How to Survive "Acid Reflux Rebound"

PPI drugs are supposed to be used for a restricted period of time, however most patients continue their use indefinitely. Not only do patients abuse these drugs, but also the physicians who prescribe them. There are no studies regarding the long term use of PPIs. One has to question whether their prolonged use is really safe. Fortunately, there are natural ways to survive "acid reflux rebound".
Comments on article "How to Survive "Acid Reflux Rebound""
Name Views and CommentsDate
GERD Guy Sandy - You might want to find a new doctor. PPI's are not indicated for BID use (twice per day). They shouldn't be used twice per day, especially KAPIDEX. KAPIDEX is equivalent to two doses of lansoprozole in a single pill, released at two distinct periods throughout the day. The therapeutic window is open, potentially for 24 hours - exactly what a doctor is trying to accomplish with a conventional PPI by dosing it twice per day. If things are that bad, you may want to ask your doctor about prokinetic agents. There are also surgeries: fundoplication, vagotomy and antrectomy. Don't blame the drugs for your doctor's misuse of them.

Mets - You're spot on. Some individuals are genetically prone to the condition for a plethora of different reasons.
11/18/2009
GERD Guy This is a wonderful piece of misinformation. This is why it's important to speak with a medical doctor regarding medical problems. Those individuals behind a keyboard and monitor who believe they have God's knowledge of homeopathic medicine tend to discourage patients from taking the advice of trained medical professionals. Nicely done. In this instance, Mr. Richey needs to look beyond his nose and educate himself in the world of gastroenterology.

"Smoking is perhaps the most acidic thing one can do." Asinine. Smoking actually causes the lower esophageal sphincter to relax - this has nothing to do with acidity. Secondarily, your statement in regard to chewing gum: if the gum is of a peppermint flavor, it can actually cause more reflux to occur, once again relaxing the lower esophageal sphincter, but hey, I don't want facts to get in the way of you selling herbal products. I mean really, who doesn't want to be a slave to "herbal supplements" that are sometimes four times the cost of a TEMPORARY pharmaceutical that works scientifically - rather than just psychologically.

Lastly, "Chewing produces saliva which is very alkaline. Chewing gum after meals puts more alkalinity in the stomach to counteract the over production of acid." Nice hypothesis, although medical science has you outnumbered again. The mouth only produces enough saliva to neutralize the bolus traveling through the esophagus. Parietal cells, ECL cells, Antral G cells and acetylcholine far outperform the minimal function of saliva. Internally, there are mucosal barriers that help neutralize acid with bicarbonate and mucous production. GERD occurs due to LES malfunction in a variety of areas.

As for "At this point there is most likely damage to the esophagus." Please note, a very small portion of GERD sufferers actually have Erosive Esophagitis, counter to what Mr. Richey believes. Most GERD patients are actually suffering from non-erosive gastroesophageal reflux disease, where there are no wounds to the esophagus, rather the uncomfortable feeling of acid against the epitheleal lining of the lower esophagus.

If your doctor writes you a script for a PPI, I would suggest you heed his or her recommendation.
11/18/2009
Sandy Thank you for the info. It gives me hope that 1 day I may get completely off PPIs! I'm down to one 60 mg Kapidex daily oppossed to 2 -60 mg Kapidex & 2- 20 mg Prilosec daily. I'm having rebound reflux as we speak but I'm determined to get off all PPI's! I've used Aloe juice for a long time & papaya as digestive help so feel I'm on the right track. My last endo showed benign stomach polyps from the PPIs so that's what made me want off! Thank you again! 10/22/2009
Mets It is my impression that the author does not suffer from acid reflux and had little understanding of it. If he actually had this condition, he would realize that for some it does not matter what you eat, how much you eat, or even if you eat at all. I have reflux all the time, including when I drink water, eat plain oatmeal, or a 1000 different foods. I have reflux if I don't eat or drink anything. I do agree that the drugs are not nearly as great as they are hyped to be. 5/14/2009
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