Alkaline Water Healing Properties for GERD

Unlike conventional drinking water, pH 8.8 alkaline water instantly denatures pepsin, rendering it permanently inactive. In addition, it has good acid-buffering capacity. Thus, the consumption of alkaline water may have therapeutic benefits for patients with reflux disease.
Other Warnings
Do not consume alkaline water with any medicines, supplements, or other additives. The alkaline water is reactive, and can form potentially dangerous by-products when mixed with a drug or other chemical compounds.
You should store ionised water in sealed glass bottles rather than plastic bottles, because it is reactive and can react with some plastics. It also reacts with the air and loses its ionisation if it is left exposed (of course, the alkaline minerals remain).


Others say that alkaline water helps:
http://www.alkalinediseasecure.com/acid-reflux/

From what I've read, it seems that alkaline water may help but only where you in fact have High Stomach Acid GERD.  Where you have Low Stomach Acid GERD, it appears that alkaline water may make the problem worse.

So, if you've determined that you have High Stomach Acid GERD, which you can do by doing the HCL test, then you may want to try alkaline water.  When you do, make sure you pay attention to how you feel and how your body reacts to the alkaline water.

Prevent Night Time GERD

There's tons of suggestions out there on how to prevent night time GERD.  Just know, I find that by preventing night time GERD, you can wake up to a GERD free morning too.

So here are some of the suggestions I've found out there:

1. Eat your big meal at lunch instead of at dinnertime.

This is very important to make sure you digest your food before sleep.  Going to bed with a full belly is a guaranteed way of not getting a good night sleep.

2. Eat at least two to three hours before lying down.

This will give you time to digest and go to bed with an empty stomach.

3. Avoid foods that are known to lead to heartburn.  Some foods to avoid: chocolate, mint, citrus, tomatoes, pepper, vinegar, catsup, and mustard.

Consider a high protein and low carbohydrate diet.  I'm now on a paleo diet.

4. Eliminate late-night snacking.

This has been extremely hard for me.  I use to do most of my eating as night time snacking.  Just take a look at how I got here. The thing is, that every little bit of food and liquid (including water) needs to be digested and in order to have a good night sleep most of your digestion has to be done before hand.

5. Sleep with your head and shoulder on an incline.

I raised the head of my bed by 4 inches.  I have read in many places that this helps by relieving pressure from your esophagus.  Gravity is a great thing for us GERD sufferers.

6. Sleep on your left side.

I prefer to sleep on my back, but I have found that sleeping on my right side doesn't feel as comfortable.

7. Make sure your bed clothes are loose-fitting.

This really applies to everything.  Forget the tight clothes, they restrict everything in your body. Loose clothing helps your body's circulation.

8. Stop smoking.

Considering all the other problems that smoking causes, this is just not a surprise.

9. Avoid alcohol, caffeine, and carbonated drinks.

This is quite painful.  It means no going out to bars, unless it's to drink water, and no morning coffee.

10. Eat your food slowly.

I find this is very helpful.  I use a small teaspoon, cut my food into tiny pieces, and make sure I pay attention to what I'm eating and how I'm eating.  For this, you may need to turn the TV off while eating.  Just pay attention, slow it down, and chew a lot.

11. Eat smaller portions.  

I think I've cut my food portions by more than half.  Sometimes it's because I really can't eat any more.  Smaller portions will help you not over eat, which very important in controlling your GERD.

12. Avoid fatty/greasy foods. Try lean meats.

I mostly only eat poultry and fish now.  I'm not looking forward to this summer though, because I've always enjoyed a big burger. I've just found that everything to control grease.  I find that eating greasy food will give me what I call my "GERD attack," which is sudden shortness of breath and painful bloating and burping.

Water and GERD - How Water Makes GERD Worse

After a few days of suffering from all my GERD symptoms, I started to see a pattern between my water drinking and GERD.  So I did some research on the internet and found out that water makes GERD worse:

You need an acidic stomach environment in order to digest food. When you drink water with meals, stomach acid is usually diluted, which leads to incomplete digestion of food. Undigested food may stay longer in your stomach, which can increase acid reflux symptoms. Drinking water with meals also over fills your stomach, which can cause the LES muscle to open and allow stomach contents to leak into the esophagus.

There are those that would argue to the contrary, explaining that since GERD is mainly due to having too little acid in your stomach, actually raising the PH via antacids or, better yet, by drinking water, then water is a good way of fighting GERD.  Although I see the merits in this argument, this was absolutely not the case for me.

I paid close attention to my reaction to food, and I found a direct correlation between my water drinking and the amount of acid that I felt crawling up my esophagus.  I do mean, that I can't have water about 30 minutes or more before a meal, definitely not during the meal, and at least 1 hour after the meal.  So, I fall more on the camp that says that water, either because it dilutes the acid in your stomach or because  it feels you up is no good for my GERD.

