Reflux, Low Stomach Acid, and PPIs | DailyDocTalk 49
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- Опубликовано: 8 фев 2025
- Low stomach acid is arguably one of the more common reasons for acid reflux AKA GERD, meaning that proton pump inhibitors are not the most appropriate medications for this condition. If low stomach acid is the cause, then our approach should be to increase production of stomach acid, which will have an effect on the lower esophageal sphincter (LES). This is how I address GERD.
Want to OVERCOME chronic pain? Go here: regenerativepe...
If you’re new to my channel, my name is Dr. Drew Timmermans, ND, RMSK. I’m the founder of Regenerative Performance in Gilbert, AZ, specializing in interventional orthobiologics, which is just a fancy way of saying we help people reclaim their life from chronic pain without steroids or surgery. We challenge the conventional pain management approaches by addressing the root causes of chronic pain.
How I got here…
22 yrs old: Graduated with a Bachelor of Science in Kinesiology from the University of Western Ontario.
23 yrs old: Competed as a long sprinter, anchoring the 4x400m relay to a silver medal at the Canadian national championships, contributing to Western's first national title in men's track and field.
23 yrs old: Started working as a personal trainer for GoodLife Fitness in Canada, quickly becoming one of the Top 10 Personal Trainers nationwide.
23 yrs old: Herniated two discs in my lower back, ending my track and field career and sending me into a multi-year battle with chronic pain.
24 yrs old: Enrolled at the Southwest College of Naturopathic Medicine (now Sonoran University of Health Sciences) after discovering my passion for naturopathic medicine.
26 yrs old: Still battling chronic back pain, I finally became pain-free through a platelet-rich plasma injection.
28 yrs old: Graduated and become a licensed naturopathic doctor.
29 yrs old: Completed the first-ever residency in regenerative medicine and integrative pain management at the Neil Riordan Center for Regenerative Medicine.
29 yrs old: Co-founded Regenerative Performance to help people with chronic pain just as I had been helped.
Today: We help people who have chronic joint pain reclaim their life with cutting edge treatments like platelet rich plasma, and stem cell therapy.
To everyone battling chronic pain, remember that your story is still being written.
Never give up.
Dr. Drew Timmermans, ND, RMSK
FULL DISCLOSURE: I create content to share my expertise and help as many people as possible. My goal is to build trust and provide valuable information to those seeking alternative solutions for chronic pain management and bring in new patients into our practice.
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I’m 73 and just been to the doctors, yes that was a miracle at the moment in Great Britain. I have digestive issues and she was going to give me acid suppressant medication. I told her I was taking Betaine HCL and she actually listened.
This guy is awesome! I help so many people with this information, so I’m glad I found a video that’s straight to the point like this so I can keep it on my phone and send it to somebody that deals with this issue.
So many people I meet say they take Tums constantly, and I’m trying to tell them that their stomach acid is not high, it’s actually too low, etc.
You are absolutely right. I currently have severe acid reflux and my doctor gave me Lansoprazole which reduced the reflux but got worse again after 2 weeks. I complained to him and he told me I would be on the drug for the next 3 months. I just knew something wasn't right. I've started taking oregano, apple cider, betaine hcl and milk thistle and I began feeling better in days. And of course I changed my diet. I will never advice anyone with gut or stomach issues to see a conventional doctor. They know nothing about the digestive system 🤦♀️
Are you symptom free now
@@jenniferlawrence4407 Not totally free. But the reflux has really reduced. I now sleep well. Thanks for asking
what did you do with the oregano? and question also about acv.. DId you feel any relief right away after the acv? Im not sure if it works on me. Ive been taking it for 3 days already but my sysmptoms is getting worst
@@LaMemoirVlog06 I was actually battling with candida not just the acid reflux. So I was mixing oregano tincture with coconut oil to drink. As fir the ACV I was adding it to my water. But again, the results are not immediate... these things actually take time as your body would have to adjust. Also watch your diet. Good luck 👍
@@sonuga thank you. Now Im doing the pure celery juice for 2 days.. Il try this for a month. Im also having aloe vera gel 30 mins before every meal. I recently purchase ddigestive enzymes from Gnc. and chamomile tea from health store. I hope this will work.
how did you know you have candida?
I have watched hours on this subject. I learned more in under 10 than in those multiple hours. True knowledge and pure talent.
Dr. Berg has TONS of videos on this topic. Check him out. And yes, this guy is awesome! I help so many people with this information, so I’m glad I found a video that’s straight to the point like this so I can keep it on my phone and send it to somebody that deals with this issue.
So many people I meet say they take Tums constantly, and I’m trying to tell them that their stomach acid is not high, it’s actually too low, etc.
