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Intermittent Fasting and GERD (GastroEsophagal Reflux Disease) and/or Hiatus Hernia ((HH)

Discussion in 'Fasting' started by Wonkylegs, Sep 14, 2019.

  1. Wonkylegs

    Wonkylegs · Member

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    Is there anyone here who has GERD (GastroEsophagal Reflux Disease) and/or Hiatus Hernia ((HH) who is also trying Intermittent Fasting? Has it helped or made things worse?


    I have been doing IF for 16/18 hours overnight from dinner at 6ish until noon next day. I must add here that I’ve been on a small dose PPI for a very long time due to a diagnosis of ‘IBS’ a sort of non- diagnosis as I was a ‘neurotic woman’ - Consultants term not mine. The HH and GERD was discovered in a routine endoscopy for chronic cough 2 years ago. I’m keeping a food diary at the moment to see if I can find any food triggers.


    Then about 5 weeks ago I had a dreadful flare of symptoms- in fact so bad we thought it was angina! I’m now on a ridiculous amount of PPIs and Gaviscon to heal the oesophagitis the acid had caused. I’d had some heartburn during the mornings with the IF before I ate st noon but it seems I’d ignored it at my peril.

    So I’ve now started having 2 boiled eggs each morning and eating smaller meals but I’m still waiting to heal.


    Weight loss is supposed to help but I’ve lost 6 stone on LCHF! Plus I’ve been doing IF for about 6 months.


    Any thought? Suggestions? Gratefully received.

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  2. DCUKMod

    DCUKMod I reversed my Type 2 · Expert
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    @Wonkylegs - I was replying to your earlier thread, then it disappeared!

    Has your gallbladder been checked; not just by a bit of prodding, but ny sonography?

    My OH has a longstanding hiatus hernie, and for him, one of the most important things in keeping it at bay is maintining a trim waistline. If he gains weight, the symptoms start. He also does well on reduced carb, although he doesn't go very low carb at all.

    A couple of months ago, we had a bit of late night, blue light paramedic action due to upper abdominal/can't exactly put my finger on it, pain. Multiple ECGs, both at home and on the way comforted everyone his ticker is fine. Having had blood tests, an X-ray, pain relief, and reassurance, he was discharged.

    A day or so later, he had an ultrasound, which revealed a soliary gallstone of 2.1cm, although the medics speculate the pain was more likely him passing something much smaller.

    Secondly, when losing your weight, did you continue to eat fat (as in dietary fat), or did you focus on lower fat foods?

    One of the findings from one of the earlier phases of the Newcastle Diet was that for some participants, the reduction in fat intake (whilst living on shakes) led to gallbladder issues.
     
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  3. Wonkylegs

    Wonkylegs · Member

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    @DCUKMod, I’m so sorry about the earlier post, I changed the title as I thought I may have the subjects the wrong way around on this forum. But thank you so much for persevering for me, I appreciate it. I’m very new here and feeling my way around.

    No my gall bladder has not been checked, but my pain was high up behind the breast bone and across the very top ribs. So high we thought lungs or angina to start with pain even in my throat and right shoulder. Plus it was very sharp almost neurological (I know as I have MS). My GP explained that the oesophagus shares nerves right by the heart hence the pain of oesophagitis.

    I lost my weight doing LCHF, for many years I’d yo-yo dieted on HCLF but about 6 years ago I switched to LCHF. Hence the easily accomplished weight loss. I can maintain it easily and I’m at the lowest in my adult life. I was going IF more for health than weight loss, but a few more pounds wouldn’t hurt. I’m really after if anyone has had flares that only happened in IF?
     
  4. DCUKMod

    DCUKMod I reversed my Type 2 · Expert
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    Gallbladder pain can show itself in a few crazy sounding places, like upper back, so wouldn't count it out, bearing in mind they now have you on lots of PPIs and you're topping up on that with Gaviscon. What dose of your PPI are you on?

    Just as an aside, should you ever want or need a thread title (of your own) changed, just tag any Mod and we can do that for you, rather than you have to delete your thread and start again.
     
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  5. Wonkylegs

    Wonkylegs · Member

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    Thanks @DCUKMod, that’s a useful tip re: changes to threads.
    I’ll mention gall bladder to my GP next time and see what they think. Would the meds affect gall bladder pain? The meds have definitely cleared up the soreness inside my oesophagus that came with the pain. I’m on 30mg Lanzaprazole twice a day and Gaviscon 4 times a day at the moment. But instructions to reduce over next couple of weeks back to my original dose with luck. I’d like to get off them but after 28 years I think I’ll be lucky. The dangers were unknown back then!
     
    #5 Wonkylegs, Sep 14, 2019 at 8:29 PM
    Last edited: Sep 14, 2019
  6. Wonkylegs

    Wonkylegs · Member

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    BTW they likened what I had to a severe chemical burn which needed strong acids suppression so as not to continue burning (PPI) and lotion to soother the burn (Gaviscon).
     
