KenDBerryMD hey! It’s Dr Berry!! Funny seeing you here 😁 next to you, this man has helped me the most of any Dr and I’ve never met either of you in person.
@@may-rg7yk Avoid taking them for more than 6-8 weeks. Buy a wedge pillow and sleep on that instead of your normal pillow. Long term may be several years. It can be addictive as people become overly dependent on them .
When my GP told me that I would need to stay on PPI for the rest of my life...first I got a new doctor...my new doctor, an osteopathic practitioner, told me to go on a dairy and gluten free diet. After just a few weeks on the new diet I was off the meds ! Find out WHY you have reflux before you take meds longterm ! Without acid in your stomach to extract the nutrients from your foods you will become deficient and develop all sorts of ailments.
You always have acid in your stomach, even when on a PPI and H2 antagonist. Please don't go throwing around medical advice unless you're a doctor, and then if you are please cite your sources. In this day and age there are more average to bad doctors practicing and altogether too much pseudo-medical science.
Daniel, you are absulately wrong in your view about this drug. You rely on your doctor who does not know the ABC of medicine. Just learn to shut UP for future comments.
Doctors used to be like him. Now sadly they’re like the drive thru window at McDonalds - they know nothing , and they pass you along for the next patient waiting
25 year old male diagnosed with a hiatal hernia about 6 years ago. I was on ppi for years and it pretty much destroyed my digestive system through malabsorption and it caused inflammation due to causing random bouts sometimes back to back of either diarrhea or constipation. I tried getting off them one time and I burnt a hole in my esophagus but now I'm discovering how crucial your diet is to stomach acid. Eat clean and eat fiber, stay away from sugar and fried foods, have salmon, veggies and some meat once a week. Do not consume superfluous food only eat based on utility. I've been off ppi for a week or so now and my whole digestive system is out of wack but clearly returning to normal. On ppi I would use the bathroom multiple times a day...now without it and a proper diet I use the toilet once every two or three days and I pass full stool as opposed to diarrhea or skinny shards. Ppi has also caused me to have excruciating hemorrhoids due to how difficult it is to pass broken stool or diarrhea for weeks on end. As I dont overuse my bowels all day and I eat to supplement my intestinal health I have easier bowel movements that are even healing my hemmrhoids. I took ppi for a stomach hernia but I know others have actual chronic reflux that is not dependent on an anatomical problem but I urge everyone to explore their diet before giving in to a lifelong ppi subscription. It's not worth it...many anti acid medications are criminally undocumented in how they cause cascading effects in your body and I have seen three gastro doctors none of which have actually explained all the side effects and in fact downplayed them as coming from erroneous studies.
What's stopping you from getting surgery for your hernia? I have never been able to find a diet that successfully stopped my reflux and am stuck on ppis and unfortunately having issues like yours as well. Surgery seems to be my only option. I've decided to pursue the linx surgery as well.
I heard that people with these conditions really have hypochlorhydria (low stomach acid, and not too much). Taking PPIs and assuming because you have too much acid with testing for it us like shooting yourself in the foot. I started taking HCL tablets from Standard Process, and it help my digestion and reflux.
@@pinkoceanflower3045 Well if he has a hiatal hernia the sphincter is potentially impaired making it so it can't contain things from the stomach. If he really had low acid then acid reflux wouldn't be an issue.
I was diagnosed with gastritis and just given pantoprazole and sent home. I'm on omeprazole 2 months later, trying to wean off them. The doctor gave me no guidance or warning, and I feel like it's done me more harm than good. I've never had stomach aches or pains before my diagnosis, now I do.
Lifestyle change is the only way to get off PPI’s. Eliminate sugar, high fat, coffee, tea, citrus, spicy, chocolate, mints, alcohol and tobacco. Exercise, resistance and cardio 5 days a week with intermittent fasting (18-6) small meals (2 per day) lose weight (BMI near or below 25.) I was diagnosed with Barretts. Took 40 mg nexium for 15 years. Luckily, Barrett’s went away but breaking from the PPI is tricky. First go to the 20 mg OTC, for several months. Then get a pill splitter and cut the 20 tablets in half. Take 10 mg a day for several months and supplement with a 150 mg. Zantac before bed. Then take the 10 mg every other day for at least 2 months (with the nighttime Zantac.) monitor yourself along the way. You might have to stay at a level longer. Then stop the nexium, continue the Zantac. If so far so good, drop the Zantac to 75 mg at night. That’s where I am at and I will stay there. If I have a late or larger than normal dinner, I revert to the 150 Zantac for that night. One other tip. Get 4” “bed lifts” for the head of your bed (extra pillows won’t do it.) That slight elevation will help keep stomach acid from rising up as you sleep. Good luck to you. Any questions I’ll be glad to help.
@@tdeviller Ive been on it for 20 years. I have had no side effects and in fact it helps me eat very comfortably. I was on 40mg and tapering down to 10 very slowly. i am on 20 and feel great. Did you have any side effects?
