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Heartburn, What Would be Likely Cause? Heartburn, What Would be Likely Cause?

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Unread 06-22-2005, 02:11 PM
Heartburn, What Would be Likely Cause?


I have an upper GI scheduled for early August. I will see what results I get from that.

In the meantime I have noticed that the Protonix takes a while to work and then takes a while to stop working. (it sounds kinda stupid but anyone else who has experienced it must know what I'm talking about)
Some mornings I would not have the burn, some mornings I would and I finally figured it out......I haven't been taking the meds consistantly, each day. I was trying to pinpoint what food or drink sets it off and take the meds when the burn came on. There is no way to do that while on the meds.

(I'm very green to this condition, can't you tell? LOL)

If the Protonix has completed it's medication with the last dose, the burn returns as a constant moderate burn feel.
How strange.

There must be a time length that (1) 40MG dose has....anyone know?

Comments welcome.....

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Unread 06-23-2005, 09:45 AM
Heartburn, What Would be Likely Cause?

I find my heartburn is not related to any particular food. I take Protonix 40 mg in the morning when I get up. That will usually be enough until the next day. If I forget it, though, I start to have heartburn. Very rarely, even when I do take it as scheduled, I will have additional heartburn 12 or so hours later. Then I take another one. My MD said that is ok to do. If, however, I need to do that all the time, she'd like to see me and reevaluate the dose or try a different medication (there are many) or maybe do another endoscopy to see if there are additional problems. I've been on Protonix for a few years now, and it really has made a difference. GERD (acid reflux disease) is not specifically related to a particular food - it's a function of the valves that close the top of your stomach/bottom of esophagus - they don't close properly, so stomach acid goes into your esophagus. The food connection could simply be that if you have eaten very spicy foods, the combination of spicy foods and the stomach acid are more irritating than just the stomach acid alone. Do treat the GERD, though - untreated it can lead to more serious problems.
Good luck!
Unread 06-23-2005, 10:18 AM
Heartburn, What Would be Likely Cause?


Thanks for the reply.

It seems as though if a malfunction is found within the body most are just treated with medication and not corrected with an operation? Or does it depend on the severity of the malfunction?

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Unread 06-23-2005, 10:30 AM
Heartburn, What Would be Likely Cause?

Carla, it is my understanding that most cases of GERD are successfully treated with meds. My case could not be treated with meds. Nothing worked. My LES was pretty much nonfunctional, I had a huge hole in my diaphram which caused a good portion of my stomach to push up into my chest. Food would not stay down in my stomach. My symptoms were severe and rapidly worsening. My only hope was surgery, but everyone else I know that has GERD has done well on meds........I was one of the unfortunate few Hope this helps.......
Unread 06-23-2005, 12:27 PM
Heartburn, What Would be Likely Cause?

I found out today that my H Pylori blood test is negative, the ultrasound shows only a 1/4" polyp in the gall baldder which the Dr. says are very common.
She told me to avoid caffeine, completely and see if that stops the burn.
That is really gonna be tough...I'll just try green tea for a few days....
Unread 06-25-2005, 12:52 AM

My oldest son has GERD. I first found out about this 10 years ago. My DS was 4 years old and so sick. Throwing up everyday, everything he ate or drank. He had all the tests...upper gi, 24 hour ph probe, 2 scopes, DGE test. He had severe GERD and delayed gastric emptying (6 hours). He was taking zantac, maylox, & propulsid (taken off the market). The propulsid was the only thing that helped him. He tried prilosec & Reglan and those didnt help, so he had surgery when he was 9. He had a nissen fundoplication & a pyloroplasty. Sounds complicated, but they tightened up his LES & cut a small hole in his intestines so he would empty faster. He is 14 now and only has heartburn a few times a month. If I remember I think the Dr told me not to give him chicken noodle soup, any fruit juices, anything with a tomato base, nothing fried, and alot I can't remember. Good luck I know this can be very painful. Try sleeping with your head & upper body elavated a little bit. Keep us posted.

TVH 4/20/05
Unread 06-25-2005, 04:29 AM
Woww! How Awful!

Woa Tammy that must have been scary for a Mom, let alone your DS. Both of my DS's had the upper GI's and they both have acid reflux. My oldest son was sick all the time as a baby and toddler. Cronic dirrea, vomiting, ear infections and this acid reflux on top of it! He had tubes put in his ears twice. Well he was always such a tough kid when he was little, well when he got older and I had his brother things changed. OH THE DRAMA!! Im talking even when he had a cold!! Well I kept warning him that someday something was really going to be wrong and noone would believe him because of all this DRAMA. Well when he was 11 that day came . He had been going through these boughts of Drama "Oh I CAN"T BREATH," and Screaming and running around the house, Im sitting back trying to asess the problem. Thinking well if he couldnt breath ,he wouldnt be able to scream and yell and run around right? Well he finally went in and threw up, and felt better and went to bed! He would be fine for months and once again he would do another preformance and once again he would through up and feel better, and I said you probably have some bug or something. He would only through up once. One night he was doing such a performance I called the ER and they could hear him over the phone, she listened for about 15 mineuts and finally my son burps, and says "excuse me". Now at this point I could have rung his little neck!! Well to shorten up this story about a year later this happened at his Fathers, well he wouldnt quit , so his Father takes him to the E.R. , he ends up in the O.R.! It was CHRONIC APENDICIDES!!!!!! I never knew the apendix could do that! I that it was something that would hit and not let up. Well thats usually the case, but rarely this can happen!! I felt like the WORLDS WORST MOTHER!!! All the Doctors and Nurses said " they would have reacted the same way I did", because when he through up he'd feel better. It still did'nt make me feel any better! Just thought I'd share! Netty
Unread 06-25-2005, 10:41 AM
Heartburn, What Would be Likely Cause?

Estrogen--or rather low levels of it--affects the ability of the stomach valve to work effectively. Low levels also slow the ability of the stomach to empty so acid contents stay in there longer. In other words, GERD is a frequent development after menopause.

It's good to eliminate other things, of course, but that might be why you developed it after surgery.

The pump inhibitors take a week or longer to work, but lowering the acid content is important since you don't want to damage the lining of your esophagus.

I had throat surgery after intubation for my hyst damaged my vocal chords. The ENT doc realized I wasn't healing because of the GERD, which I developed after surgery. So I read up!

Anyway, you can help it with lifestyle changes, but you might need the drugs to prevent the damage it can cause.


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