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Combining PPI with HCL Supplement.

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GERD & Acid Reflux
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Posted 4/10/2016 2:18 PM (GMT 0)
Greetings to all.

I am brand new to this forum and I hope we help each other out.
An idea came to my mind.
since the PPI decrease the stomach acid production,and thus makes the gastric acid diluted(higher PH value).
why not adding back the HCL from supplement to decrease the PH again, and the result would be less stomach acid (I mean by quantity) and low PH. We will have less amount but concentrated one.

and there is a study confirms that the HCL supplement will restore the value of PH when candidates combined PPI with HCL.

The study: http://www.ncbi.nlm.nih.gov/pubmed/23980906

I am waiting to hear from anyone who has tried this way and have done well in controlling GERD.

Post Edited (APTX4869) : 4/10/2016 11:13:51 AM (GMT-6)

Posted 4/10/2016 7:59 PM (GMT 0)
The study had only half a dozen healthy patients. It was about absorbing nutrients, not treating GERD.

If you need acid reduction to stop damage to your esophagus, why would you counteract that by adding HCl?

Yes, high pH isn't good for digesting food. Take some vitamins.

Never experiment without asking your doctor.
Posted 4/11/2016 3:42 AM (GMT 0)
Hi Aptx4869

There is no reason to stay on a PPI if you are going to put acid in your stomach by using a HCI supplement.
The PPI's take acid out of the stomach and the HCI puts more acid back into the stomach.
Posted 4/11/2016 3:58 AM (GMT 0)
The reason some people have problems absorbing nutrients on a PPI , is because the PPI reduces the acid in the stomach. It's an acid suppressant medication. Without the proper level of stomach acid, food does not get broken down in a timely manner. Food stays in the stomach much longer than it's suppose to which causes problems when it comes to properly absorbing nutrients. The logical solution is to slowly wean off the PPI if you want more acid in your stomach. This would include all other acid suppressant medications as well. Google: Low stomach acid and you will find more information on why people are take HCI supplements.

Just remember there is a withdrawal symptom called Acid rebound (hyper-secretion of acid) when weaning off PPIs. It can make it challenging for many trying to wean off this medication. Google: Acid rebound and you will find more information on this withdrawal symptom from PPIs.
Posted 4/11/2016 1:22 PM (GMT 0)
Thanks to you all.

My Basic understanding of PPI Mechanism is:

They reduce the amount of gastric juice in the stomach, so that juice will not back up into the esophagus.

I have came with idea based on my understanding above.

If the mechanism is just to increase PH, and not preventing the juice to back up, then we will still have acid reflux, but a one that doesn't hurt.

So which mechanism is right because I am not sure
Posted 4/11/2016 4:36 PM (GMT 0)
Hi Aptx4689

People are surprised to hear that low stomach acid can cause GERD. The symptoms of low stomach acid can be the same as too much stomach acid.

Many doctors (especially GI doctors), will never check for low stomach acid. They always assume it's too much stomach acid and prescribe a PPI. This is where the problem begins.

Since low stomach acid causes GERD and has the same symptoms as too much stomach acid, the stomach acid levels need to be checked before prescribing PPIs. A PH monitoring test does NOT measure how much acid the stomach is producing. This test only measures how much acid enters the esophagus.


If a person has low stomach acid that is causing GERD, HCI suipplements would be one option. Other options are ACV vinegar or lemon juice mixed in water before or with meals. It really depends on how low the stomach acid actually is. If the stomach acid is seriously low , than HCI supplements would be the best option.

It's also possible after being on a PPI for a long time you could develop low stomach acid which would cause many delayed gastric emptying symptoms like: excessive burping & bloating, stomach pains, etc...
Your naturopathic doctors are aware of the problems associated with both low stomach acid & PPIs. You could always check with a qualified naturopathic doctor.
Posted 4/12/2016 12:01 AM (GMT 0)
PPIs shut down the "acid pump cells" in the stomach. They don't reduce the volume of liquid in the stomach.

Many people on PPIs have non-acid reflux. PPIs don't stop reflux either. Non-acid reflux shouldn't irritate the esophagus. I had it for years with no damage. But when you lie down you can choke on the liquid that shouldn't be on the esophagus. That's why raising the head of the bed is often recommended.

There's not really any too much acid, but acid getting up past the lower esophageal sphincter is not a lot of fun. The trick is to find out why the acid is getting there. You can have a malfunctioning sphincter or something causing your stomach to heave up it's contents, or both. I had both.

A bad sphincter can often be seen on a barium swallow. What triggers the stomach to heave is trickier. Keeping a food journal (see the search box) often helps. I had specific food triggers.
Posted 4/12/2016 5:55 AM (GMT 0)
Hi,
This was a helpful discussion.
CAGU and Alcie. Thank you so much for your cooperation and interaction.
Posted 4/14/2016 5:58 AM (GMT 0)
You're welcome :-)
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