I'm 42 and have just come off my PPI after 9 years. I'm two weeks in. Along with adjusting my diet to remove as much sugar as possible and taking one dose of magnesium indigestion liquid before bed and I've never felt better in years. I would wake up and immediately feel discomfort in my stomach on ppi. Then throughout the day I just didn't feel right and I became determined to get off them and fix the route of the problem if I could. It does annoy me though my GP would be happy to give me them indefinitely and almost all of my family and friends, especially the men, take PPI long term.
My dr prescribed this for me and even increased my dosage in the last 4 years. I recently weaned myself off. I used Oil of Oregano. Black seed oil and CABBAGE JUICE that I juice fresh. I am going great !!! My joint pain is almost completely gone ! This took me a month. 2 weeks To taper off and 2 weeks to heal the stomach and rebuild the mucus lining. I am happy I am off this
I’ve been on them for years and when I’ve tried to get off, my stomach is churning acid and I get diarrhea. Now I had a gallbladder attack last week. Thank you for all this info! If only every doctor was as informed.
@@mariannameyer4719 just started yesterday. Whenever I've missed a dose I can tell right away. I opened up the capsule and literally removed only about 10 beads. I had NO idea I wasn't supposed to take these long term and daily.
I had horrible issues, and I ended up getting the "Nissen Fundoplication" surgery, and hernia repair.. I have not had a single issue since.. There are a few things that you have to get used to, like being unable to vomit, burp, avoidance of certain foods... BUT, the procedure was a life saver. No more medications, pain, heartburn, reflux... I have an amazing surgeon who I still see for checkups, but no more issues!
@@GottaSayIt I wondered the same but I ve heard that The Linx can erode and cause gagging and more refluxing . Ive seen some people just keep gagging with it since theres something around their esophagus . Im not sure if I would want a foriegn object in my body unless it was really needed . Its more tempting because they can remove it and you can vomit n burp apparently . Not sure if you can have it if you have a hiatal hernia depending on the size of it .
I’m 36. Been on omeprazole for 5 yrs straight. I have lo b12 inflamed joints. Did a full body scan for Stanford pet/mri, they said I have arthritis and think I have fibromyalgia there seriously needs to be a fucking law suit. This should has ruined my life! I use to work 14 hr days never felt pain. Active my whole life
Been a nurse for 50 years, never connected the dots. This is a very interesting video. Coming off my PPI. Thanks so much. You're never too old to learn something new. God made the human body to work as a unit and sometimes we interfere with that.
@@addiemorgiewicz4973 ... Yes it is, just google PPI names. I've been off of PPIs for several years, and I was prescribed them for over 7 years, and have been off of them for 8 years. They are only designed as a short term prescription.
I've been feeling my worst this last week, realizing this morning i forgotten to take protonix this week! You have answered what i have saying and, no doctor has agreed with me. I feel so bad nauseated, yucky feeling, weak, light headed and my joints hurting. I called poison control, they said if you haven't drank the protonix for a week, drink it your body is used to it. I just took it and I'm calling the doctor asap! Yes, i have silent reflex, i have nausea, dry cough, sinus issues. The cough got worst after covid but, this all makes sense. We need doctors like you all around the world. Much respect to you for your knowledge and, help to everyone.
Many don’t realize too how much the Mind/Body plays a role in acid issues. Like the “butterflies” in your stomach before something nerving - doesn’t mean you need medication, or an Endoscope Test. PSTD, Trauma unresolved can really mess up a body. Especially the ANS, CNS
some of the side effects of hyperacidity is also some of these things you mentioned: anxiety, feeling of doom, nervousness as it irritates the vegas nerve. THEN when you come off PPI's you can have some of these same feelings again either from the addiction to the medication or the re-acidification of your stomach which is not as strong due to missing natural lining.
I’ve been back and forth to the doctors for stomach issues since 2009. Had my gallbladder removed. The reflux was terrible. Come to find out after many tests later, barium swallow, gastric emptying etc, I have severe GERD with LPR, and gastroparesis. Life has been utter hell. My entire life revolves around my reflux.
Oh wow....you have literally just solved my medical mystery. I know I have allergies and I know I have GERD, but I couldn’t pinpoint what is making me completely miserable. I have recently been diagnosed with “asthma”, GERD, recurrent pneumonia, I have chronic coughing and throat clearing, chronic post nasal drip....I know I have respiratory reflux now!! Thank you sir!! Also I’m at University of KY as a nurse, so it was cool to hear of that article!