Enjoying Nexium

I have read a lot of blogs the last few weeks and currently feel quite fortunate that Nexium did work for me.  It seems there's many out there that take PPIs twice a day, in addition to other medicines but nothing works.  I was lucky in that 1 Nexium in the morning was enough to keep me, mostly, symptom free all day.

Alright, so what is Nexium and what are PPIs?

Nexium:

Nexium (esomeprazole) belongs to a group of drugs called proton pump inhibitors. Nexium decreases the amount of acid produced in the stomach.
Nexium is used to treat symptoms of gastroesophageal reflux disease (GERD) and other conditions involving excessive stomach acid such as Zollinger-Ellison syndrome. Nexium is also used to promote healing of erosive esophagitis (damage to your esophagus caused by stomach acid).
Nexium may also be given to prevent gastric ulcer caused by infection with helicobacter pylori (H. pylori), or by the use of nonsteroidal anti-inflammatory drugs (NSAIDs).
Nexium is not for immediate relief of heartburn symptoms.
Nexium may also be used for other purposes not listed in this medication guide.

Nexium Side Effects:

Get emergency medical help if you have any of these signs of an allergic reaction to Nexium: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Stop using Nexium and call your doctor at once if you have any of these symptoms of low magnesium such as:

• dizziness, confusion;
  
• fast or uneven heart rate;
  
• jerking muscle movements;
  
• feeling jittery;
  
• diarrhea that is watery or bloody;
  
• muscle cramps, muscle weakness or limp feeling;
  
• cough or choking feeling; or
  
• seizure (convulsions).
  

Less serious Nexium side effects may include:

• headache, drowsiness;
  
• mild diarrhea;
  
• nausea, stomach pain, gas, constipation; or
  
• dry mouth.
  

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Proton Pump Inhibitors (PPIs)

Proton pump inhibitors (PPIs) are medicines that work by reducing the amount of stomach acid made by glands in the lining of your stomach.

• Relieve symptoms of acid reflux, or gastroesophageal reflux disease (GERD), a condition where food or liquid travels backwards from the stomach to the esophagus (the tube from the mouth to the stomach)

• Treat a peptic or stomach ulcer

• Treat damage to the lower esophagus caused by acid reflux

Types of PPIs

There are many different names and brands of PPIs. Most work as well as another. Side effects may be different for different ones.

• Omeprazole (Prilosec), also available over the counter without a prescription (Prilosec OTC)
• Esomeprazole (Nexium),
• Lansoprazole (Prevacid),
• Rabeprazole (AcipHex)
• Pantoprazole (Protonix)
• Dexlansoprazole (Kapidex)

Although I was scared, I started taking the Nexium every morning as soon as I got up.  At first, I felt just as sick, like the side effects were worse than the disease; within a week most side effects were gone.  It became a habit, something I just didn't think about.  I just knew I had to take my medication and couldn't drink too much.  Mainly limited my drinking to 1-2 drinks.  That definitely slowed my social life.  I wasn't 100% but I was close enough where I just didn't think I was sick anymore.

After 1 month on Nexium I tried to stop it.  I felt fine the first day, so I went on my usual super drinking and eating.  The following day I was so sick I ran to get another refill.  As the end of my 3rd month approached, I realized I had to some how find a cure for whatever was wrong with me.  At least that's how I was thinking: I just need to cure myself naturally.  No more drugs.  No more risk of 101 side effects.

GERD Doctors - The Gastroenterologist

After ending up in the hospital twice during the same week of New Years Eve (quite the beginning for the year), I went to 2 gastroenterologists.

A gastroenterologist is a physician who specializes in disorders and conditions of the gastrointestinal tract. Most gastroenterologists are board-certified in this subspecialty. After completing the same training as all other physicians, they first complete at least two years of additional training in order to attain board certification in internal medicine, then gastroenterologists study for an additional 2-3 years to train specifically in conditions of the gastrointestinal tract.

The first one of these that I went to said he thought it was an ulcer, so to schedule an appointment.  Due to health insurance issues (surprise surprise), I had to switch to another doctor so I scheduled another appointment.  This time I was prepared, though swearing this had to be an ulcer, and had a list of questions:

1. What's the most likely cause of my symptoms?
2. Are there other possible causes for my symptoms?
3. What kinds of tests do I need, and how do I need to prepare for them?
4. Is my condition likely temporary or chronic?
5. What treatment do you recommend?
6. How quickly will I start to feel better?
7. What if my symptoms don't improve?
8. What are the alternatives to the primary approach that you're suggesting?
9. Are there any dietary restrictions that I need to follow?
10. Is there a generic or over-the-counter alternative to the medicine you're prescribing me?
11. Are there any brochures or other printed material that I can take with me? What websites do you recommend?
12. What caused me to develop this ulcer?

