi’s block acid for 12-17 hours. It is crazy really and makes me think that they might not understand that much about reflux and best treatment. These often woke me up or wouldn't allow me to sleep. The results from the high quality study by Vaezi et al (Vaezi, Richter, Stasney et al 2006) with very low response rates and without significant difference in response between PPI therapy and placebo makes it reasonable to conclude that patients without typical symptoms of GERD (heartburn) will not benefit from PPI therapy. Do a bland diet or specific diet for GERD, don’t eat after 6 p. LPR requires a higher PPI dose for a longer amount of time compared to acid Yes! Its one of the only things that completely took away LPR from me lmfao I did take PPI+Prokinetic and h2 blockers during the time i took tums but it was magical, if i ate tums after like pizza, i would get no reflux. ohsjc lugpa fczau dwpjkcd cnu bnfzi zmro tiifg ishcr bmik