So his conclusion is to have the surgery, otherwise it won’t get fixed. That’s depressing. I had a CT scan chest for dry chronic cough and my pulmonologist said I have lung scarring, it was six month ago. I asked if it’s chronic and the doc said no idea to answer because it was my first ct and nothing to compare. Now I’m so scared when I follow up I’m six month and the scarring grow it’s called idiopathic pulmonary fibrosis. Worse than cancer because there’s no surgery to cure and prognosis is worse than cancer. Reflux can cause that according to Dr Smith and it’s convincing
@@gina933 I have had multiple CT scans and multiple episodes of pneumonia. I think I have finally figured out my problem- I have a gluten intolerance, possible celiac (would need to have an endoscopy to know for sure). It causes all of my symptoms, when I stopped gluten I am getting better.
I had been taking PPIs for about 3 years on a daily basis before I decided to go for laparoscopic fundoplication (Toupet method). The surgery was a great success and I have been off PPIs for more than 2 years now. I can luckily eat everything. At any rate, I did some tests about a week ago, and they showed that I have quite low vitamin/mineral levels (A, B, D, iron, selenium, Omega 3, magnesium, to name a few). Most of these deficiencies were attributed by the doctor to the long term use of PPIs in the past.
If you dont mind me asking, what sort of tests revealed your low levels? Reason I ask is that many things dont show as low in bloodwork but are still low in body. Thanks.
@@mikeinpcola5543 I don't mind you asking at all. In that specific instance, I was talking about a basic blood test. Furthermore, I could recommend you to consider a comprehensive stool test.
Happy that you had such success with the operation! I have just had the exact same operation done, (also the Toupet) 3 weeks ago, and I wonder, if you had any problem with reflux after the surgery? I'm currently doing a "cold turkey" from the PPI, but man do I have stomach burn 😬
@SorenTheKjeldsen Greetings, Soren! I did not encounter any traces of reflux symptoms subsequent to the surgery. During the initial span of three to four weeks, my dietary regimen predominantly comprised nourishing soups and blended vegetables. However, within the initial six months after the surgical procedure, I did encounter a particular predicament, namely flatulence. I must admit, it was a rather vexing situation at first. Nonetheless, the occurrence of flatulence began to gradually diminish and eventually fully subsided.
Alright thank you for the answer! Maybe I should just give it time though - I have been taking PPI for 8 years straight, so it will probably take some time to get completely out of the body. Enjoy the weekend 😃
Thank you for all the information. I was diagnosed with Barrett’s esophagus Probably over 12 years ago. I was started on Nexium. Then acifex. Omeprazole. Then time released Dexalant. I’ve been on proton pump inhibitor‘s for over 12 years. I’m 63 years old and I recently within the last year fractured my L3 spine. I was in heavy construction/pipefitter. I have an endoscopy every year and my G.I. doctor says no cancerous cells. And that I’m OK. I also heard it causes kidney disease/Alzheimer’s/throat cancer. I take supplements every day. Calcium/magnesium/vitamin B/vitamin B12. I also take folic acid because I found an article online that said Ppi’s plus folic acid cure it. I seem to be tolerating the PPIs. But now after watching your video I’m scared out of my mind. Every time I see my G.I. doctor he doesn’t really fill me in on any other treatment other than a endoscopy and PPIs.
I am in the same situation. Aged 68 and diagnosed with Barretts syndrome two years ago (no sign of cancer yet) and have been on PPI 40mg twice a day. It is really a situation of being between a rock and a hard place. I wonder what optons are available...the lesser of two evils perhaps?
I was diagnosed with Barrett’s Esophagus 4 years ago and I’m with both of you feeling scared. I am on Protronix for 4 years. My cousin had Barrett’s and my neighbor and both haves passed from esophagus cancer!!! What do we do??? We know we’re not misdiagnosed so I have the wedge pillow but if I don’t take PPIs … I would have horrible acid reflux. Should we try to IF? My doctors say I have to stay on PPI for life, too!!!
@@peanutcampbell you should ask what the absolute risk difference is for 10 years on ppi and those side effect . then you will see the true picture . PPI risks are limited
This is the first time I've heard words from a doctor that makes sense. Life-saving consultation. Describes exactly what I have been going through for years, especially at night! Thanks for this video!
Doctors used to be like him. Now sadly they’re like the drive thru window at McDonalds - they know nothing , and they pass you along for the next patient waiting
15 years on PPIs and I developed low B12 and elevated homocysteine that caused blood clots in my legs that traveled to my lungs twice before Covid in April 2017 and Sept 2018. On Eliquis for life now with minor permanent lung damage. Got a sluggish gallbladder removed in March 2021 that made reflux even worse, possibly due to alkaline bile reflux. Got a hiatal hernia repair and a Nissen Fundoplication May 2022. Reflux med dose cut in half. Now take B12 supplements. I also developed ostopenia low bone density at 54 due to poor calcium absorption.
spot on! -Great presentation that needs to be more widely circulated and listened to - I know this video is dated 2016 - though still so *very* relevant
I've been taking PPIs for over 20 years. I'm 35. Suddenly lots of health issues undiagnosable. Looking at surgical solutions now as I'm concerned they're killing me.
