r/acidreflux

Hola, Llevo un par de años sufriendo de reflujo ácido. Me recomendaron tomar omeprazol u otro IBP a diario para controlar los síntomas y prevenir daños en el esófago. El problema es que no tolero ningún IBP porque me provocan migrañas, mareos y ansiedad. Los he probado todos, y el único que no he probado es Voquezna (vonoprazán), que no está disponible en Europa. La famotidina (Pepcid) tampoco me ayuda y también me provoca migrañas. ¿Alguien más ha estado en la misma situación y ha encontrado una solución? Preferiría evitar la cirugía si es posible. ¡Gracias!

Edit: Baking soda and alginates don’t work for moderate GERD. They’re just not strong enough, and you can’t spend the rest of your life taking Gaviscon sachets three times a day either, because it gets expensive.

If you've been on a PPI for a long stretch, a few nutrients are worth bringing up at your next appointment. PPIs are often the right medication, and knowing these effects helps you ask your doctor more specific questions.

Magnesium. PPIs can reduce magnesium absorption; low magnesium affects muscle tone, sleep, and smooth muscle function (including your LES, somewhat ironically).

B12. Stomach acid is needed to absorb B12 from food; years on a PPI can lead to clinically meaningful depletion.

Iron. Stomach acid converts iron into its absorbable form; long-term suppression can reduce iron absorption.

Calcium. Relevant for bone density, especially for perimenopausal women on long-term PPIs.

Zinc. Needed for mucosal repair, and can be depleted with long-term acid suppression.

Please don't stop a PPI on your own. Stopping suddenly can cause rebound acid, where symptoms come back stronger for a few weeks, and that's why so many people decide they can't come off. If you want to reduce or stop, ask your doctor about tapering slowly.

I have silent reflux and basically don’t have much symptoms except late meals feel like they don’t digest and really messed up sleep, and sometimes my throat feeling weird the next day.

I don’t know why it’s so uncommon in the US, but yeah giving a sodium alginate a try. It seems designed for people with my exact symptoms. I’ll post back here in a week or 2 with results. Been doing it a couple days and it’s too soon to tell but may be helping

For the past 6 years, worser in the most recent, I’ve been suffering with ‘acid reflux’ except PPIs very minimally help. I’m now doubting whether this is even acid? Anyways, I regurgitate EVERYTHING from food to even water, from the first sip to the first bite and then I forcefully swallow it back down. It comes back up again, but eventually goes down. In the morning, particularly when I have to brush my teeth, I ‘spit/puke’ idk what word to use, it comes out without me forcing it to, green hot liquid that burns. I now know this is bile. I found recently that tilting my head to the left side pushes whatever is trying to come up my throat (that burns) down…I’m assuming down my stomach and I can hear it swash down. Issue is, my stomach then feels like it’s on fire. I don’t know what to do. PPIs barely do anything, and they make my stomach feel weird. The only thing that worked was gaviscon advance but even now, the ‘acid’ is starting to burn through the protective layer almost immediately. I don’t want cancer, but what can I do? I only get relief from not eating or drinking all day…but that’s not ideal. Does anyone know any ‘gerd’ friendly liquid meal replacements that taste good because at this point, I’m willing to try. I had a gastroscopy in late 2024, which was normal…not even irritation was mentioned? (they initially gave me someone else’s wristband but replaced it with mine after pointing it out, which makes me wonder if that imaging wasn’t mine…anyways). What do you recommend I do? I do have subclinical hypothyroidism just to note.

I don’t know my trigger foods, even water triggers regurgitation etc. I think definitely wheat though, because today n yesterday I started eating weetabix again and immediately after the ‘gerd’ was 10/10 bad. When I don’t eat it, it’s 6-7/10 bad.

I’m thinking of purchasing ‘throat coat’ and just going on a liquid diet with occasional cheat meals + gaviscon. Would anyone advise against this?

Sorry in advance for the longer post but: My journey with all this started march of this year when I noticed some voice changes (i’m a singer). Went to an ENT, scoped me, and he saw some mild acid reflux changes and suspected LPR. Now I’ll be honest my lifestyle and diet were not the best then, not to mentioned I’d pop Ibuprofen every day for chronic headaches BUT I have significantly changed my eating habits and lifestyle since then.. Also no more Ibuprofen. He put me on 40 mg of Omeprazole instead of telling me to change my habits but what can you do🤷‍♀️ I was on Omeprazole from about May 15th to June 13th and then I stopped (tapered of course). A week after starting the taper, I experienced symptoms I had never experienced prior to starting Omeprazole like constant burning, burping, and feeling the acid come up to my throat. My symptoms have gotten better in the last 2 weeks or so. Honestly for the past 2 months my symptoms would go away for a week and then come back, albeit not as severe as they were before the flare up. Which is why that led me to believe this was probably rebound or my stomach just recalibrating. All of this has caused me not to be able to work because I developed muscle tension dysphonia so it’s been crippling to say the least. Went to a GI and she ordered an upper endoscopy and found mild gastritis in my lower stomach but all biopsies came back clear. Today I met with her to discuss my next steps and she recommended me trying 10 mg of Voquezna for 15 days and then going to 20 mg Omeprazole until I see her again in 8 weeks. To be honest I’m really hesitant to go back on acid suppressing medication because my symptoms ARE getting better, they’re just still there. Has anyone’s PPI rebound lasted this long from this little time being on the medication? I don’t want to be at the end of my rebound journey (in the case this actually is just rebound) and then have to restart it. Kind of don’t know what to do, but I want to be able to live and work normally again!