@@davidbrucemusicvideo I know all about that Scientologist nut case. No thanks. Like I said I learned more in this video than the hours of Berg
@@mackelby1 You’re an idiot if you’re going to judge somebody on their religion. Pretty pathetic. I have been learning from Dr. Berg for seven years, never even once heard him mention the term, and I’ve helped tons of clients and friends alike with information I have received from him. I already heard everything I heard in this video from Dr. Berg about six years ago. And he has a lot more information/ videos on this one topic than what is being said in this one video.
Move along, little boy. Leave negative comments on somebody else’s post. This video and comments underneath the video are supposed to be helping people, and you’ve changed something helpful and beautiful into an ugly thing.
You should be ashamed of yourself.
@@mackelby1 I see that you have no videos posted on your RUclips page, but you have saved some by Dr. Lipton. If you know anything about what Dr. Lipton teachers, another mentor of mine for years, you’ll realize that what you just spoke out to the universe here is absolutely pathetic. Stop it.
@@davidbrucemusicvideo I have listened to Lipton for hours and hours. Keep trying! I truly feel sorry for your pathetic attempts. How does me not having any videos on RUclips have a DAMN thing to do with ANYTHING? I can't wait to hear how that has value in this conversation. Bring it. You are in a loop, like you screen name says. Well at least you know it. Calling yourself out!! PRICELESS.
omg! how i wish i can find a doctor in my country like you who truly understand gerd/acid reflux! i have been to 5 already but theyre all confused and does not accept the fact that aloecure helped me in my digestion! i asked them about hcl because i want to be guided before i use it but they said no thats acid and continued giving me ppi and antacid for my dyspepsia which doesnt make sense! so sad that i had to do this by myself.
Did that helped ?
did that help?
Did that helped?
Sorry i didnt try hcl anymore. Dgl licorice, papaya enzyme tablets and small amount of alkaline water mixed with my mineral water were the ones that cured me.
I have had problems with silent reflux these last few years. At least that what it seems to be and according to my doctors, ENT, gastro., etc. I am 66 and I would imagine by now my stomach has low acid and I am having a very tough time trying to figure this out what to do. None of my doctors have given me a real solution to this. In the past, I have drank either beer or more recently wine and I wake up at night with a very acid stomach it seems. So, I have taken PPIs, worked somewhat but I have been staying away from acidy foods so I do not have issues. I have had a real problem with clearing my throat with mucus and even as far as having it getting into my bronchioles and having chronic chest and throat cough. Fed up with the whole thing...
My daughter has ibs and gerd. Fun. When they gave her pepcid it gave her more heartburn! She had terrible stomach pain and had an egg intolerance which we found on our own by narrowing her diet.
Thanks. Need to get off my ppi.
Exactly, before it causes gastric cancer !
This video has cleared all the doubts about my symptoms
This is totally true. I dont have GERD... My doctor give me that Omeprazole and suddenly my whole body ache, anxiety level peak and after quit that drugs... My whole body needs to recover slowly, and its been like 2 months after I stop consume.
I'm terribly sorry tp hear you've had to go through that
Great video. He didn't explain though why low stomach acid would make the sphincter not close properly and cause the reflux. ..?
About 2 to 3 months ago, starting experincing the symptoms of GErd and Acid reflux but I didn’t know what it was. It slowly got worse culminating I’m very bad nausea and upset stomach. I went to a headstrong doctor who do an endoscopy. He said I had a “GOOD SIZED” hiatial hernia. On the endoscopy the hiatial hernia was listed as medium sized. He told me that this was the cause of all of my issues. He prescribed 60mg ppi and told me that surgery could be an otption in the future. I took the ppis for about 10 days and got relief. I also met telephonically with a nutritionist. I sent stool samples into a lab. The samples showed gas and bacteria in them that indicated I had leaky gut and most probably bad bacteria in my stomach and SIBO. The nutritionist believes that SIBO is the root of the problem. So much different advice from different places. From your experience can bacterial overgrowth in the small intestine be a cause of GERD. What do you suggest I do? This came out of nowhere.
How are you now and did they do surgery?
I’m so mad at my doctor who kept telling me take PPIs. I shared all my concerns about meds and especially for my stomach because I’m celiac and got GERD from becoming very sick after a major autoimmune flare. I explained my concerns for my intestines but he says yeah take the PPIs until you feel better and says he takes them every year when he gets GERD flares. I only took them a week and was experiencing worsening symptoms in my stomach and more acid reflux.
I made such a mistake because I’d been sick so long I wanted a quick relief but healing takes time, especially from my celiac damage after being glutened. Doctors often know next to nothing about celiac disease. 🙄
They're only interested in making money 🤑
what if you have gastritis or ulcer? If you have already damage there, the idea is to take PPI for a while to give the stomach lining a chance to heal. Then taper off PPI. As far as I understand this is probably the only legitimate way of using PPI.