    #6 Wonkylegs, Sep 14, 2019 at 8:32 PM
    Last edited: Sep 14, 2019
  7. DCUKMod

    DCUKMod I reversed my Type 2 · Expert
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    @Wonkylegs - As I understand it, the main thing that helps gallbladder pain is when the pesky stone is either passed, or settles back into the gallbladder or the gallbladder is removed.

    My OH's inital diagnosis was gastritis, which is why he initially had the PPIs prescribed, then the sonography clarified and refocused minds. He is currently considering his options. His preference for a surgical intervention is about 1%. His desire for a recurrance of the pain he had that night? Oh that's much less than 1%.

    The following link is very brief, but they description of the symptoms might be useful.

    https://www.hopkinsmedicine.org/health/conditions-and-diseases/gallbladder-disease

    To be clear, I'm not saying you had, or have, a gallbladder problem. I'm just a very common issue, and I'm just throwing an option in there.
     
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  8. Wonkylegs

    Wonkylegs · Member

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    Thanks for the suggestion, I hope your OH gets sorted out. My daughter suffers gall stones so I’ve seen how painful they can be. Has he ever tried IF or is it a non/starter because I’m beginning to think it might be i.e. no food in tummy the acid gets busy?
     
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  9. HSSS

    HSSS Type 2 · Well-Known Member

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    Sorry can’t comment on IF In relation to Gerd but I had gallbladder issues for 4 yrs misdiagnosed as gerd. The pain was severe (2 blue light runs with ecg’s etc) on one occasion diagnosed as a torn rotator cuff as the pain was also in my shoulder. My shoulder was just fine! For me the pain was focused mainly behind my solar plexus. Burning, cramping, worse than childbirth pain. Ultimately removal solved the problems reluctant as I was to have the surgery I’m glad I did.

    Did you also know in some cases gerd is made worse by ppi? What is frequently diagnosed as too much acid (without any testing to support this assumption) is actually a lack of acid therefore digestion doesn’t work properly and slows down further. Ppi then make everything even worse. Withdrawal from longer term ppi is also an issue and needs to be managed carefully. Not always the case, particularly with structural issues like hh, but an all too common misdiagnosis nonetheless
     
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  10. Wonkylegs

    Wonkylegs · Member

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    Thank you I’ll get it all checked out I’m aware if this but it’s so hard when GPS don’t support and your in pain! My main pain was much higher and across my chest so just below the throat and radiating across the very top ribs both sides just into the right shoulder. It made it difficult to breath and was typical oesophagitis pain. But I’m aware of the PPI issues and that scares me!
     
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    #10 Wonkylegs, Sep 15, 2019 at 7:09 AM
    Last edited: Sep 15, 2019
  11. dms1

    dms1 Type 2 · Well-Known Member

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    So pleased to find this thread - thanks, Wonkeylegs, for posting it.

    I have undergone a series of investigations over the last 6 months to try and establish a cause for my very similar symptoms. Whilst all test results (heart, lungs, bloods) have put me firmly in the normal range, which is good, my main symptoms (chest pain, nausea, fainting) carried on until two weeks ago when my GP suggested I try a PPI for a month to see if it made a difference. After a couple of days I was feeling fine with only slight discomfort when walking swiftly or up steep slopes. I will have a follow up with my GP at the end of the month but it seems clear where any further investigations should be focussed. Any further information gratefully received!
     
  12. Jo123

    Jo123 · Well-Known Member

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    I've got a hiatis hernia and gastritis. The gastritis has resolved but I keep the hernia bearable by taking ranitidine, works and has less bad side effects than omeprazole, eating regularly, last meal no later than 8 pm. I did take omeprazole for a month. I couldn't not eat breakfast, I need something to eat in the morning to avoid symptoms. Plus when this all kicked off I lost a ton of weight and the gp put me on the two week cancer appointment so I really can't afford to miss meals. Gaviscon advance has been a life saver, take after every meal plus at bedtime.

    I also bought an iqoro, I bought it off the Internet. My health has improved thank God, whether it's down to the iqoro or not I don't know, but I'm pleased I've got it. I also see a chartered osteopath who does some body work to help with the hernia, I have no idea what worked but I feel 100% better.

    Hope this helps, it's horrible to have.
     
  13. dms1

    dms1 Type 2 · Well-Known Member

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    Interesting to hear that you also needed to eat breakfast when taking omeprazole. I had been fasting 3-4 mornings a week but obviously now have to eat in order to take the tablets. I find it too hard to fast at the other end of the day so willing to forego the fasting until the month is up.

    I hadn't heard of the iqoro device but have now looked it up - fascinating!
     
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