greyeyes
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« Reply #15 on: May 14, 2009, 04:57:57 PM » |
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I had severe GERD and tried all the things listed; nothing really made in better. Turned out I have celiac disease. Blood test and scope showed that. After the gluten-free diet for 6 months, no more GERD, as well as resolving all of other issues. 1 in 133 Americans have celiac, but about 85% of cases remain undiagnosed. You might consider having the blood test or having them keep an eye out/do a biopsy when you're scoped. May's Celiac Disease Awareness month, too, so pardon the soapbox! http://www.celiac.org/cd-main.php |
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tee_bee
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« Reply #16 on: May 14, 2009, 05:55:50 PM » |
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Prilosec just stops the acid. Nexium actually helps heal the damage to the esophagus.
Perhaps. Or this might just be an attempt at brand differentiation by AstraZenica. Not that I have a beef with AZ--Nexium is one of the seven wonders of the pharmacological world. But omeprazole may be just as effective in the control of esophageal erosion. I'd look in PubMed, but time being of the essence (that's what my students always say!) I give you: http://en.wikipedia.org/wiki/OmeprazoleWorth a look. If I remember, Nexium was a reformulation of Prilosec that was undertaken largely to give AZ another patent-protected formulation, not because of significantly greater efficacy. Of course, everyone is different, and we should all take whatever our health care providers prescribe. Or the MBAs at my "health insurer." |
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gennimom
Somewhat Southern (Have I really posted that much?)
Distinguished Senior Member
Posts: 16,767
Let's get summer over with! Me want snow!
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« Reply #17 on: May 14, 2009, 08:57:59 PM » |
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Maybe. All I know is, Prilosec lost its effectiveness for GD whereas Nexium still works.
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...only after reading gm's post, my new mantra is "always listen to gennimom".
Monday reeks! - Garfield The outside of a horse is good for the inside of a person (or something like that). |
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frogfactory
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« Reply #18 on: May 14, 2009, 09:07:27 PM » |
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I don't have this (took me a while to figure out, since it's GORD in Brit-speak!), but I felt I should point out that this can be a consequence of hiatus hernia, which is more common in women and can be fixed surgically.
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At the end of the day, sometimes you just have to masturbate in the bathroom.
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ms_turtle
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« Reply #19 on: May 14, 2009, 09:27:32 PM » |
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I don't have this (took me a while to figure out, since it's GORD in Brit-speak!), but I felt I should point out that this can be a consequence of hiatus hernia, which is more common in women and can be fixed surgically.
Ahhh, the British spelling of esophagus -- oesophagus. Now for some truly useless information (unless your in my histology class): the esophagus can be divided into three regions (upper, middle, and lower) based on the presence or absence of different muscle tissue. Striated muscle only is found in the upper esophagus, striated and smooth muscle is found in the middle esophagus, and smooth muscle only is found in the lower esophagus. At the junction of the esophagus with the stomach the epithelial lining makes a dramatic and abrupt shift from stratified squamous epithelium (moist) to simple columnar epithelium arranged in gastric pits and glands. It's a dramatic and beautiful change. http://www.siumed.edu/~dking2/erg/GI086b.htmAt the beginning of a semester I tell my students that by the end they will be proficient enough to be handed any slide and tell me what organ the specimen is from but also where (in the organ). Now back to your regularly scheduled thread. |
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'I get paid to think, and today I prefer to do my thinking lying down.' -- Inspector Morse
"Oh, PLANS, PLANS, PLANS -- how we make plans into the future, as if the future will most certainly be there!" -- John Irving
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gennimom
Somewhat Southern (Have I really posted that much?)
Distinguished Senior Member
Posts: 16,767
Let's get summer over with! Me want snow!
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« Reply #20 on: May 14, 2009, 10:23:29 PM » |
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I don't think GD's would be quite so pretty. His esophagus doesn't work like it should anyway.
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...only after reading gm's post, my new mantra is "always listen to gennimom".
Monday reeks! - Garfield The outside of a horse is good for the inside of a person (or something like that). |
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groundhog
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« Reply #21 on: May 15, 2009, 02:10:15 AM » |
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I had severe GERD and tried all the things listed; nothing really made in better. Turned out I have celiac disease. Blood test and scope showed that. After the gluten-free diet for 6 months, no more GERD, as well as resolving all of other issues. 1 in 133 Americans have celiac, but about 85% of cases remain undiagnosed. You might consider having the blood test or having them keep an eye out/do a biopsy when you're scoped. May's Celiac Disease Awareness month, too, so pardon the soapbox! http://www.celiac.org/cd-main.phpSee! I'm not the only one fixated on celiac. It was indeed the cause of my GERD, which is now thankfully only a (bad) memory. |
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llanfair
Village idiot and Very
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Posts: 22,200
Whither Canada?
