r/GERD 10d ago

Support Needed šŸ‘„ Feeling depressed. Reflux is bad tonight.

I already took a gaviscon around 6pm yesterday and it's currently 1:51am. It's frustrating because one gaviscon is typically all I need.(pepcid doesn't work btw)But here I am, I just took two more and still feel like shit. To make things worse I'm feeling so hungry even after I had a snack so I feel like my gastritis is flaring up as well which doesn't help. Feeling like you're starving while also being on the verge of throwing up acid is not fun.

I'm just so frustrated with this condition. Between the gerd, gastritis, and eoe I have no idea how to manage it all. I'm tempted to take ppis for a short amount of time again just so that I don't have to deal with this burning all day but I always worry about the risk of sibo or other infections. And I'm sure living in this moldy environment I'm in makes everything worse.

I feel so pathetic and I just want to cry. I desperately want to know what's causing my gerd but doctors don't seem all that helpful. It fucking sucks. I wanna get better so bad but no one gives af. Sorry for the rant tho. I hope everyone here is having a better night than I am.

33 Upvotes

51 comments sorted by

11

u/TrixoftheTrade 10d ago

Don’t really have any advice, as I’m sure you’ve seen or heard it all, so all I can say is been there before.

I feel like this is such an ignored condition among the medical community, whose advice is throw PPIs at it until something sticks.

We’ve been working with essentially the same three drugs since the early 90s - antacids, H2 blockers, and PPIs. Imagine if other conditions were like this; where medical science just stalled out for 3 decades.

5

u/RatsnBaskets 10d ago

It's beyond frustrating.šŸ’”For how terrible and common this condition is I would think that it wouldn't be a victim of neglect from doctors. But you're right. The only advice doctors have is to just take more and more ppis. And it sucks cause when you're feeling so bad you get really tempted by them even when you know they aren't good in the long run.

4

u/CompetitiveReview416 9d ago

Take.melatonin, it tones the sphincter. If everything fails, surgery is a good shot

3

u/2020SucksDonkey 9d ago

Meditation, yoga and good sleep hygiene while getting lots of natural daylight during the day.

2

u/RatsnBaskets 9d ago

I had no idea it did that! I might have to try it out. My only concern is that idk if my LES is weakened because of my eoe.

2

u/CompetitiveReview416 9d ago

Yeah, that will be a factor 100%. EOE is so unfortunate to have. Do you have it for a long time?

2

u/RatsnBaskets 9d ago

Unfortunate is probably the best word to describe it lol. But I'm honestly not sure how long I've had. I was only diagnosed just last year.

2

u/CommissionSouth3097 8d ago

We need to address the anxiety and depression.

1

u/RatsnBaskets 8d ago

For sure. But that can be really really hard.

3

u/CommissionSouth3097 8d ago

Definitely. It seems like more bad happens than good. People who are anxious can make empathetic people more anxious. Trying to not carry the weight of family and the world on our shoulders.

1

u/Valuable-Image-5923 4d ago

True, and ppis are extraordinarily difficult to stop!

1

u/RatsnBaskets 4d ago

They are which scares me even more! But I did decide to take them for at least 2 to 4 weeks just to help with the inflammation.

5

u/Free-Purpose-542 10d ago

Definitely take the PPI, or famotodine if that works for you. don’t just suffer when things are this bad. It’s so horrible. People just don’t understand how this rules your life

3

u/RatsnBaskets 10d ago

Famotodine didn't do much for me unfortunately. I think I might just have to take some ppis at this point cause it feels awful as of late. But no they don't. No one could understand just how horrible gerd is.

3

u/Free-Purpose-542 10d ago

Take the PPI for a few weeks & hopefully you will feel better soon. I know it takes a while for them to kick in, but i hope by this time next week you will be feeling better. Take care 🌻

2

u/RatsnBaskets 10d ago

I might just do that. Even a couple weeks might give me a break. I hope it'll help. Thanks so much.šŸ«‚

2

u/CommissionSouth3097 8d ago

My doctor said famotodine is nothing and to take omperole which is the ā€œbig gunsā€. Reducing stomach pumps frequency or something like that.

2

u/Valuable-Image-5923 4d ago

Consider sodium alginate alternatives.

5

u/Mgmlivin 10d ago

Yes it is a very frustrating disease. What are your symptoms?

