My acid reflux (& possible bile reflux) is getting worse and worse. I have been taking various types of acid blocker meds, which seemed to help for a while but not so much any more. I have changed my diet and eating habits extremely. I eat dinner no later than 5 PM and have nothing else to eat before bed. I eat much more veggies and much less meats and fats. Sometimes I only have a cup of green tea between dinner and bedtime but I still wake up soon after falling asleep with severe burning in my throat and the need to burp. Sometimes the acid burns my throat so bad and it tastes so bad in my mouth. There are times I think it even gets in my wind pipe because I cough and choke and can't catch my breath. It's really starting to interfere with my quality of sleep and it's extremly frustrating. Can anyone give me any advice that may help?
Hi, and thanks for your medical question on eHealth forum!
First of all do not remain empty stomach after 5 pm. Take a late night snack. Munch something in between.
Treatment is a combination of drugs to reduce the acid and lifestyle changes. You will need to take a combination of medications (under medical supervision) like a proton pump inhibitor such as omeprazole, lansoprazole or pantoprazole empty stomach in the morning and an antacid gel after meals for complete relief.
Possibility of H pylori infection too should be looked into by a carbon urea breath test and a combination antibiotic tried. Many a times a persisting H pylori infection can be the cause behind acidity not responding to treatment.
Life style changes that will help include: Avoid heavy meals and eat frequent small meals. Avoid too much of caffeine, tea, smoking, fried food and drinks both alcoholic and non alcoholic fuzzy ones. Avoid heavy exercises within 4 hours of a heavy meal. Raise the head end of the bed by pillows to 30 degrees. Avoid lying down for least 2 hours after food. Maybe these tips will help you.
You should consult a gastroenterologist (a specialist who looks after the diseases of our digestive system) or a physician for this if these tips reduce your symptoms. You may need upper GI endoscopy for confirmation and to know the degree of damage. Hope this helps. Take care!
hi blondelenoer. One of the most misdiagnosed conditions in this country is reflux. Many doctors assume that a person with reflux is over producing hydrochloric acid, when in fact; many people are not producing enough HCL. The symptoms associated with esophageal reflux are virtually identical in patients that are over producing acid or under producing acid. The over production of acid by the parietal cells is called Hyperchlorhydria, the under production acid is called Hypochlorhydria. Both conditions will cause belching, bloating, reflux, gas, abdominal pain, irregular stools, diarrhea, and constipation. Many people assume they are over producing acid because the gastric fluids from the stomach are extremely bitter. Unfortunately many doctors are prescribing acid reducing medications or PPIs without the benefit of a pH Diagnostic test. When a person that is not producing enough acid, starts taking acid reducing medication, they will become Achlorhydric, and set the stage for bacterial, fungal, parasitic infections, and many other serious ailments. Achlorhydria is also one of the most prominent disorders that AIDS patients have in the final stages of the disease. Hydrochloric acid is essential in the sterilization, and conversion process in the stomach. The hydrochloric acid breaks down the nutrients consumed into a thick liquidly mass called chyme. The conversion process is accomplished by the peptic enzymes. The peptic enzymes are most active in the conversion process when the stomach pH is at 1.0 to 2.0 pH. As the strength of the acid starts to decline the peptic enzymes become less active. When the pH of the stomach is at 5.0 pH the peptic enzymes are completely inactive in converting proteins. Pepsin converts proteins into proteoses and peptones which are the building blocks for the amino acids. Amino acids are the building blocks of life. Acid reducing medications should only be taken on a short term basis to allow healing of damaged tissue, long term use can cause serious problems. I would highly recommend that you get a pH diagnostic test or gastro-gram. Search the net under Heidelberg pH capsule, or pH capsule, there is a lot of good information that will help you resolve your problem.
2netta, dental appliances, I stopped giving them to patients. I have noticed, sleep Apnea is the result of a very long soft palate which needs to be shortened by a skilled Surgeon, or its caused by blocked nostrils due to constant congestion from tne non allergic type. Then there are those, who's Jaws gets so relaxed, that it will open up while sleeping amd air will go through the mouth too causing unwanted noise. So clear nostrils, short soft palate, closed mouth, including other things. Diviated septum, that one I don't know, I had it done, didn't do much.
I have encountered being woken up in a panic with my throat blocked and unable to breathe. IT take three or four times of hard forced coughs to begin breathing. It is very scary as if I don't clear the airway, I will end up choking to death. Does anyone have any experience and/or knowledge about my condition?
The chocking at night happens to me I wake up gasping for hair with a metal taste in my mouth, anything I eat feels to hard to swallow and my stomach hurts and I get loose stools. Obviously, this is not normal but all the dr does is give me anti acids. I had a sleep apnea test it was negative. So I'm trying to figure out what I have???
What you are describing is reflux. The antacids your doctor prescribed will ensure what refluxes is less likely to corrode and damage your esophagus.
To manage the reflux, lifestyle changes may need to be made as follows:
- Lose weight if applicable
- Stop smoking if applicable
- Reduce alcohol consumption
- Avoid tight clothing
- Avoid bending or any exercise that will compress the stomach after eating
- Eat smaller portions - more frequently
- Leave at least three hours before your last meal and going to bed
- Raise the head of your bed 6 to 8 inches on blocks
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