In the same boat, hope your doing better now. Wondering how your coping now? are you continuing to take PPI's? I attempted to stop them ..unsuccessfully though..i tried the gradual reduction however got really bad acid burns.. down to taking them 3 times a week. 100% has affected our health, what sort of health issues are you experiencing? I think getting our magnesium tested a must!!
@@andrewt1327 I've been taking 60mg dexilant for several years. Battled w/ insurance to give me 2x30mg/day and have weened myself down to 1x30mg. Hoping to step down to weaker ppinajd eventually he blockers. Weight it prob the biggest factor for making that happen. Have also found that intermittent fasting and of course not eating after 6pm helps
People also need to be advised that GERD can be a sign that they may have sleep apnea. Sleep apnoea creates which can pull acid up from the oesophagus into the throat…
I had no plans of taking a synthetic reflux medication again. I will never take another Synthetic Statin. I can barely tolerate what Synthetic Medications I take and I have a long list that no practioners want to put in my medical records that I tried in Namebrand, their Generic and some were prescribed again in their Generics even though I tell them I cannot tolerate them. Bless you for being such a great physician 🙏
I've got to say that having GERD and a Hiatus Hernia for over 10 years, this Dr explained things better than any Specialist I have seen. Currently, my systems have been worse than ever, tightness and discomfort in my chest and back. Also, it is hard to swallow. My last endoscopy showed a 3 cm Sliding Hiatus Hernia (this was 2 years ago). The Linux system sounds great but I don't think the NHS in the UK offers this which is shut a shame. Has anyone else had this procedure done? If so, what are your thoughts?
The NHS is not going to be doing anything for anything from now on. I had to pay for my prostate operation because it was going to be 2 years before seeing anybody about it. The drug Tamsulosin was the cause of my GERD I have an incompetent sphincter that allows stomach acid to burn the hell out of my oesophagus, PPI for 6 weeks and see how it goes then I want to see about surgery again it needs private payment.
@@akwasiasare3456 I paid over £2000 for tests and they show no GERD but the Hiatus Hernia is there and it is trapping the Vagus nerve when I eat and then work. This causes direct pain and if I persist trying to carry, walk or lift the reaction cause vomiting I managed to pull the stomach down whilst deep breath out and it went off, but came back as soon as anything was eaten and the stomach had contents. I need the hiatus between the cru to be repaired and no linx as there is actually no acid coming up at all during the 24hr acid test.What worries me now is that they will not just do the repair without the linx as it is too cheap without having one done. The NHS will NOT do a simple repair as it is not worth doing to an older man so am expecting a bill of £10000 privately.
I have been on PPI's for 30 years thought they were harmless..no warnings on packet..i have stopped taking them cold turkey..still suffering 3 months later..going to have to go see doctor for help..greetings from australia
@@alexlabra1562 hi...issues sleeping with bone pain moving about the body..when i stopped taking PPI's i immediately, no longer suffered with cronic stiffness and no longer had bone pain allowing me to sleep easier..
I have been taking this Omeprazole for eight years. The doctor never mentioned these side effects to me until I had had enough of diarrhoea and cramps. Called the doctor who said to stop taking it immediately. Useless bunch of clowns.
Great information. I have been on PPIs for 10+ years. I am sick of these drugs. I have a chronic cough because of reflux, but there are no good doctors here in my community who truly understand all the issues you presented. I will get off the PPIs.
I had lots of issues and side effects with PPI in the first 6 months, it made my digestive system and heartburn worse, i even got a c-diff infection... I had Nissen Fundopilcation on 3/5/21 and I am very happy with the results
I have been taking PPL since 2013 and now' I am suffering from high blood pressure. I take b12 and D3 as oral supplimentary. I am good now. My doctor has told me to take pantoprazole livosulpride for life time. I am now 41 years old.
I had horrific joint and muscle pain after 5 years with no warning from my doctor about side effects. I quite one year ago, now back to normal and I am so glad . I feared I would be in a wheelchair it was so bad.
@@nikosulenta6973 some, but it gradually declined. It sometimes flares up after certain foods, but I'm not guzzling this poison everyday anymore. That's the trick they tell you to take it and it's perfectly safe. It isn't. I think using it short-term is okay. Just don't keep taking it everyday.
@@Fendermanpaul i am 4 months off them but i still get reflux almost every. I was on them for a year. My doctor prescribed them but my GI specialist thinks i should get off them becuse i had minimal gerd in the first place. But my reflux is now much stronger then it was before i stared taking them. I hope that i can ever get back to normal. Do you think you can damage ability to produce normal acid for ever?
@@nikosulenta6973 don't suddenly stop them. I weaned off over 8 months. Very gradually. Now I just take one 10mg. IF I need. You will get reflux etc. But you won't stop making acid. It takes time to repair and adjust. Don't eat big meals, don't drink certain alcoholic drinks, I can't take beer. Just be sensible. Keep fit if you can. It'll improve over time. We should all learn not to trust pill bottles and potions. Everything has a price, eventually.
