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Acute reflux attacks
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<blockquote data-quote="ButtterflyLady" data-source="post: 972970" data-attributes="member: 43498"><p>I saw my GP today and asked her about increasing the dose and she said she would be reluctant to... I normally ask why but as she was running well behind time and I trust her to be right about this, I didn't ask why. I suspect she thinks it wouldn't help much, and I'd have more drug in my system than I needed.</p><p></p><p>I also asked about switching to a different PPI and she was willing to try that, but I said I didn't want to risk the alternative not being as effective as the one I'm on. She said it can be idiosyncratic - ie different people will find different PPIs more effective than the others... so I know I would be gambling and I'm so scared of further reflux attacks I don't want to risk it. I guess if I'm still struggling in a few weeks I could try one of the others.</p><p></p><p>So, no real solutions at the moment. And that's ok, I know she would offer them if she thought there were any. I asked about rapid acting pain meds, because with these attacks you only get 5-10 minutes warning, and pills take 30 mins to kick in. By then, the attack is over. She suggested calling an ambulance as they have meds they can use, like nitrous oxide and something else she couldn't remember the name of. (Does anyone know what meds they use?)</p><p></p><p>I asked for more info about what is going on when the attacks occur, as that helps me to cope with the pain. She said it's not an increase in acid, because the PPI reduces that to a very low level... it's more likely a spasm of the muscles around the oesophagus and top of the stomach. </p><p></p><p>About the only thing that gives me hope I can beat this is that the opioid meds I take for chronic pain may be contributing to reduced stomach motility... so I am now thinking about trading off the pain relief for preventing these attacks. </p><p></p><p>If anyone has ideas for managing this condition please let us know.</p></blockquote><p></p>
[QUOTE="ButtterflyLady, post: 972970, member: 43498"] I saw my GP today and asked her about increasing the dose and she said she would be reluctant to... I normally ask why but as she was running well behind time and I trust her to be right about this, I didn't ask why. I suspect she thinks it wouldn't help much, and I'd have more drug in my system than I needed. I also asked about switching to a different PPI and she was willing to try that, but I said I didn't want to risk the alternative not being as effective as the one I'm on. She said it can be idiosyncratic - ie different people will find different PPIs more effective than the others... so I know I would be gambling and I'm so scared of further reflux attacks I don't want to risk it. I guess if I'm still struggling in a few weeks I could try one of the others. So, no real solutions at the moment. And that's ok, I know she would offer them if she thought there were any. I asked about rapid acting pain meds, because with these attacks you only get 5-10 minutes warning, and pills take 30 mins to kick in. By then, the attack is over. She suggested calling an ambulance as they have meds they can use, like nitrous oxide and something else she couldn't remember the name of. (Does anyone know what meds they use?) I asked for more info about what is going on when the attacks occur, as that helps me to cope with the pain. She said it's not an increase in acid, because the PPI reduces that to a very low level... it's more likely a spasm of the muscles around the oesophagus and top of the stomach. About the only thing that gives me hope I can beat this is that the opioid meds I take for chronic pain may be contributing to reduced stomach motility... so I am now thinking about trading off the pain relief for preventing these attacks. If anyone has ideas for managing this condition please let us know. [/QUOTE]
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