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I have GERD and the only reason I found out was my dentist told me. It was because my teeth became so sensitive a room temperature banana was too cold. Lots of

I have GERD and the only reason I found out was my dentist told me. It was because my teeth became so sensitive a room temperature banana was too cold. Lots of pain and still. It's from coughing due to acid reflux and acid splash up onto my teeth. It can also get into my lungs and over time damage them too by causing scarring.

manmal 3y ago
Did you have no idea at all, as in, you never felt heartburn in the evening? I wonder if eating the last meal at eg 4PM wouldn’t improve this considerably.
- withinboredom 3y ago
  As someone else who has some serious GERD, no, you don’t really notice. It’s like boiling a frog (unless you get an acute version). You just suddenly realize: hey, I seem to be having heartburn all the time, I don’t remember it being like this… maybe I should go to the doc? And then you’re fine for a few days and put it off. And no, eating at different times won’t magically make your sphincter to your stomach close any tighter.
  - manmal 3y ago
    > eating at different times won’t magically make your sphincter to your stomach close any tighter Stomach acid is also produced as reaction to food intake and other signals. Less acid => less reflux? BTW probiotics have been found potentially effective by this systematic review: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7019778/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7019778/ This is probably not as simple as blaming the dysfunctional sphincter. IMO early time restricted feeding shouldn’t be dismissed so quickly, it‘s potentially a fix for a number of systemic and gastric/enteric issues. The evidence is still weak but promising. The most important part here is „early“ - intermittent fasting usually has an eating window in the afternoon and maybe right until bed time. According to some (weak) studies, moving the eating window to the morning and early afternoon has vastly different effects.
    - jaggederest 3y ago
      > Less acid => less reflux? Weirdly, I've also heard from people in that situation that more acid => less reflux because the sphincter only closes in high-pH environments. So one of the things prescribed can be hydrochloric acid supplements. Some people swear by them.
      - dkersten 3y ago
        Symptoms of chronic acid reflux, laryngopharyngeal reflux and heartburn can also be caused by hypochlorhydria (low stomach acid), in which case taking hydrochloric acid will obviously also reduce the symptoms in that case.
      - withinboredom 3y ago
        Yep, chugging some lemon juice can be instant pain, but makes it go away in seconds. Apples also work amazingly.
      - dghughes 3y ago
        I've started drinking shrub drinks (berries plus vinegar) they're not super acidic but it's just a funny coincidence after seeing your comment.
    - refulgentis 3y ago
      You're 100% right, I got the doctor rush to prescribe treatment on this when I was 24. Was never enough Finally instilled some healthy habits by 32, namely no excessively large meals and no eating big meals ~3 hours before bed and it magically disappeared. I just had my first bout in a while yesterday - 2 smalls pizza is still 2 pizzas folks!
    - ajolly 3y ago
      There are exercises you can do that help with acid reflux - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9550520/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9550520/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9106553/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9106553/ Also alginate based products create a raft that block the acid from physically coming up. The early time restricted feeding stuff is very interesting, and new to me - but I did learn a lot about it reading this guys blog -https://caloriesproper.com/etrf-2022/ https://caloriesproper.com/etrf-2022/
- dghughes 3y ago
  No I mean I had heartburn sometimes but who hasn't but really I didn't think it was unusually bad. Of all my symptoms the one that should have stood out was coughing. Acid splashes up and gets into your airway and you cough. There may not even be any heartburn feeling. I had that for years even as a teenager. I thought I was smart because I figured out as a teen an antacid would make my weird cough go away but I had never heard of GERD what teen has? This was well before the Internet age. My issue is I can stop eating at 5pm or even 4pm but at night if I roll over on my stomach it pushes on it and I vomit up digest food. There's nothing like sitting bolt upright from that feeling as you aspirate into your lungs at 3am! Even lying on my side doesn't help I can feel acid pour into my throat. PPI meds like Prevacid make me feel bad just an all around blah feeling. they are not supposed to be taken long term and I've read ppi medications may damage kidneys. I think similar to high blood pressure medicine it has some effect on kidneys and can even cause coughing due to it. One weird quirk though is at my worst if I got sick with the flu my acid reflux went away. So for now watch my diet, eat somewhat sensibly (almost impossible since everything is a trigger), and try not to eat too late.
xupybd 3y ago
My reflux seems to have gone now that I'm on CPAP for my Apnea. No idea if that would apply to anyone else but I still thought it was worth sharing.
- squarefoot 3y ago
  Same here, the CPAP did wonders for treating apnea, and I also stopped snoring, to my fiancee's joy. About the reflux, the CPAP seems to have helped, although I already reduced it by a lot by anticipating dinner so that I would go to bed long after digestion was complete.
  - xupybd 3y ago
    My wife couldn't sleep through my snoring after we had our first child. Her hormone changes gave her trouble sleeping and the extra tiredness, from a baby, meant my snoring got worse. She demanded that I go to a doctor to sort it out. I thought there was nothing they could do. Turns out a CPAP stopped my snoring. It's amazing what an impact treating the apnea has had. My mind is clear, my memory is back and I can focus like I did in university. Truly life changing.
- 1letterunixname 3y ago
  It makes sense because the oral cavity (no pun intended) is under positive pressure with CPAP. Not everyone has sleep apnea and not everyone can tolerate CPAP, so it's not a universal solution to GERD. My GERD would be solvable during hiatal hernia surgery.
DropInIn 3y ago
I had bad undiagnosed allergies for years that made me vomit for hours a day every day (amount many other things). Cost the 4 rearmost teeth on the top side not including the wisdom teeth which were prob gonna need to go anyways. They got eaten away because doctors were negligent and now every time I move and get a new dentist they treat me like I treat my mouth like shit.... Nah, I just had most of them damaged by literally thousands of liters of stomach acid, bile, and black stuff which was apparently blood from somewhere they can't see scarring on now... thanks doc. Anyways I guess that my way of saying I sympathize.
- themitigating 3y ago
  What were you allergic too?
  - DropInIn 3y ago
    Oh boy, "the list"... Here goes a simplified version: Beef chicken and pork (other meats untested, manual exposure testing required) ALL nightshades (potato's tomatoes peppers etc) the Entire Carrot/Celery/Parsley family (it's big) Lettuces (ridiculous, it's just water!) Rice Oats All berries All tree pollens including that contaminating food.... (This is the real kicker, as it hurt worst when ingested) And some uncommon stuff is honestly always forget even existed and then get freaked out when I realized I missed it on the list Thankfully they all went away, supposedly due to age related changes to body chemistry.
  - DropInIn 3y ago
    HN won't let me edit or delete the first time I replied and I don't like how its formatted. Though I just tested and am adding this sentence as an edit, strange site behavior... Sorry for repost folks but need to: Oh boy, "the list"... Here goes a simplified version: Beef chicken and pork (other meats untested, manual exposure testing required) ALL nightshades (potato's tomatoes peppers etc) the Entire Carrot/Celery/Parsley family (it's big) Lettuces (ridiculous, it's just water!) Rice (and related) Oats (and related) All berries All tree pollens including that contaminating food.... (This is the real kicker, as it hurt worst when ingested) And some uncommon stuff is honestly always forget even existed and then get freaked out when I realized I missed it on the list Thankfully they all went away, supposedly due to age related changes to body chemistry.