This video is old but is the most informative and real honesty video i have seen to date on reflux! When he said there was a link with heart arrhythmia and low magnesium due to the PPI, the penny dropped for me! I have been on the PPI between 1-2 years but have recently been diagnosed with heart arrhythmia. Couldn't understand where it came from as no history of heart problems in family. Tried operation to treat but could not treat it and have been advised that it is quite common for it to return, even after a successful surgical procedure to treat. Now I'm on 2 sets of different meds to treat the arrhythmia and may need more if the current meds not manage it? My reflux problem had slowly gotten worse to the point that it came up my throat constantly through the day, leaving a fowl green taste at back of mouth and started to change my voice and irrigate it. Hugely anxious about coming off the PPI (in case of severe rebound) and how to go about it? I've gone and seen a specialist, and have had the camera placed down throat in to my stomach. He couldn't give any explanation for my reflux problems and would only dismiss my concerns about being on PPI long term. Wish there was a specialist near me with the same professional care, honesty and understanding as the specialist in this video!
I just had an upper Endoscopy and was prescribed Rabeprazole. One-half hour after taking the first pill, I began having awful chest pain under both shoulders that felt like someone was sitting on my chest and squeezing it. The pain lasted the entire day without any relief. Day two: I took another pill and all the chest pain came right back and it hurts. I will not take these ever again.
CIDER VINEGAR is the best food to lower stomach acidity . Use diluted with water and caution . SINGING gave me the best relief whilst suffering worst times . YOGA ,Meditation etc . Anything conducive to relaxation will help . Best Wishes
Thank Dr. Smith for explaining in detail about reflux. This has been most hopeful, as I had reflux for the last several years and only recently began taking PPI medication in the last couple of weeks, which has reduced my symptoms. I will check further in correcting reflux issues.
Just been told at 56 I need to take these FOR LIFE!! He said start and stop them as needed. The ulcer I was diagnosed with ( by GP partner) apparently is indigestion. I have not healed in 8 months but I have made improvements. I am chronically stressed. I told him it felt like a hole an now feels like a lump. I had H-pylori..They treat for 1 week and do not retest in the UK
I took Omeprazole for 7 yrs. doctors gave it out like candy I do noticed now I had a hard time functioning and remembering things. I wish I knew this yrs ago
Just destroyed my confidence in my gastroenterologist, “Barretts not that big of a deal, we’ll scope you again in five years”. So I’m going to be looking for a new one.
Tingling in arms, back, legs. Feeling sick all the time which worsens after eating. Stumbling. Being easily startled. Worsening eyesight. One doctor misdiagnosed the symptoms and actually increased the dosage of the ppi, it took doctors 7 months to diagnose the cause.
Hey Tox! 🥳💊🌪What was the cause of all your symptoms? Ido have them too and in my case I think is deficiency of B12 due to a 4 yearse of PPI, zantac 💊❌🌪🌋in specific . Greetings!😎
@@joelpatterson3413 'Mineral deficiency to PPI use', calcium and potassium were low, magnesium was very low. They pumped me full of calcium for 24 hours when it got really bad, now every day I have to take vitamin D 800ui and arould 500mg calcium carbonate, they changed PPI to H2 Blockers but there is a shortage of them atm.
I've been using PPIs for over 15 years. I found out I developed a B12 deficiency, have arrhythmia and now a leaky heart valve. Every time I express concern to my doctor about being on PPIs, he tells me that I will probably have throat cancer if I stop taking them. I've tried to wean myself from them but, almost instantly, my GERT starts back up. Looking for a way to get off this medication.
Drink Apel cider vinegar 2 spoons in the morning with wormwather in a glass on an empty stomach...Stop eathing bad and Press your stomach down with some object you will See that you can quit coldturkey in the meds , you can Drink also after your meal one Glas ore before sleep
I got lupus from upper zone. I’ve been so sick and not the doctors or the pharmacist or anybody stopped me from taking that drug. Now I don’t know what to do and my body is so broken. My hands are deformed from the flares and nobody wants to talk about the lupus. The pharmacist told me today. Well, it’s so rare. I let them know months ago that I got diagnosed with lupus five minutes after I started taking omeprazole nobody stop me from taking it 1:44 Thank you for the information about quitting the omeprazole because my ass it has been 100 times worse than I ever was in my whole life and I went cold turkey five weeks ago and I’m still sick with acid reflux
You are brilliant. This information it’s saving so many lives including mine! My surgery it’s in two days and I can’t thank you enough for this information.
