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LPR responding to H2 blockers?
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GERD & Acid Reflux
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qwerty123
New Member
Joined : Nov 2016
Posts : 3
Posted 11/2/2016 2:37 PM (GMT 0)
Does this mean that what I have is not actually LPR? I seem to have all the symptoms - globus sensation, burning in throat after eating, minor sinus irritation after sleeping. However, I do feel somewhat better on 450-600mg of Zantac a day. It seems that most people with LPR do not respond to PPIs, but there doesn't seem to be much information on how LPR sufferers tend to react to Zantac.
I had an upper GI and everything came back normal. No H. Pylori either. I haven't seen the ENT yet. I've been wondering if I could have LSN, but is it still possible if I'm responding to H2 blockers?
Any advice is welcome.
IBHIPRU2?
New Member
Joined : Oct 2016
Posts : 8
Posted 11/2/2016 10:08 PM (GMT 0)
Greetings: Please read my story and you just might find an answer to your problem. Good luck
about
four months ago I was referred to an ENT Clinic complaining of recurring hoarseness, post nasal drip, asthma and frequent throat clearing. After examination and testing I was diagnosed with LPR, a form of reflux. The ENT protocol for treating LPR, as approved by the American Academy of Otolaryngology, calls for a six month treatment with a Proton Pump Inhibitor (PPI) that essentially shuts off your stomach’s production of hydrochloric acid. The apparent theory being that stomach acid is causing the symptoms. At no time was I tested to determine my current level of stomach acid. I was given a prescript
ion for a PPI (Omeprazole-Prilosec), a strong stomach acid suppressant. After two weeks and no symptom relief, I stopped the medication and started researching LPR on the Internet. This led me to the two books, “Stomach Acid is Good for You” by Jonathan Wright, M.D. and “Fast Tract Digestion-Heartburn” by Norman Robillard. PhD. I found many other resources including Chris Kressor, Dr. Axe, Dr. Perlmutter and Dr. Mercola that suggested that low stomach acid and its replacement was the key to treating LPR and even GERD. Accordingly, I tested myself for low stomach acid and determined it was quite low. I started taking supplemental HCL/w/Pepsin and worked up to five 648 mg caps with most meals involving protein. Within a week, all my symptoms vanished. I am now down to taking only three or four caps as my stomach is apparently starting to produce its own acid. Since starting supplemental HCL with Pepsin, I have not had one bout of asthma or hoarseness. Neither have I had a post nasal drip or throat clearing episode.
Most GI and ENT Docs will dismisses the work of Dr. Wright and Dr. Robillard as lacking sufficient scientific evidence to be of value as accepted treatment protocols. However both doctors report success using their methods with Dr. Wright reporting that 90% of the patients he has seen for reflux tested for low stomach acid and were helped by taking Betaine HCL with Pepsin. I suggest you get Dr Wright’s book as a starter.
qwerty123
New Member
Joined : Nov 2016
Posts : 3
Posted 11/3/2016 12:27 PM (GMT 0)
IBHIPRU2? said...
Accordingly, I tested myself for low stomach acid and determined it was quite low.
Thanks for your reply, how did you go about
testing yourself?
IBHIPRU2?
New Member
Joined : Oct 2016
Posts : 8
Posted 11/4/2016 2:49 AM (GMT 0)
It's a two step process. If you pass the first step, proceed to the second
Step 1: When first arising in the morning before putting anything in your mouth, mix 1/4 teaspoon of baking soda in a lukewarm glass of water (glass only about
1/4 full) and drink it. Set a timer for 5 minutes and simply go about
your business. If you do not involuntarily burp within that 5 minutes it is a good sign you have low stomach acid.
Step 2: If you pass step one you will want to purchase a bottle of Betaine HCL with Pepsin. The one I used was from NOW Labs but there are several brands you can find either on Amazon or in your local health food store. Take one 648 mg capsule with a meal that includes protein (take it after the first few bites of food). Continue on with your meal as normal. If you have no reaction such as a warm sensation in your stomach or bloating, repeat the process the next full meal. If still no reaction, add a second capsule and repeat the process adding additional capsules until you do get a reaction. Once that occurs, back off one capsule and that will be your dose going forward. HOWEVER, before you proceed with step 2 I suggest you GOOGLE "low stomach acid test" and make sure you have no contraindicating issues that would not make you a good candidate. I believe being pregnant is one and being on a corticasteroid is another.
SD93
Regular Member
Joined : Jul 2016
Posts : 20
Posted 11/5/2016 5:43 PM (GMT 0)
To add to what IBHIPRU2? said, make sure you "seal" your lips around the water to avoid swallowing air otherwise you'll burp much sooner ruining the test. It's also recommended to perform it a few times and averaging the result like 3 consecutive mornings. A time result lower than 2 minutes is apparently high acid, from 2 to 4 minutes is normal and over 4 is low. I believe age plays a role in the result as well, if you're in your twenties it's probably more along the lines of 1m30s or lower for high and higher than 3m30s for low. If you're in your thirties it's probably was i first listed.
Another thing to consider is how you react to the test. When I did it my results were perfectly normal range (between 2m0s and 2m30s, I'm 23 years old) yet it threw my body out of whack for the whole day, feeling under the weather and such. This in my opinion can tell you a lot as the body works very hard at keeping proper pH levels everywhere and baking soda will mess it up. If your body has a hard time recovering from that there's something wrong. A difficulty in creating proper pH level in the stomach such as being very slow (but not low) might not show right away from the test but the aftermath will.
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