manmal 3y ago

Did you have no idea at all, as in, you never felt heartburn in the evening? I wonder if eating the last meal at eg 4PM wouldn’t improve this considerably.

withinboredom 3y ago
As someone else who has some serious GERD, no, you don’t really notice. It’s like boiling a frog (unless you get an acute version). You just suddenly realize: hey, I seem to be having heartburn all the time, I don’t remember it being like this… maybe I should go to the doc? And then you’re fine for a few days and put it off. And no, eating at different times won’t magically make your sphincter to your stomach close any tighter.
- manmal 3y ago
  > eating at different times won’t magically make your sphincter to your stomach close any tighter Stomach acid is also produced as reaction to food intake and other signals. Less acid => less reflux? BTW probiotics have been found potentially effective by this systematic review: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7019778/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7019778/ This is probably not as simple as blaming the dysfunctional sphincter. IMO early time restricted feeding shouldn’t be dismissed so quickly, it‘s potentially a fix for a number of systemic and gastric/enteric issues. The evidence is still weak but promising. The most important part here is „early“ - intermittent fasting usually has an eating window in the afternoon and maybe right until bed time. According to some (weak) studies, moving the eating window to the morning and early afternoon has vastly different effects.
  - jaggederest 3y ago
    > Less acid => less reflux? Weirdly, I've also heard from people in that situation that more acid => less reflux because the sphincter only closes in high-pH environments. So one of the things prescribed can be hydrochloric acid supplements. Some people swear by them.
    - dkersten 3y ago
      Symptoms of chronic acid reflux, laryngopharyngeal reflux and heartburn can also be caused by hypochlorhydria (low stomach acid), in which case taking hydrochloric acid will obviously also reduce the symptoms in that case.
    - withinboredom 3y ago
      Yep, chugging some lemon juice can be instant pain, but makes it go away in seconds. Apples also work amazingly.
    - dghughes 3y ago
      I've started drinking shrub drinks (berries plus vinegar) they're not super acidic but it's just a funny coincidence after seeing your comment.
  - refulgentis 3y ago
    You're 100% right, I got the doctor rush to prescribe treatment on this when I was 24. Was never enough Finally instilled some healthy habits by 32, namely no excessively large meals and no eating big meals ~3 hours before bed and it magically disappeared. I just had my first bout in a while yesterday - 2 smalls pizza is still 2 pizzas folks!
  - ajolly 3y ago
    There are exercises you can do that help with acid reflux - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9550520/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9550520/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9106553/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9106553/ Also alginate based products create a raft that block the acid from physically coming up. The early time restricted feeding stuff is very interesting, and new to me - but I did learn a lot about it reading this guys blog -https://caloriesproper.com/etrf-2022/ https://caloriesproper.com/etrf-2022/
dghughes 3y ago
No I mean I had heartburn sometimes but who hasn't but really I didn't think it was unusually bad. Of all my symptoms the one that should have stood out was coughing. Acid splashes up and gets into your airway and you cough. There may not even be any heartburn feeling. I had that for years even as a teenager. I thought I was smart because I figured out as a teen an antacid would make my weird cough go away but I had never heard of GERD what teen has? This was well before the Internet age. My issue is I can stop eating at 5pm or even 4pm but at night if I roll over on my stomach it pushes on it and I vomit up digest food. There's nothing like sitting bolt upright from that feeling as you aspirate into your lungs at 3am! Even lying on my side doesn't help I can feel acid pour into my throat. PPI meds like Prevacid make me feel bad just an all around blah feeling. they are not supposed to be taken long term and I've read ppi medications may damage kidneys. I think similar to high blood pressure medicine it has some effect on kidneys and can even cause coughing due to it. One weird quirk though is at my worst if I got sick with the flu my acid reflux went away. So for now watch my diet, eat somewhat sensibly (almost impossible since everything is a trigger), and try not to eat too late.