I was on it for 18 years and it destroyed my life I just started to feel better. The doctor's told me stay on them for life. My whole life has been destroyed. If it wasn't for CBS News I would still be on it.
iron grip 455 been on it since I was 14 I’m 35 now and just starting to taper off this week. My magnesium and mineral levels were awful and that’s why led me down this path! Glad your good, gives me hope 🤙
@@ryanchristopher1520 Did you stop taking the Omeprazole? I'm scared to death, cause I have erosive gastritis as well, and I had to stop the natural PPI I was taking cause I'm just feeling terrible taking them. Why do you have erosive gastritis?
Good read , I didn’t know about how it can arm me taking PpI long term .I have been on PpI for over 20 years and now going to get surgery because it’s getting worse . I now have a small hiatal hernia , keeps swallowing all the time , get acid that will go up my mouth , and nauseous all the time . I had rectal cancer 7 years ago and was concentrating on that as it turn out I need med a colostomy and with that I got a parastomal hernia . I will get my parastomal fix in a couple of months then I’ll recuperate from that then will get my Gerd and hernia fix in a year . That’s how long it takes here in Canada to get appointment.
I'm so disappointed with the Drs never mentioned my issues of malabsortion from this medication. Gone for iv transfusion for severly low iron. 25 years on this med . I had stopped completly taking the med and don't advise as acids are flooding up to your mouth non-stop . Do it slowly. It's been 2.5 months and still with issues with some days worse than others . I tried Pepsid for 5 weeks but it caused issues with kidney and bladder so I went back to nexium but lowered from 40 to 20mg . Hes right your muscle becomes weak and doesn't open and close properly. What a battle to get off this med. I totally lost faith in the drug companies.
So informative! I am currently suffering from SIBO, antral gastritis & a hiatal hernia.. I am trying to have my GI doc treat my hernia & all he does is order PPIs!!! Smh
You aren't the first to mention that ppi's are being handed out like candy, even for people who dont need them. I was given some at the ER when i had black stool one day in case of an ulcer (rightfully so) but then I had an egd done. They found a little inflammation and the very beginning of barrett's esophagus and of course wanted me on a ppi forever. I'm a large guy. 6'3" and 346 pounds who doesn't exercise and has a poor diet and I argued that if i changed those things, wouldnt i improve my disposition? But they want to push the ppi anyway despite already having a low chance that the barrett's esophagus will progress. So why should i take something that has notable side effects (it was giving me abdominal cramps) when i can just make life changes. Anyway, rant over. :D
It really is a big issue with doctors working in water tight compartments these days and not joining up the dots. Something I have said for a long time.
I’ve been prescribed a PPI for 14 years! Only recently did I learn they’re for short term use. I’ve tried so many times to get off them by weaning down and every time it fails. And it was likely a weak LES from pregnancy that caused the GERD. And that’s fixable. There’s no reason for me to be on these meds. But nobody ever decided to figure out the cause of the GERD. I’m so sick from these meds. IBS, SIBO, malabsorption, iron deficiency, etc.
I am with you sane here . Actually today I read a medical journals from two doctors and these damn PPI’s actually weaken, the LES the PPI remove the acid out of your stomach. You need that acid and acid in your stomach to fight off infections and a whole host of other things. I don’t know how I’m gonna do, but I’m gonna try to wean myself off I have an endoscopic this Monday, January 15, 2024. Stay informed. Its a billion $$ dollar industry. By taking PPI long-term, you’re trading that in for IBS .
Interesting take on PPIs. From what I got is only take them as directed short term 6 weeks max. Acid in your stomach is good up untill is uncontrollable, which a healthy Diet can help prevent that. But a combination of low acid, medication carcinogenic factors, Alcohol or foods high in toxins can trigger esophagus cancer. Makes sense, since ppl often go back to their bad diet habbits and alcohol consumption after being on “feel better “ PPIs. Acid not only inflames your esophagus but it might just protect you from carcinogenic diets.
Great informative video. I would like to suggest an easy to try alternative approach that maybe could avoid all of this. Just drink a couple glasses of water and jump up and down for a couple minutes to jiggle the stomach back down to its normal position. No harm or cost in giving this approach a try Forty years ago, I did an activity which forced part of my stomach up through or past the diaphragm. It was a couple months later that I suddenly started having severe stomach pains. I was initially misdiagnosed by a doctor as having ulcers. It was a couple of years of misery before I realized that the doctor was wrong and I had gastric reflux disease, or GERD. Often, GERD happens naturally without a clear cause. More so with older people. Normally, the esophagus sphincter and the diaphragm sphincter muscles line up and reinforce each other. If part of the stomach is pushed or pulled up through the diaphragm, the sphincter muscles don’t line up and stomach acid can more easily leak into the esophagus, causing GERD. Other people suggest drinking warm or hot water to relax the muscles, I would suggest cold water so that the heavy water will stay in the stomach longer. I would also suggest doing it first thing in the morning so the water won’t affect the digestion process on other food. It may take a repeat on a few successive days for the esophagus to adapt to the new longer length for the stomachs to stay in its new proper position. I would repeat the process anytime I got heartburn or acid taste in my mouth. I have been trouble free for over 35 years now. I later learned of a gastroenterologist in Michigan who recommends this process also; maybe others now also. The body needs strong hydrochloric acid in the stomach to trigger the esophageal sphincter to close, to break down bulk foods generally, and to specifically separate protein into the amino acid components to be effectively absorbed into our blood stream from the small intestines for use by our body to make new proteins. Most or all GERD medicines block the production of or neutralize the hydrochloric acid which then interferes with protein digestion and interferes with esophageal sphincter closing. Both of those actions are counterproductive.