I believe that lots of people who don’t have a properly working LES is because of R-CPD. If you can’t burp or you barely burp, lots of air builds up under the LES. This causes it to stretch over time. I’ve had this all my life. Never burped ever. Doctors don’t believe that it’s an issue but it is. I’ve been on PPI’s for 5 years and now I have Barrett’s Esophagus. I believe this is from not burping. Also, why would I be on PPI’s if no one even knows if my stomach acid is too high or too low? I’ve never had testings…. Now i think my acid is getting so low from the PPI’s that I believe my acid reflux is bad. I’ve never even had acid reflux back in the day. They just did an endoscopy and told me I have acid reflux and to take PPI’s. 5 years later, low iron, digestion issues, nutrient depletions… so on. I don’t know why doctors have to put us all on PPI’s when the problem is NOT the acid. The problem is the lower sphincter. Makes me mad at doctors / medical system.
What is r-CPd
How u got to know, u have rcpd..
From past 3 months even I'm not able to burp properly, I'm always having this kind of feeling like, air got stuck in my throat, and having lot of hiccups..
Not sure how can I resolve this
great advice
Thank you!
This video explains low stomach acid very clearly. Just wondering if you know any doctors near Calgary, AB in Canada. Thanks
Give this man a glass of water ❗😃
Baking soda test if you want to find out if you are low acid or not.
Im dealing with a similar issue. I was prescribed pantoprazole by my doctor. After 12 days of taking it I notice that I wasnt able to digest my food properly. I would a eat a little food and drink a little water and I would get bloating and cramping. Felt like the food was struggling to move through my stomach.
The pain was so bad that I went to the emergency room.
I did some research and found that in 65 percent of cases ppi were over prescriped.
I have an appointment forna gastroscopy and I am hoping they can tell me the root cause of the issue.
Sir can you talk about h pylori infection
Thank you Dr. Timmermans (Dutch roots?)
My pleasure! Yep, paternal side is from North Brabant
What is the solution to restore the acid again, doctor, does this problem have a solution or not?
Hi Dr. Timmerman. I am a 26 y.o male and I have had and interesting experience this summer. I had some chronic acid reflux followed by a Eustachian tube dysfunction and was given PPi. It seemed to go away but 2 months later I have gotten the same issues all over again and have tried several medications for the ETD and have had acid reflux as well. I reluctantly started a short dose ppi but some of my symptoms seem as if it could be a lack of acid as you mentioned. One doctor recommended trying a ppi for 3 months and to “get scoped” if it doesn’t sort itself out by then. It totally sucks not having a treatment plan that offers an explanation how or why this could be happening. How this finds you well, thank you for your videos!;
I'm terribly sorry to hear that you haven't been able to find an explanation
How do you get to fix the LES to tightly close if the muscles are loose, if the LES doesn’t close (i.e the door which closes the esophagus and stomach) the acid will still come up causing GERD (Acid Reflux).
I understand there is surgery called nissen fundoplication which rectify this , weaning off PPI’s will not cure LES to shut.
If you have a treatment for LES to shut off keeping from acid to entering esophagus , then I will much interested in this weaning off.
I have been on PPI’s for 20 years and they are killing my gut
I would appreciate a reply thanks, a great video 👍🏽
Try using Iqoro training device supposedly it strengthens the swallowing muscles
Depends how long you use them . If under two months they are ok
After dropping down to 10mg for 10days,do you just stop altogether. Taking in to account using the supplements. Thank you.
you are the best
How can you tell if you have low stomach acid or high stomach acid?
Does having LPR change anything in terms of adding HCL with Pepsin?
Not really but lpr can be a number if reasons . Could be acid on its own small amounts or could be no acid and pepsin or bile . And you can have good acid levels and good les
Do you do virtual consultations? I’m tired of going to GIs who just continue to keep me on PPIs and I’ve been on for almost 2 decades.
Same here.
@@Cesar-pq2ckfeel like I’ll never get better.
@@missouriwoodsandwater
Yeah, I think the doctors are trying to kill people!
Hello, I have chronic gastritis and the doctor gave me PPI and said there is no such thing as is low stomach acid to cause gastritis. My question is, if your stomach is full and you dont have enough stomach liquid how can it splash if its food in it?
So now, is there a way to know if one over produces stomach acid?
what if you have gastritis i heard you can have low stomach acid as well as gastritis. but taking extra acid like acv or something makes it worse so what should u do then
same question
What about stress causing the LES not to close properly and that in turn causing the stomach not to make acid to protect the food pipe?
Or is it that stress decreases the production of acid?
I have been on them 4 weeks it's reflux got worse
Is weening yourself of a PPI still recomended if you have only been taking it for 2 months?
But what happens when you have hiatal hernia???
Exactly! This is what I have.
