Friday, January 17, 2014

Gut Feelings



As I mentioned in my 2013 review, I had a health scare last year.  Since May, it has become a big deal for me, something I think about or deal with on a daily basis.  In my research I have noticed a lot of other people with similar problems also looking for information or help or just wanting to know someone else out there is dealing with the same kinds of issues, so I want to document a bit on how I am trying to take my power back when it comes to my health.

I have suffered from daily heartburn since I was in 11th grade.  I didn’t know it, but I had a hiatal hernia. I carried Tums in my pocket every day through the rest of high school and through 5 years of college.  After graduating and getting (a haircut and) a real job, I finally had health insurance (which my parents never had) and went to the doctor, where I was finally diagnosed after having an Upper GI test.  They put me on a prescription for a fairly new drug called Prilosec.  This was around 1999.

During college, I also started to have trouble swallowing.  This was a side effect from what eventually was coined Barrett’s Esophagus.  That was never diagnosed for me, but I’m sure that’s what was going on.  

After starting Prilosec, I was a new person!  I didn’t have daily, almost constant heartburn, could live, eat, work, sleep, do just about anything.  I wasn’t taking Tums constantly, and eventually stopped carrying them with me because I didn’t need them.  My swallowing issues disappeared.

Years went by, and in 2007 after I had some ongoing possible gallbladder pain, my PCP sent me to a gastro specialist.  The gallbladder thing turned out to be nothing major, but he did do an endoscopy on me to look around.  He told me at the time that there appeared to be nothing other than the hiatal hernia.  My stomach didn’t seem to move food along as quickly as it should, so he prescribed Reglan for me, a low dose.  Around now I was also switched from Prilosec to Nexium, the next generation of the med.

Looking back on it I see that since the time I was first put on meds I have very, very slowly started to develop problems eating.  I would have a normal dinner, then wake up in the middle of the night, say 2-3am, and my dinner was still in my stomach and I felt sick.  Really not good. 

This started to happen more and more, and sometimes during the day I would develop indigestion from whatever I had eaten, and it would just sit there in my gut, and I eventually would throw it up.  I learned a few ways to mitigate that to help my stomach move things in the right direction and those would work most of the time, but occasionally I would still get sick.  

At some point around here, I was switched from Nexium to generic Prilosec (Omeprazole) at a dose of 40mg a day, which was eventually reduced to 20mg a day.  My GI specialist, whom I like very much, told me his goal was to get me off all meds and he believed it was possible with proper dietary changes, weight loss, and lifestyle changes.  I lost 30lb in 5 years, started exercising more, and did change the way I ate some.

I discovered certain foods just stopped agreeing with me.  The worst was pork or pork products like sausage.  Again, these things came on very slowly, so slowly that I couldn’t figure out what was causing it.  

I now believe the drugs I’m on, over time, have changed my digestion so that while I am on them I am pretty much not digesting food but more likely fermenting it.  Prilosec and Nexium are supposed to reduce your stomach acid to less than 10% of your norm.  You need stomach acid to digest properly, therefore no acid, no digestion.  Many studies have now shown serious common deficiencies in B12, calcium, and a variety of other vitamins or minerals occurring often in people who take PPIs or H2 inhibitors, for exactly the same reason: you need acid to break down and/or absorb these things.

This is my backstory.  It is important to me to get this out, especially in light of an incident in May that really woke me up to my gut problems, how the drugs I’m on are affecting me, and what I’m deciding to do about it.  I will talk about that soon.  

I also want to put in a standard disclaimer: this is my story and my experience.  I’m not a doctor, and my decisions and choices are made by and for me.  I talk about them here for informational purposes only; you are on your own.

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