Believe it. I just lost a friend to it! Selling it over the counter is irresponsible. If you experience any type of digestive trouble, first thing to do is change your eating habits.
So very informative! One of the best videos I've watched on the subject, maybe THE best. Thank you for making this video. I would love to have the links. I live in a very small town. I'm going to look around to see if I can find a doctor/facility to diagnose me re the links. P.S. I have LPR and a hiatal hernia.
This is such a great video and I wish I had seen it sooner. I am currently 24 years old and I have been on Omeprazole 40mg a day for about 6 years now and only recently realized my difficulties breathing were caused by my acid reflux after countless doctors visits and years of frustration and confusion. I even had a period where doctors thought I had asthma as well. Better eating/diet habits have helped but it seems that I would need to be extremely strict with my diet in order to not have respiratory reflux. Not to mention any sort of exercise has become extremely difficult since my reflux seems to amp up during exercise and makes it hard for me to get a full breath. Because of all this, I am looking to get surgery, hopefully TIF esophageal fundiplication to be exact. Traditional fundiplications (Nissen) involve way too much mutilation and cutting for me to be comfortable with and have higher prevelance of side effects such as bloating/inability to throw up or burp and other methods such as the linx seem more inconsistent in effectiveness and have side effects such as difficulty swallowing. It is a hard decision to make since no option is perfect but I will hopefully be getting a TIF surgery soon after I take the necessary tests. My options at this point are to keep taking Omeprazole for the rest of my life and still deal with symptoms, have an extremely limited diet in order to prevent symptoms (ideally), or get a surgery and deal with whatever possible side effects they might cause if any and hopefully no longer have symptoms and no longer take PPIS. I am ready for this chapter of my life to be over.
Oooh wow! Sorry to hear you will be on PPI for the rest of your life. Be careful of getting brittle bones. Wish you were living next to me, we could eat healthier and exercise together.
@@StacyBrown2 Unfortunately yes, its actually gotten worse in the past month and ive been taking even more Omeprazole. My plan was to move forward with surgery but i got side tracked. I need to learn more and take action.
My dad had acid all his life and never took medication. Acid killed him at the age of 57 he got stomach cancer. So you have to see pros and cons, I know that everyone want to stay off medication, but would you rather be vitamins deprived (which you can take supplements) or died from cancer caused by acid. If there is a third solution, some of these doctors who are criticizing medication, better come with some magical solution. They are just confusing patients and I feel that doctors are going to become obsolete in 15-20 years, because they are simply good for nothing, they don't listen to their patients and many of them are pretending to know more then they do.
@Szilárd Maku This is a highly presumptuous, ignorant comment! You have no idea why his Dad had acid reflux. He may have had a large hiatal hernia, or his body may have been producing too much acid. How would you know if it was a lifestyle choice or not?
Me too. I’ve been on PPI’s on and off for almost 20 years and am just now experiencing the horrible negative side effects. I’ve weaned myself down to 1/2 a pill every other couple of days and and now trying to stop taking them all together. I’m so pissed that my many doctors over the years never ever remotely suggested that I stop taking these OTC drugs. Money grubbing bastards paid off by Big Pharma.
25 years I have been on them, they turn off stomach acid, then stomach makes more acid cells. If you try and stop you get double acid in stomach which is agony.
He has valid points, but I would recommend to do more research. The video is sponsored by the Albany “Surgical” Center which is basically incentivized to “recommend” as many surgeries as possible. I’m sure they are being responsible with this, but at the end of the day, incentives matter. Surgery works very well for most people, but not all people. In my opinion, exhaust all options, and if nothing works, go for surgery. There’s no going back once you go under the knife. That’s how I am approaching my almost 2 year struggle with GERD. I’m going to try a few more things, but if nothing works, I might end up going for surgery myself. Hopefully, diet/lifestyle change will suffice.
Great addition to my search for information. My goal is to improve my gut health in order to get get off cholesterol and reflux drugs. I am on omeprazole for Barrett’s. My confusion is over the issue of too little stomach acid causing reflux. If that’ s so, why are antacids, PPIs etc, needed to reduce acid? I understand that there are 2 issues around acid - the PH in the gut and the corresponding leak into the esophagus due to a faulty valve. Does a a lower PH in the gut help the valve stay closed, therefore eliminating the reflux? Thanks for any clarification. BTW, I have been using ACV and lemon juice to lower PH. Not sure if that’s appropriate for my situation. Am getting an upper GI next month.