Doc. I've been on bpc 157 for 3 months now.. Been taking between 15 to 20 iu daily.. Every 2 weeks I take a break for about 5 days. It has only really made a difference with my inflammation levels.. I barely feel the gut has healed as rapidly as is proposed when taking this..I also take pharmaceutical glutamine containing 1/4 of acetyl l glutamine in the mixture which I found gives faster results. Also drink liquorice root tea twice a day and on Metagenics Probiotic with following strains. Saccharomyces boullardii, b lactis, l. Acidophilus, l rhamnosus. Reflux is still persistent. Cannot take ACV as it irritates stomach lining. What other advice can you please assist with. Thanks again
Sorry I don't give personalized advice online. If you'd like to work with me you can reach out to my clinic to see if you are a candidate. regenerativeperformance.com
What about sea salt and water for stomach acid??
I’ve only been taking ppi for about 6 days 2 pills of 40mg pantroprazole and after watching a lot of videos and never being properly diagnosed I feel like I should be going the natural way.
Which category would I fall in should I stop my medication and just start taking hcl and see how it goes?
Sorry I can't recommend you to do anything unless you are a patient of mine
Drew Timmermans, ND how do I become a patient?
Give us a call. 480 508 4226
Take probiotics
Very informative and helpful...for 1 year I was suffering from abdomen burning...high amylase lipase.... doctor gave me all high acidity pills syrups...but no relief....now taking pepsin and apple cider vinegar and lemon empty stomach... helping...
Glad you found it informative!
Ravindar bhai mai india she hu mai bahot pareshan hu mera stomach acid 0 ho gaya h or mujhko gatritis bhi h mai bahot kamjor ho gaya hu plzzzz help bhai
Mera watsap no 9711670525 or dusra no 7982399607
@@mdahmedmdahmed-dz4xs aapko kaise malum stomach acid zero hogya h?kaunsa test krwaya?
@@Khan-it3qeThik hue kya?
Juat got dont with tapering off ppi's so miserable .. been using apple cider vinegar diluted to help .. but still having a lit of pressure in my stomach that is giving me indigestion ...guess i need to ro get some hci?
Swallowing sounds part of the explanation?
Any advice on best method to wean a 6 month old off a PPI since 2 months old? Just starting solids. He is currently dairy free and egg free due to allergies. Tried decreasing a bit of the dose but symptoms came back. Please help :) he’s getting colds every two weeks and I have a feeling getting his stomach back to normal would help him fight off viruses .
Find a really good pediatrician who can help with this! Depending on what state you're in, you could find a naturopathic doctor to help with this. Check out the aanp.org to find out
how to take the BPC 157? orally?
Thats how we recommend it for most people yes. This is the one we recommend - bit.ly/3gTNrEI
If the "LES" is stuck open can it cause chronic burping?
How long on poi would cause this reflux?
Is there a way to find out if you’re hypo or hyper? I’ve been fighting mine for many months with no change and now I’m wondering if I’m a rare hyper acid person.
Baking soda test
my chinese DR told me reflux is caused by counterflow stomach chi using herbs and massage helps i take stuff when i eat to make more stomach acid and a few hours later i take some aloe capsules
What kind of herbs did you use?
If low stomach acids are causing the gerd/reflux, then wouldn't some apple cider vinegar or lemon juice in the morning help?
How long does it take to change the atmosphere of your gut and do you recommend changes to the diet? I’m a coffee drinker and I know that is on the no no list. I have cut back. I have approximately 12oz in the morning and 12 oz in the evening. Is this something I can continue with the appropriate acidity? Thanks
Is coffee the first thing that goes to ur mouth in the morning...after coffee. What next do u consume?..my sister in the same boat and I fixed her issues
i have been put on nexium for 15 days , i am prescribed to take it before meals , when i take ths before breakfast , i start to feel heartburn early morning . Is it due to low acid production ?
Hey did you figure out wether it was?
I live in New York City you have any recommendations for a local doctor near me??
Not out there sorry
I have tried almost everything and still feel awful after almost 3 years . I took both ppi's and hcl and other digestive supplements and they made me feel worse . Seeing a chiropractor for hiatal hernia and that doesnt seem to get rid of the feeling I have . I think I may have a lower hernia that maybe causing upper abdominal pressure . Im wondering if thats a possibility .
i'm terribly sorry to hear that. While I can't give medical advice, I can say that we have seen amazing things happen with patients who try BPC-157 arginate salt for their GI conditions.
You can find our preferred brand of BPC-157, DNA Health, here - regenerativeperformance.com/supplements. Make sure you use our code RP10 to get 10% off!
Have you ever had GERD or any type of reflux cause a racing heart?? Can this be gastro related?
Could be a hiatal hernia, as that can cause both of those symptoms
Hey doc do you have online consultations?
Hey there, I no longer work with patients with GI conditions, only orthopedics. We have another physician in my practice who is excellent with gut conditions.
I’ve tried HCL pills, but they burn my anstral gastritis and hurts my esophagitis. How do we heal the gut with low hcl levels with gastritis and esophagitis? I also have histamine and oxalate sensitivities, as I now can’t have Pharmaceuticals and herbs.