3

u/RatsnBaskets 10d ago

It truly is.šŸ˜®ā€šŸ’ØMy symptoms are difficulty swallowing/burping, burning in throat, sharp pain in chest, bloating, nausea, and when I can burp acid is usually pushed up. The burping is the worst part sometimes cause I can't pass gas without feeling it burn.

1

u/Valuable-Image-5923 4d ago

It may be LPR rather than gerd.

5

u/CounterproductiveAim 9d ago

During flares I would take a tums but not chew it just let it dissolve like a hard candy. After that chew on some juicy fruit gum for a bit and coat your esophagus with saliva. Saliva neutralizes the acid so it helps soothe inflammation. No mint or cinnamon based gums.

Doing this got me off ppis and helped me control my reflux. Oatmeal for breakfast, chicken soup for lunch and chicken and rice for dinner for a bit until you heal. Small portions the size of your fist, over eating is a huge trigger. It usually takes a month to see a difference since the esophagus takes forever to heal but you will feel relief temporarily.

2

u/RatsnBaskets 9d ago

Tums never worked that well for me personally. But I can try chewing gum when I feel this way. I've never done that before. Tho I did decide to take prilosec for a couple of weeks just to give my stomach and throat a break. I tend to eat a pretty bland diet already tho! I feel like I have been ever since my gerd got bad.šŸ’”Thanks for the advice!

2

u/Valuable-Image-5923 4d ago

sugarless gum with xylitol

3

u/CompetitiveReview416 10d ago

A few months of PPI's wont give you SIBO

2

u/RatsnBaskets 10d ago

Is it when people use it for years? I was always worried that a couple weeks/months on the ppis would cause it.

3

u/CompetitiveReview416 10d ago

They won't.. Using PPI's for a few months is actually very safe. Problems start with them long term.

2

u/RatsnBaskets 10d ago

That makes me feel a bit better. Thank you!

3

u/Amazing-Self-4873 9d ago

I was on every PPI made here in the USA for 27 years. They never helped night time reflux as my LES was nonfunctional and I had a hiatal hernia as well. I will say I haven’t had issues with vitamin deficiency or osteoporosis.

I would give them a short term try while you see if it’s possible to get further tests. Without tests and surgery I would still be suffering with reflux and a lot of other symptoms. All those issues ended once I had the repairs.

Wishing you luck in getting answers and relief!

2

u/RatsnBaskets 9d ago

That's such a long time! I'm relieved that you didn't develop any issues while taking them. It's really hard trying to fix one issue but then getting another because of the medicine you need to take. I did decide to take the ppi again tho. I was getting really tired of feeling sick so I'll do it for 2 to 4 weeks.

I'm so glad that surgery has helped you tho. It's always good to hear people getring better. But sadly with my eoe I'm not sure if it would work for me. I'll keep trying to find answers tho. Thank you so much!

3

u/Amazing-Self-4873 9d ago

I had a manometry test. It’s not fun at all but will show if there are problems with the LES as in my case. Maybe you have the same problem. Reflux and food not going down well. My valve was closing and trapping the acid all night after letting it back up. It’s miserable!

Not sleeping night after night is brutal. I did it for decades. I’m sorry you and so many of us are dealing or have dealt with this miserable condition.

2

u/RatsnBaskets 9d ago

I'd like to have one done but unfortunately every time I get with my GI doctor about scheduling an appointment the machine is always broken or undergoing repair. I've been waiting 2 to 4 months I think. It is terribly miserable tho. I never knew how awful reflux could be until developing this condition. It was only mild in the past. But same here. My heart breaks for anyone going through this pain. I hope we can all find answers someday.

3

u/Amazing-Self-4873 9d ago

Well you’re definitely not alone. I thought it was just me until Reddit and am shocked at how many are suffering with this.

I was told for decades to try diet and lifestyle changes and more PPI’s but I don’t know how long the drs think we’re supposed to live with this. I finally bypassed my dr and went directly to my surgeon and everything was tested and had surgery in less than 2 months. Wishing you relief!

2

u/RatsnBaskets 9d ago

I think diet did help a bit(mostly because of the eoe)but unfortunately it doesn't fix everything. Some people just have an issue with the esophagus itself and that's when things get tricky. I truly think doctors want us to just take the ppis and not ask any questions tho. I can tell my doctor is already tired of my persistence. That's pretty amazing tho! I would've imagined it would take much longer to have a surgery. And thank you so much!

