OK, serious advice..

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Lesley
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OK, serious advice..

Post by Lesley »

This cycle is not going away. The D is back - really bad! Norco, of course halts it a bit, but I can feel it gurgling away in there.

I have been sucking on rock candy most of the time to keep the GERD under control. In fact I am sure I haven't lost too much more weight because of the sugar. However, the sugar is obviously not good for me, and may even be the cause of the D, not the duck.

Should I take PPIs daily against the unbearable GERD and try to get off sugar? Or is the sugar with no, or very little, bearable, GERD better? Any ideas?
Tex, your thoughts please.
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sarkin
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Post by sarkin »

(I can't be helpful about the PPI, but I can tell you that sugar can be a factor in D, for me, especially when I'm in an upset state. Hope you hear from Tex soon...)
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tex
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Post by tex »

Hi Lesley,

Please don't forget that I'm not a doctor, but FWIW, here's what I think:

I think that sugar was the initial cause of my leaky gut syndrome, because I was a sugar hog, for years and years. So yes, I believe that it can cause digestive issues, but that doesn't necessarily mean that it's causing any problems for you at the moment. :shrug:

IMO, PPIs don't actually stop GERD, they just neutralize the production of stomach acid, so that you don't notice the GERD - it almost surely still happens, but it doesn't burn, so it's not very noticeable. That does prevent acid burns to the esophagus, of course, at the expense of compromised digestion in the stomach, and a weakened lower esophageal sphincter, which pretty well guarantees that reflux will continue, and maybe even become worse, but it won't cause any esophageal damage.

Remember, PPIs trigger MC flares for many of us, (but certainly not for most of us), so this is a rather complicated issue, with no easy answer.

Is sugar good? No, but while it might cause D, it's not likely to trigger an autoimmune reaction.

PPIs might cause an MC flare, though the odds are somewhat low, (roughly about 15%, as I recall). The biggest problem is compromised digestion, and damage to the LES, resulting in a dependency on PPIs, after a few weeks of use, (IOW, they're very difficult to withdraw from).

Are you aware of this new procedure? It might be worth considering.

http://abclocal.go.com/kabc/story?secti ... id=8423898

Tex
:cowboy:

It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Lesley
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Post by Lesley »

I had fundoplication, though not the same type, for the GERD, but it hasn't lasted. It was way more invasive than the method you show here. I need to ask the docs, but until December 15th I am doctor-less. I am going to talk to a new GE on Dec 15th. I don't know how much more open he will be to other ideas than the one I have had up till now. My PCP is on jury duty this week. No one to talk to about it.

I don't know who to ask about this procedure until mid December. I don't want to ask my GE about it. I don't want to talk to him until I have settled whether I am really changing docs.
I will put this in the file I am starting to take stuff to the new GE, and see if he knows of it.
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