Complicated cases like that need guidance from a physician who has a deep understanding of the biochemical pathways that are blocked and how to address them
hey! i have the same thing. i have low stomach acid but my stomach lining is very irritated (gastritis) so any acid i take makes me feel better but i start getting pains in my lining because its not healed. i recently found out about zinc carnosine and am going to try it this week. you should really look into it as it is exactly what you and me need. it heals gastritis/ulcers and helps to heal the mucosa lining of the stomach. just google zinc carnosine for gastritis for example and youll find tons of articles. it helped so many people so i really hope it will help us too. also look into DGL. its the same thing. i hope this will help you!!! i know its hard but we have to fix our stomach lining first and then work on building the acids up.
Yup - Thank You for your helpful response.
@@Julia-mh9zc how is zinc carnosine working cor you?
I have gastritis I'm scared to try Betaine HCL and Pepsin as it might make my gastritis worse. Thank you
@@azzedineelamraoui4745 zinc carnosine has been a blessing and a savior for me and i am not exaggerating. i also had gastritis and damaged stomach lining and had to take hcl because of the low stomach acid but was so scared to do that before. ive been taking it now for almost 3 weeks and started fibally taking hcl!!! its incredible. of course it depends on how bad your gastritis is but i would recommend taking it for at least 4 weeks. ive read its also used to heal stomach ulcers and i dont doubt it one bit!!! please dont use hcl now because it will make you worse and then take longer to heal. one thing you can also try is cabbage juice. just juice raw cabbage and drink it on empty stomach twice a day (start low from like 100ml and see if you dont feel worse) and go up to 250ml (a cup) twice a day 30min before food. its also helped a lot but i feel like zinc carnosine has helped me the most (i only juiced for 3 days). i actually takw zinc 3 times a day. mine is in powder form and also has dgl extract in it (its also amazing for stomach lining) so id recommend you to purchasw DGL capsules as well (350mg and higher) to use alongside the zinc carnosine. my dosage of zinc is: 8mg zinc, 30mg carnosine, l-glutamine 1480mg. and i take that 3 times a day (so multiply by 3) on an empty stomach 30min before meals. i use Thera rezcue brand. if you cant find it where you live then i recommend the dgl capsules + regular zinc carnosine. it will help you 100%. just use it daily pls. dgl capsules if you buy 250mg capsule for example then id say take twice daily as well. i hope you get better. i know how awful it is. but pls dont use hcl now. it will kill you at this point lol trust me
what is bitter tincture? Anyone has any idea?
It's an ethanol extract of herbs that are bitter tasting - herbs like gentian and skullcap
Thank you for the info.
Do you do consultations in the UK? I have acid reflux, it’s damaged one of my vocal chords, I didn’t realise but have had silent reflux for years. My doc has put me on Omeprazole, been on 3 weeks but still getting the sore throat and clicking in my throat. I’m so confused as to the best treatment. Maybe we could use messenger? Thanks for your video.
Sorry, I am no longer taking patients for GI health, as i have focused my practice entirely on pain management and regenerative medicine now. We have another doc in the practice who now sees the GI health patients.
same.... did u get relive..?
No it’s getting worse, I’m on Omeprazole and Gaviscon Advance and eating low acid diet. I’m even sitting nearly upright at night but wake with burning throat. 😢How are you?
@@angelataylor2049 same 😭😭
What are you doing to help yourself, are you in the UK?
I never have reflux. does this mean that low stomach acid is ruled out? I have bad digestion. tried betaine hcl but cannot even tolerate one pill without burning. wouldn't this be a fraction of what the stomach would produce on its own in this one pill? I'm afraid I have no acid at all. :(
My hair went gray after 2 months on ppis
Yikes, I'm sorry to hear that
@@DrewTimmermansND It's cool. Most of the colour came back once I stopped taking them and introduced a multi-vitamin for a few weeks. 😃 And i stopped pooping 3 times a day...lol
i am wondering if my stomach acid is high or low. i know when i eat a burger my stomach bloats and i get nauseous and burning. do you think its low or high? apple cider makes it worse but i think ginger tea helps
The only way to know if its high or low is with the Heidelberg test
Hi, is it possible to make an appointment through your clinic if i'm in the UK? Over Zoom or Teams? I really need help and I can't seem to find anyone in the UK who understand about ppi medication and that is might be the cause of my problem. I've been suffering for 3 years now with terrible pain and unable to eat and drink properly, I've only been able to drink water, my diet is very limited. Had loads of test, all come back normal. This started off with h pylori infection, which was successfully treated and symptoms went. The doctors have had me on very high doses of ppi medication, never helped. Now from doing research I think it's the ppi making me ill like this. I would really appreciate making an appointment if i can? Many thanks Jay Hammond
I'm terribly sorry to hear that. Yes we can work remotely with patients. Dr Myers is the physician who works with GI cases now. You can find out contact info on our website regenerativeperformance.com
Thank you so much, I will check it out and get in touch. Many thanks! J
My pleasure
@@lollydog81 its a shame NHS doesn’t have a solution for this. GPS prescribe PPIs for acid reflux which is dangerous taking it long term. I took it for a year and a month and a lot of problems ensued as stomach acid was completely depleted. I opened up myself to Candida and other malaise-tested for H pylori, and was prescribed antibiotics which disrupted my gut flora affecting my GI tract. I’ve suffered indigestion, constipation, bloating, more heartburn and acid reflux even after coming off omeprazole.