xupybd 3y ago

My reflux seems to have gone now that I'm on CPAP for my Apnea. No idea if that would apply to anyone else but I still thought it was worth sharing.

squarefoot 3y ago
Same here, the CPAP did wonders for treating apnea, and I also stopped snoring, to my fiancee's joy. About the reflux, the CPAP seems to have helped, although I already reduced it by a lot by anticipating dinner so that I would go to bed long after digestion was complete.
- xupybd 3y ago
  My wife couldn't sleep through my snoring after we had our first child. Her hormone changes gave her trouble sleeping and the extra tiredness, from a baby, meant my snoring got worse. She demanded that I go to a doctor to sort it out. I thought there was nothing they could do. Turns out a CPAP stopped my snoring. It's amazing what an impact treating the apnea has had. My mind is clear, my memory is back and I can focus like I did in university. Truly life changing.
1letterunixname 3y ago
It makes sense because the oral cavity (no pun intended) is under positive pressure with CPAP. Not everyone has sleep apnea and not everyone can tolerate CPAP, so it's not a universal solution to GERD. My GERD would be solvable during hiatal hernia surgery.

DropInIn 3y ago

I had bad undiagnosed allergies for years that made me vomit for hours a day every day (amount many other things). Cost the 4 rearmost teeth on the top side not including the wisdom teeth which were prob gonna need to go anyways. They got eaten away because doctors were negligent and now every time I move and get a new dentist they treat me like I treat my mouth like shit.... Nah, I just had most of them damaged by literally thousands of liters of stomach acid, bile, and black stuff which was apparently blood from somewhere they can't see scarring on now... thanks doc. Anyways I guess that my way of saying I sympathize.

themitigating 3y ago
What were you allergic too?
- DropInIn 3y ago
  Oh boy, "the list"... Here goes a simplified version: Beef chicken and pork (other meats untested, manual exposure testing required) ALL nightshades (potato's tomatoes peppers etc) the Entire Carrot/Celery/Parsley family (it's big) Lettuces (ridiculous, it's just water!) Rice Oats All berries All tree pollens including that contaminating food.... (This is the real kicker, as it hurt worst when ingested) And some uncommon stuff is honestly always forget even existed and then get freaked out when I realized I missed it on the list Thankfully they all went away, supposedly due to age related changes to body chemistry.
- DropInIn 3y ago
  HN won't let me edit or delete the first time I replied and I don't like how its formatted. Though I just tested and am adding this sentence as an edit, strange site behavior... Sorry for repost folks but need to: Oh boy, "the list"... Here goes a simplified version: Beef chicken and pork (other meats untested, manual exposure testing required) ALL nightshades (potato's tomatoes peppers etc) the Entire Carrot/Celery/Parsley family (it's big) Lettuces (ridiculous, it's just water!) Rice (and related) Oats (and related) All berries All tree pollens including that contaminating food.... (This is the real kicker, as it hurt worst when ingested) And some uncommon stuff is honestly always forget even existed and then get freaked out when I realized I missed it on the list Thankfully they all went away, supposedly due to age related changes to body chemistry.