Hi Jim,Welcome to Healing Well! As a fellow sensitive stomach/gastritis sufferer, I feel your pain.
I can share my own experiences...
First, I have found that for some reason my stomach is very sensitive. My GI doc described it as "reactive".
One big trigger I've found is antibiotics. I really can't take anything but amoxicillin or maybe z-pac without getting myself into a full-blown gastritis episode.
I've stopped taking all pain meds. I used to take NSAIDS for back issues (I've had a herniated disk), but now I don't take anthing even for a headache. I'm an ice fan, and use it for various and sundry pains.
When my stomach starts acting up, yes, I go back to taking double dose PPIs to protect it from acid. I also use Carafate suspension, and find it extremely helpful. It's expensive, but if you have good prescription coverage you should consider asking for it. If your script coverage is poor on non existance you could get a script for regular Carafate, which is generic/pill form. You an put the pill into a medicine cup and stir it in with a little water. Then throw it back like a shot. It'll coat your esophagus a little on the way down.
The pill will coat your stomach, so if your stomach is the only problem the pill would work fine. If you've gotten some esophagitis or irritation there, the suspension is the best. Just take note of the dosing directions if you start Carafate, as you have to keep it away from meals and medications.
As far as how long it takes to heal...I have had the Nissen surgery because my reflux caused issues with my lungs. Before I had that done, whenever my gastritis would flare it would lead to esophagitis, and it was very difficult to heal. I wouldn't be able to eat more than tiny amounts without pain, and I'd always lose about 20 pounds. It would always take 2-3 months to heal.
When you have a gastritis/esophagitis issue, you'll want to eat smooth foods. Rough foods will scratch and irritate your tissue, both in the esophagus and in the stomach (the stomach mashes food as it digests, and if there are rough things in there they'll cause additional pain and irritation.) The same thing with the types of food...no spicy or acidic things and stay away from alcohol.
My GI doc told me that when my stomach felt perfect for 2 weeks, then I could try introducing nire challenging foods.
Good luck!
Glad you've joined us.
Denise
Post Edited (dencha) : 3/5/2012 9:08:06 AM (GMT-7)