It’s taken almost 10yrs going through this until I discovered Dr Berg on RUclips after some research. He suggests taking Betaine HCL with pepsin, and bile salts / gallbladder support with pancreatic enzymes to get the body to start digesting food and move bowels. Depending on how bad the situation is you may need to do this for a while as the body recovers.
I must say, PPIs are the most dangerous drugs especially when prescribed Willy nilly just for every acid reflux case. It took one of the doctors to tell me, I think you need to stop, these drugs are not good taking them for a long time. I hate omeprazole with a capital H 😡🤬
Let me know how you’re doing mate
@Jay Hammond.....how did you get on? I’m in the UK also and my gp just prescribed Omeprazole, thanks.
What about people who have hyper acid secretion? There's no advice for us! !
What is the best wY to ween off ppi for erosive gastritis for 5 weeks? I take 40mg protonix once a day in the morning??
By working with a doctor who can guide you through the process. Sorry I am unable to give advice on that here
I'm not really sure whether my stomach acid is high or low. I'm not very certain I get the symptoms of acid reflux like others say either but I got this feeling of heart beating below my chest area (where the esophagus exists ,I think) and I always feel like my stomach is full. The doctor said my stomach produces too much acid and he gave me Pantoprazole. I've been taking it for about 2 months but there's no improvement. Then, he suggested to keep taking till next 2 months again. What should I do?
Have you tried the baking soda test to rule out low stomach acid?
@@warrenthiessen4682 Yeah, I know that but can I actually rely on that test? I'm afraid it won't give me the correct result 😭
took omaprazole for 2 weeks and i'm still recovering from it 6 weeks later. I have even worse gastritis now, and can't increase the acid naturally without burning my stomach
I had a terrible experience with omeprazole, my doctor told me not to eat anything because I couldn't hold liquids downs and to take omeprazole twice a day. Long story short I went 4 days without eating and ended up in the hospital. I do think so have low HCL, but for some reason I had too much acid in my blood and was given the diagnosis of metabolic acidosis. So given that diagnosis I did everything to reduce (H2 receptor blockers, antacids, baking soda with water and ect.) my stomach acid levels, but I'm just finding out that I actually may suffer from low HCL. It makes sense, I have food intolerances, dry skin, I can't process meats efficiently, I'm full after a couple bites, and I have chronic acid reflux ever since highschool. Even as a child my stomach was always sensitive, and it only became worse with age. Glad I found this video!
try apple cider vinegar
@@hammerridecycling7630 tried it but that also burned my stomach unfortunately. I will have to heal it first.
@@offline._archive how are you now?
How are you now? I've just come off PPIs and my stomach is not digesting properly. I have slow gastric emptying and some reflux. Does it just get better over time?
what do you do if you have low stomach acid but also ulcer? I cannot increase acid because it burns and gives me tremendous fatigue. Should I take PPIs + diet until it heals? And then work on increasing the stomach acid, since it's safe now...? Thanks :)
Have you got any solution?
I ask my gi doctor about checking my acid levels she stated she didn't see a reason cause my stomach and small intestines was already showing chronic inflammation her go too was antacids I refused my question could low stomach acid cause inflammation???? I read that not enough stomach acid allow bacteria and pathogens to thrive thank you for a response
That is correct! Low stomach acid will make one sicker !
Hi, im taking ppi for almost 1 month now, and it helps me feel better for a week after taking it, but after a week then again, every time I eat, I feel nauseous and gets lightheaded. Can you please tell me that was an effect of low stomach acid from using ppi's? Thanks doc
Try Celery juice for a week.
Ppi reduces acid not good and our stomach is supposed to be acidic to breakdown the food. I take apple cider vinegar pills and HCL it works wonderful. Don't take ACV if you have ulcers though
Celery juice is a scam.
Some days my esophagus feels like a hole is being burned through it
I don’t get heartburn
Dear Doctor, plz help...
male, 34 years old and married.
Before a year Doctor asked me to do colonoscopy and stomach and the result was I have congestive antral gastropathy, and H Pylori, today I did a baking soda test and no belching happened at all, is it possible to take stomach acid supplements???
note : all Low stomach acid symtoms are exist always feel unwell and sick, no change hapened after taking H pilory kit Drugs.
Have you got any solution? I have also same problem :(
I don't understand why you need to taper off PPI if you suspect a low acid cause of reflux. If rebound acidity still causes symptoms then it means the acid is still too low. Why not welcome this rebound acidity and add HCL supplements, etc.. I just don't get the point of tapering PPI's if more acid is welcomed
You'll understand it if you get stomach polyps because of taking them.