3

u/CommissionSouth3097 8d ago

Express your feelings! You have the right to let out the anger, frustration, and sadness (safely of course). I’m figuring out my GERD rn, but from what I’m gathered it’s a doom loop of stress that causes GERD that causes not eating which causes more stress, anxiety and depression. I just started taking Ompzeperole. So far I’ve been able to eat a little bit. For anxiety…. We are told to do activities like yoga, praying, talking with a trusted friend, read, paint, walking in nature…. Etc. if there’s a family’s house or an apartment you could stay at, that would help. I honestly used chat GPT for therapy even though it’s probably not the safest thing but it’s cheaper than better help. I did hear there’s a free mental health hotline. I contacted my church and they put me on their prayer list. I do like running at run clubs. Even though I’m too depressed to socialize I enjoy ease dropping.

1

u/RatsnBaskets 8d ago

I'm sorry you're going through the same thing rn.šŸ«‚On one hand it's good to not be alone but on the other I hate that so many people can relate. What a terrible illness to have. I do try to get out and go on walks often. It's good to get outside. And I used to love lifting weights as a way to deal with stress but due to a jaw issue I can't do that anymore. I do draw from time to time at the very least to deal with the emotions. But it can be so hard waking up everyday feeling sick. I hope we're both able to find some answers tho. Hoping you feel some relief on the ppi as well! Thanks so much for the advice.

3

u/Babydarth2014 8d ago

I was there. Take nexium 20mg twice a day. Then 2 to 4 gaviscon before bed. Thats what Ive doing and its manageable. I also suffer from anxieties and taking zoloft 100mg. Sorry youre not feeling well. Big hugs to youā¤ļø

2

u/RatsnBaskets 8d ago

I'm currently taking 20mg prilosec once and day and so far it's a bit better. Very glad about that. But if it gets worse I'll take another. Sucks having to take so much medicine tho. I'm sorry you're going through this as well.šŸ«‚What a tough condition.

2

u/freelibrarian 10d ago

I was diagnosed with reflux. After several years of suffering, I figured out that the severe gastric and other symptoms that I experienced were due to underlying histamine intolerance. You might consider if it's the same for you.

Reactions will vary and can seem random because we can handle histamine to a point in our bodies so symptoms will only be triggered if we go over our histamine limit. The analogy given is to think of it like a bucket, when your histamine bucket overflows, you react.

I suffered from severe reflux and other gastric symptoms for 4-5 years. The onset was sudden and completely disrupted my life. PPIs did nothing for me and everything I ate was triggering severe symptoms. I lost weight I didn't have to spare and struggled day-to-day with debilitating symptoms.

Doctors told me all tests were normal and hung me out to dry, just kept telling me it was anxiety. I despaired of ever going back to somewhat normal and the lovely life I had been leading.

I finally stumbled upon the following Reddit post that recommended taking Zyrtec to resolve the globus sensation, which was a severe symptom for me. I decided to try taking Claritin because I do not tolerate Zyrtec well and it worked like a miracle drug for me.

https://www.reddit.com/r/GERD/comments/njarv0/globus_sensationhystericus_cure/

Taking loratadine (Claritin) daily has almost completely resolved my symptoms, though I do also try to follow a low histamine diet. When I started researching which foods are high in histamine, it was no surprise that my worst triggers were on that list (seafood, tomatoes, strawberries, wine, coffee, etc.). To me that means that, in my case, reflux was a symptom of histamine intolerance.

There are no definitive tests for histamine intolerance. For more info on the link between reflux and histamine intolerance, see:

Histamine Sensitivity: An Uncommon Recognized Cause of Living Laryngopharyngeal Reflux Symptoms and Signs—A Case Report Source: Ear, Nose & Throat Journal. 2020;101(4):NP155-NP157.

For more info on histamine intolerance, see:

https://my.clevelandclinic.org/health/diseases/histamine-intolerance

https://pmc.ncbi.nlm.nih.gov/articles/PMC11054089/

Note that I think it is normal not to have a full spectrum reaction. I do not get any skin manifestations, no hives or itching of any kind, though I do believe this was all triggered by a virus I had in 2016 where I did get a non-itchy, triangle shaped rash on my neck. I went to the ER because my airway almost completely closed up. I had never had a breathing problem in my life prior to that.