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« Reply #22 on: May 15, 2009, 07:06:50 AM » |
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My doctor told me GERD and IBS go together like the proverbial horse and carriage. Would that be the motility problem that Pgher mentioned?
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Because, you know, that stuff on the syllabus is like, in writing, and there are so many ways you can, like, read that, but when the guys who sit by you in class, like, you know, must know what's really going on, right? -- AmLitHist, channelling student
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pgher
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« Reply #23 on: May 15, 2009, 08:39:39 AM » |
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I've heard of IBS, but never in this context. If I understand correctly, IBS is an intestinal problem, whereas motility is an esophageal problem. Basically, the motility issue is that the esophagus doesn't push stuff down as hard as it should. At least that's how it was explained to me.
I should have also said that I have a hiatal hernia. Again, surgery was never suggested because of other issues. Reglan + Prilosec does the trick for me 95% of the time. I have a hospital-style bed that I got before I got things under control for that other 5%. Pillows work too when I'm traveling.
I also have sleep apnea. Around the time that was diagnosed and I got a CPAP, my GERD symptoms decreased. May have been coincidental, though.
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llanfair
Village idiot and Very
Distinguished Senior Member
Posts: 22,200
Whither Canada?
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« Reply #24 on: May 15, 2009, 02:13:51 PM » |
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I've heard of IBS, but never in this context. If I understand correctly, IBS is an intestinal problem, whereas motility is an esophageal problem. Basically, the motility issue is that the esophagus doesn't push stuff down as hard as it should. At least that's how it was explained to me.
IBS is actually a motility problem as well, but it centres on the colon, which can tie itself up into very painful knots when the normal peristaltic rhythm of the gut is upset. The result is either diarrhea or constipation, or both (alternating). Such joy! I should have also said that I have a hiatal hernia. Again, surgery was never suggested because of other issues. Reglan + Prilosec does the trick for me 95% of the time. I have a hospital-style bed that I got before I got things under control for that other 5%. Pillows work too when I'm traveling.
I also have sleep apnea. Around the time that was diagnosed and I got a CPAP, my GERD symptoms decreased. May have been coincidental, though.
This is interesting. Also good to hear that you're doing better, Pgher, coincidence or no! |
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Because, you know, that stuff on the syllabus is like, in writing, and there are so many ways you can, like, read that, but when the guys who sit by you in class, like, you know, must know what's really going on, right? -- AmLitHist, channelling student
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zuzu_
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« Reply #25 on: June 10, 2009, 09:15:56 PM » |
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Well I made the appointment. A week from Monday.
My mom, who is a medical research recruiter and happens to be currently recruiting for an H. pylori study, tells me I need to demand that my doc test me for H. pylori. Thoughts?
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dept_geek
SPAF by decree, documentor of local meetups, and
Distinguished Senior Member
Posts: 7,688
through a glass darkly....
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« Reply #26 on: June 10, 2009, 09:19:18 PM » |
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Well I made the appointment. A week from Monday.
My mom, who is a medical research recruiter and happens to be currently recruiting for an H. pylori study, tells me I need to demand that my doc test me for H. pylori. Thoughts?
Yes. You should (it's an easy test). A course of antibiotics and done. Much better than the treatment of GERD which is pretty close to forever. |
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I would love to change the world, but they won't give me the source code. When in doubt, add chocolate.
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greyeyes
New member
Posts: 27
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« Reply #27 on: June 10, 2009, 10:44:06 PM » |
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I was never told I needed to do anything about my hiatal hernia; but they found it when they found my celiac, so I guess they were worried about other things. Nor did I ever get an h.pylori test. Given some recent problems, I think I have some new things to recheck. Look at the things you can learn on the chronicle fora! Thanks.
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groundhog
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« Reply #28 on: June 11, 2009, 01:55:34 AM » |
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I had GERD and bad pain, which led my doc to suspect an ulcer. Priolosec did nothing for it. I had an endoscopy to check for ulcers and h. pylori. It was negative for both, but positive for celiac. I am pleased that I had such a thorough doctor, who took biopsy samples and looked for celiac - which wasn't on anyone's radar.
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greyeyes
New member
Posts: 27
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« Reply #29 on: June 11, 2009, 05:58:01 PM » |
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It's great that you had such a thorough doctor!
It's amazing how much celiac flies under the radar. Prilosec actually made me sicker when I initially was having the GI problems ... they just kept trying various drugs til we got one that covered some of the symptoms, but didn't resolve them. Wish I'd had an md like yours - it would have been so much better!
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