Can cause gastric cancer!
Only been on ppi for 3 months. Can I just go off? I have ordered betaine
You have to consult with your doctor on that!
@@DrewTimmermansND ok thanks
I hope you can reply took PPI because i keep waking up with stomach pain or hunger not sure what it is sorta sour sickly feeling no heartburn or burning acid refulx at all, I then after 2 weeks taking PPI no matter what i eat feels like my food is sitting or stuck in stomach and cause extreme bloating nad my farts and BM smell disgusting as if fermenting to long in the stomach feeling dizzy as well, Is this a side effect i would expect as my stomach acid was never high, I have been of PPI for 2 days now and hoping my stomach goes back to normal, I have IBS from having covid, Im just woundering because NHS is usless might look to go private
Sorry to hear that man. Yes those changes can occur with PPI use. I don't work with GI patients anymore however.
@@DrewTimmermansND yeah i just went to the toilet and my stool was like sorta white cloud on outside with what seem to be a grain of rice mum said maybe worms but i eat alot rice and if stomach acid low well anyway im gonna look to go private as docs just throw meds at you without doing any proper tests
Definitely consult with a local doctor
@@DrewTimmermansND yeah have done they are usless and they put it down to IBS so gotta wait till i can afford to go private, I was suppose to have a camera down my throat but even this morning getting a sorta pain in my stomach not so much hunger as im putting weight on over 13lbs after covid losing 18lbs all this started because of covid, I then was fine after eating like i normally do then sinc eating chinese it flair up the IBS but since sticking to my bodybuilding type diet no issues but then started feeling sorta sick waking me up they gave me PPI which was wrong to do but hey doctors know best in the UK they are kinda ass just throw meds at you without actually doing proper tests, I even have to wait 5 weeks just to have my bloods done NHS is a joke i got mates in poor countries even with covid had camera down their throat in 1 week and they had an infection just from having a bad throat yet in the UK you have stomach issues oh IBS lol
I'm terribly sorry to hear that man. If you'd ever like to virtual consult with my wife here at our clinic for help with this, reach out to our clinic (you can find info on our website)
Hi Dr Timmerman. I'm 22 y.o male born with Esophageal Atresia. My esophagus was connected when I was 10 months old.
But since I was 3-4 y.o, about once every week, I suffer from extreme nausea and vomiting (mostly saliva) for a full day. I have to stay in bed for the whole day and have no appetite to consume anything at all.
What I know so far is that my esophagus length is much shorter compared to ordinary people and I don't have lower esophageal sphincter which prevents stomach acid from going up to the esophagus.
When I got sick, my saliva production is more than usual, runny nose for a whole day (only sneezes out water), and farts way smellier than when I'm healthy. I don't know my acid production is too much or too low.
Do you think that my weekly nausea and vomiting is more contributed by my abnormal esophagus or stomach acid production? I really hope for your advice, because I have graduated from university this year and I'm terrified companies don't want to hire me because of my health problem. Thanks, Dr Timmerman!
I'm terribly sorry to hear that. Unfortunately I can't say what might be causing that as you aren't a patient of mine
Is there anyone can help me.. Ive been sufferinng for acid reflux for 3years until now.. I webt to different doctors and still nothing has change.. May acid reflux still.. Sometimes i think it was just bussnezs for doctors..they dont want you to be healed so you can come over and over again. Its money.. Sometimes have this doubt now.. Can someone help me.. I feel like dying everyday depression comes..
Might be worth looking into BPC-157
bit.ly/2WsJtby
@@DrewTimmermansND I bought BPC 157 from tailor made. Has it been proven that your patients were healed from GERD taking this? I started taking it yesterday, 1 pill a day instead of the 2 it says per serving. Is that good?
I'm from India
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Natural remedies
I did not have Gerd. I just had slight sensation in my stomach. Some belching, hardly any acid reflux like symptoms. I thought Perhaps it was ulcers. A pharmacist recommended nexium. I developed GERD after 2 weeks. It was awful. I switched to another medication. And it got worse again.
It is clear to me that the drugs gave me Gerd. So I’m going to stop taking it. It isn’t helping.
@Manny it's been two weeks off nexium. And zero acid reflux symptoms.
@@pureidleness9310so acid reflux cured after 2 weeks of stopping Nexium ? How long did you take ppi ?
@@pureidleness9310hi so your reflux started after taking ppi right? And after you stopped Nexium did you have reflux and It settled down after 2 weeks of stopping Nexium?
Oh you are the doctor I have been looking for. I have gerd since march 12, its really effecting my life. One example is my online university courses starts next week but I dont know whether I can do it. By my doctor's advice I started PPI 11 days ago but he did not bother to check whether its due to low acid or too much acid. Which city do you see your patiants ?