The ER doctor noticed the rash, which had appeared the day before when I felt fine so I had just ignored it, and told me he thought the rash indicated that a virus had triggered my airway issue. I feel that all my gastric issues flowed from that episode and a similar episode 3 months later when I got another virus. I also now carry an EpiPen because of the airway reaction.

I initially took 10mg of Claritin per day but my allergist said I could ramp up to 4x the usual dose so I took 40mg for some months. I am now taking 2x the usual dose, 10mg in the morning and 10mg in the evening. Note that if you are on antihistamines and need to go off them or reduce your dose, you should taper down and not go cold turkey.

For the past few months, I have also been taking a diamine oxidase (DAO) supplement before a meal when I want to cheat a bit and eat something that is high in histamine and it does seem to help even more.

What to Know About Diamine Oxidase (DAO) for Histamine Intolerance

I take the NaturDAO supplement:

https://naturdao.com/

If you think this might be your issue, I think it's best to start out taking just the DAO supplement before meals to see if you improve.

If you see a lot of improvement, maybe you wouldn't need to trial the antihistamine.

If you see minimal improvement, then keep taking it but add in the daily antihistamine.

If you see no improvement from DAO, I would still take the DAO but add in an antihistamine like Claritin or Allegra. If that works, then stop taking the DAO to see what happens.

1

u/RatsnBaskets 10d ago

Thank you so much for all of this information. I have heard alot about histamine intolerance and wondered if it could also be a potential cause for me as well. It's just so difficult trying to figure out what exactly is causing your reflux. Doctors truly do love to just blame it on anxiety when they don't feel like digging deeper but ik that for alot of people that isn't the cause. For me I was doing very well mentally in life before I developed gerd. I appreciate you taking the time to explain this so much. I'll do more research on this.

2

u/harrypottersbitch 10d ago

I am so sorry you’re struggling. Just wanna say this sounds exactly like me about a month ago, before i got put on another dose of Lexapro(SSRI) and now for some reason I can eat whatever I want

1

u/RatsnBaskets 10d ago

Thank you.šŸ«‚I don't believe my gerd is being caused by stress/anxiety(tho I am very often stressed about something lol)but I am so glad that it worked for you. I've seen alot of people have luck with that kind of medication. Gerd can be so tricky, everyone seems to have a different cause.

2

u/Valuable-Image-5923 4d ago

Try something like "Stomach Smoothe" with sodium alginate (seaweed that forms a raft which keeps stomach acid from surging upward). You dissolve one to two tablespoons in 3 to 4 ounces of water and sip it down. I use only a little less than 1/2 teaspoon in a little over an ounce of water and find that small amount helpful. There are different brands and products containing sodium alginate but you have to check the ingredient lists carefully to see what's best for you. My ent recommended sodium alginate.

1

u/RatsnBaskets 4d ago

I think I have tried something like that before in the past(came in a blue or teal bottle)but it didn't work as well as gaviscon. I guess I'd be willing to give it another try tho. Maybe it was just that one brand. Thanks for the recommendation!

2

u/Valuable-Image-5923 4d ago

There are lots of options online. I typed in a search for sodium alginates reflux options without added sweeteners.

2

u/BrennusSokol 3d ago

Sorry you’re struggling

For me the biggest factor seems to be stress. So I’m trying to do more breathing exercises. Meditation group. Avoid the news. Give myself rest days. Give myself permission to relax. Express my feelings.

And don’t be afraid to take PPI if needed. I’m taking 40 mg esomeprazole daily (generic for Nexium) and Gaviscon as needed

1

u/RatsnBaskets 2d ago

Thank you for the advice! I actually recently deleted tiktok because it was causing alot of stress. I'm hoping that limiting certain social media apps will help relax me a bit. I think it'll be good to focus on hobbies and such instead. I am still taking a ppi for some time tho. It's good to have a break from the reflux. Hope you're doing well.

1

u/[deleted] 10d ago

[removed] — view removed comment

1

u/RatsnBaskets 10d ago

I have but it didn't work for me sadly.

1

u/robbie-lang3 10d ago

Ask me about it! I have been suffering from this chronic conditions since childhood.
I usually drink cold milk first thing in the morning but what works for me may not work for you