I think I got this list from a website.

The second doctor right away said she thought I had IBS ("Irritable Bowel Symdrome") and gave me materials.  I read the materials and they pretty much said this of IBS:

Irritable bowel syndrome (IBS) is a common disorder that affects your large intestine (colon). Irritable bowel syndrome commonly causes cramping, abdominal pain, bloating gas, diarrhea and constipation. Despite these uncomfortable signs and symptoms, IBS doesn't cause permanent damage to your colon.  

Now, I that point I had a long list of symptoms I carried with me for my doctor's information.  However, I absolutely knew I did not have IBS.  The only time I had ever been constipated was during my first "GERD Episode."  Otherwise, I have always been very regular, have had normal movements, and my symtoms were more like an ulcer if anything.

However, she said I needed to change my diet.  I read but dismissed her diagnosis, though I did make the appointment for the endoscopy, after much haggling with my insurance.  She also gave me a 3 month prescription for Nexium.  I read about PPIs, about how they have a million side effects.

During that time, I was eating every two hours and more like a bird.  I resented this change in eating.  I complained to everyone I could.  I did not want to fill the prescription because I hated drugs.

Finally, I went in for the endoscopy and all they found was inflammation around my lower esophageal sphincter. The doctor told me that was it, no ulcer, so I started to take the Nexium.

My GERD Beginnings

After living with GERD, I have taken a long look back at my life and my relationship with food.  I now realize that I've had a bit of a love/hate relationship with eating.

I love food.  I love eating food.  I've never been much for cooking, but I'm the first one knocking on my friends' door to see what they have on the stove.  I always say yes to dinner outings, and I rarely turned down a pizza after a night of drinking.  Please note that I'm from New York City.  One thing we have is restaurants and cuisine from every corner of the world, so over eating super wonderful food is quite easy.

This was exactly what happened when I had my first "GERD attack."  I call it this because before that, though I may have had GERD symptoms, I never truly thought there was something wrong:

I drove my family to the mall and ran some other errands.  I think I had maybe breakfast.  I got to my mother's house and she said she would make food.  This was around 9 pm.  I said no, I wanted to go home.  I drove myself home, but before that I stopped at Popeyes.  I'm a big Popeyes fan, never cared for KFC.  I bought a couple of chicken pieces, two servings of large cajun fries, a rootbeer (though I'm really not a soda drinker), and a couple of M&Ms almonds from the 711 next door because I love those and rarely saw them.  I went home, ate it all, and about an hour later I found myself bloated like I had never been.  I thought it would go away so didn't pay it any mind.  2 Hours later: my belly had grown more and I was shocked at how much it hurt.  4 hours later, my belly had not come down.  I read something online about walking to relieve bloating.  I walked for like 30 minutes.  I came back and I was still bloated.  I was a little scared, particularly because I couldn't lay down at all.  My breathing was shallow. I considered paramedics but knew this had to get better.  I sat on my couch and stayed there, barely sleeping.  The next day I was better but constipated, which is quite unusual for me.  I spent the next 4 days eating tons of fiber, but nothing helped me go.  I finally took a couple of different laxatives and that helped.  I could barely eat though, and felt weak.  On the 7th day (New Year's Eve by the way), I went to my family's for dinner and after a few bites of food was dizzy, had hot flashes, and my stomach got so big that my family rushed me to the hospital.  

What is GERD?

So, out of nowhere I have had to ask myself the above question.

This is the answer, according to the Mayo Clicnic's website:

Gastroesophageal reflux disease (GERD) is a chronic digestive disease that occurs when stomach acid or, occasionally, bile flows back (refluxes) into your food pipe (esophagus). The backwash of acid irritates the lining of your esophagus and causes GERD signs and symptoms.

See also Wikipedia, the National Library of Medicine, and many more out there.

They then list GERD symptoms as follows:

Acid Reflux
Heartburn

When these symptoms occur more than once a week, this is GERD.

Additional symptoms include:

• A burning sensation in your chest (heartburn), sometimes spreading to the throat, along with a sour taste in your mouth
• Chest pain
• Difficulty swallowing (dysphagia)
• Dry cough
• Hoarseness or sore throat
• Regurgitation of food or sour liquid (acid reflux)
• Sensation of a lump in the throat

However, I assure you, I have suffered much more than just Acid Reflux and Heartburn.  Worse yet, it's a day to day struggle.  I very much feel I have lost my life to GERD.  Every day, my first thought is how bad will my GERD be today, and at the end of the day "how bad will my GERD be tomorrow?"

I'm writing this blog to document my experience with GERD.   I hope this helps someone.  Good luck!