We are in gilbert arizona
@@DrewTimmermansND thanks for your reply. I live in Toronto. I need help. Now perhaps its dangerous to travel but I may come to you after covid finally is gone from north-america. Can I have your email and phone contact ? Do you know a doctor like you in toronto who thinks and treats patiants like you so that I can take his help meanwhile ?
@@yrysf777 you can do everything you want, i remember i was studying abroad while having acid reflux it put me in a kind of lazy, hopeless and down mood. I was sad i couldn't eat like before i had to make a diet to survive it wasn't easy days but i tell you they r all psychological problems not real ones. Tje first step of healing is to be positive and not thinking too much about the disease and accepting it. I am feeling better after 5 years of having it, at least some days goes without heartburn or discomfort . By keeping a healthy diet, drinking good herbs drinks of anis, licorice,... Not eating so much, drinking at least 30 hour after eating, eating healthy, moving and fasting. But now i want to try to see if betaine hcl will give better results.
@@christinafalla5762 thanks for your input. Did you take ppi in the beginning , did you do keto diet ? I hear ppi is bad , so I am thinking of stop taking my pantoprozale and take famotidine instead. I will try that tomorrow and see how it goes. When you said "moving and fasting" , what did you mean by moving ?
Dr Jordan Robertson. She is in Burlington
This is not true. Hypochloridia may occur for a small minority of 15-20% of cases of GERD, but no.
Explain why PPI rebound acid doesn't close the LES. That's what I thought - you can't.
ihad hpylori then i took a course of it 2 weeks and 3 weeks omperazole 40 then I stopped a ppi before 2 weeks but had heartburn gases in my stomach and dyspepsia ..... are these side effects of ppi (Acid rebound) or low acid!? or what?!?!?? will it last?? and how long?!
I'm sorry to hear that. Unfortunately, I wouldnt be able to answer any of those unless I did a medical workup on you
how you felling now
Hi Doctor, I have been on PPIs for 1 year as i had esophogatis. Now my esophogatis got healed but i got another stomach issue. 2 hours after eating i am getting air burping from mouth heavily for an hour. is this due to low stomach acid?? if we use HCL suppliments can we cure this problem permanently? Kindly answer..
I would not be able to say unless we had an appointment together. Medical advice requires that you are a patient of mine, which can be done remotely
Are you recover now ? I have same problem
@@bhumikakadiya3362 i am drinking CCF tea, which is improving my symptoms. Along with this please take easily digested foods with small quantities for some time.This tea helps in digesting protein ofcourse
@@bhumikakadiya3362 did u find solution for ur problem?
I took PPIs for weeks after having reactive gastritis from taking too many NSAIDs. Now I have really slow gastric emptying. The doctor said it could be idiopathic Gastroparesis, for which there is no cure. It's odd that I've never had this before, but after PPIs my stomach is mess. How long does it take for acid to return after taking PPIs for about 6-7 weeks? I took a few different types on and off and my gastritis came back
Drink 1tablespoon Acv in 1glass of water it will help
Ppi worst side effect
Yeah I took the two weeks my kidneys and I was missing funny NO thanks
Hi! Thank you so much for your video! That info is gold! Do you recommend any doctor who works online? I'l live on Germany. Unfortunately I'm doing though a very bad moment with my health. I was having mild reflux during the night, and I started taking omeprazol in February. 1 week. Then 2 weeks in March. Then when I stoped the pain was as I never experience before. I came back to it, but this time I was prescribed Pantoprazol. I stayed with it for 5 weeks, reducing the dosis. I never felt good, but as I was reducing the dosis, the symptoms were coming back stronger. When I was to the lowest dosis, I ended up in the hospital 4 days. Then I got full dosis 4 days, and then they asked me to stop to have a pH metric. I've been off for 10 days, and I'm feeling miserable. I came to the realization that I might have lower acid and I have been taking antiacids for months. I'm also Fructose, lactose and Sorbitol intolerant and that makes everything more difficult :(. I've lost almost 10 kilos, I'm feeling week, dizzy, my Body aches + plus constant heartburn, painful feeling on my Belly. I had an endoscopy, colonoscopy, abdominal MRI and Scans. Everything came good, they found no clue of acid reflux, no hernia, no Pylori, or anything.
My GI told me that I have acid reflux and to take Pepcid. My stomach constantly growls, and I get these pinching throughout my stomach. I think I have even lost a few pounds. I am so afraid it might be something else. My insurance denied an abdominal CT scan. So I am in the process of fighting to get it approved. Some of the symptoms I hear other people talking about ai am also experiencing some of those same symptoms.
@@jacquelineforde3251 hi, after very difficult months I recovered completely. 🥰 Hang in there. I ended up having SIBO. I got antibiotics, and after 9 months taking PPI and finally came off of them. It took a while though. It wasn't easy at all. I also started seeing a psychiatrist and I started taking care of my mental health.