Take 1 tablespoons ofapple cider vinegar to one 16oz. Bottle of water. Tale a probiotic and dgl. Do this for a week then stop taking your ppi. Continue the above for as long as needed
You’ve been listing my circle of specialists as if you were talking about me. So frustrating! I had the nissum fundoplication lathroscopically 20 years ago and was fine. Now huge amounts of thick mucus and froggy voice.
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Great info in this video! Please people, don’t take a PPI long-term!
KenDBerryMD hey! It’s Dr Berry!! Funny seeing you here 😁 next to you, this man has helped me the most of any Dr and I’ve never met either of you in person.
what would be considered long term i want to take it only for one month to heal my gastritis
@@may-rg7yk Avoid taking them for more than 6-8 weeks. Buy a wedge pillow and sleep on that instead of your normal pillow. Long term may be several years. It can be addictive as people become overly dependent on them .
@@arymhansie Why a wedge pillow ?
I read something about the Proton Pumps that are inhibited are not limited to those in the stomach. Where else are these that are impacted? Thanks
If we had doctors like Dr. Chris over here, life would probably be much better for a lot of us
This guy looks a right honest caring guy
When my GP told me that I would need to stay on PPI for the rest of my life...first I got a new doctor...my new doctor, an osteopathic practitioner, told me to go on a dairy and gluten free diet. After just a few weeks on the new diet I was off the meds !
Find out WHY you have reflux before you take meds longterm !
Without acid in your stomach to extract the nutrients from your foods you will become deficient and develop all sorts of ailments.
You always have acid in your stomach, even when on a PPI and H2 antagonist. Please don't go throwing around medical advice unless you're a doctor, and then if you are please cite your sources. In this day and age there are more average to bad doctors practicing and altogether too much pseudo-medical science.
Daniel, you are absulately wrong in your view about this drug. You rely on your doctor who does not know the ABC of medicine. Just learn to shut UP for future comments.
Doctors used to be like him. Now sadly they’re like the drive thru window at McDonalds - they know nothing , and they pass you along for the next patient waiting
You are 100% correct. I am a highway to hell with my doctors.
25 year old male diagnosed with a hiatal hernia about 6 years ago. I was on ppi for years and it pretty much destroyed my digestive system through malabsorption and it caused inflammation due to causing random bouts sometimes back to back of either diarrhea or constipation. I tried getting off them one time and I burnt a hole in my esophagus but now I'm discovering how crucial your diet is to stomach acid. Eat clean and eat fiber, stay away from sugar and fried foods, have salmon, veggies and some meat once a week. Do not consume superfluous food only eat based on utility. I've been off ppi for a week or so now and my whole digestive system is out of wack but clearly returning to normal. On ppi I would use the bathroom multiple times a day...now without it and a proper diet I use the toilet once every two or three days and I pass full stool as opposed to diarrhea or skinny shards. Ppi has also caused me to have excruciating hemorrhoids due to how difficult it is to pass broken stool or diarrhea for weeks on end. As I dont overuse my bowels all day and I eat to supplement my intestinal health I have easier bowel movements that are even healing my hemmrhoids. I took ppi for a stomach hernia but I know others have actual chronic reflux that is not dependent on an anatomical problem but I urge everyone to explore their diet before giving in to a lifelong ppi subscription. It's not worth it...many anti acid medications are criminally undocumented in how they cause cascading effects in your body and I have seen three gastro doctors none of which have actually explained all the side effects and in fact downplayed them as coming from erroneous studies.
What's stopping you from getting surgery for your hernia? I have never been able to find a diet that successfully stopped my reflux and am stuck on ppis and unfortunately having issues like yours as well. Surgery seems to be my only option. I've decided to pursue the linx surgery as well.
I heard that people with these conditions really have hypochlorhydria (low stomach acid, and not too much). Taking PPIs and assuming because you have too much acid with testing for it us like shooting yourself in the foot. I started taking HCL tablets from Standard Process, and it help my digestion and reflux.
@@pinkoceanflower3045 Well if he has a hiatal hernia the sphincter is potentially impaired making it so it can't contain things from the stomach. If he really had low acid then acid reflux wouldn't be an issue.
Pure poison
@@JW-um5pg try probiotic saurkraut
A doctor who speaks TRUTH!
I was diagnosed with gastritis and just given pantoprazole and sent home. I'm on omeprazole 2 months later, trying to wean off them. The doctor gave me no guidance or warning, and I feel like it's done me more harm than good. I've never had stomach aches or pains before my diagnosis, now I do.
How long did you take them for? Is 2 weeks enough to have this happen?
6 WEEKS??? I had no idea! I've been on it for 20 years, with my doctors full reccomendation!!!!!!
I have been taking Omeprozole and other PPi`s for 20 years also. I have stopped and am taking Zantac 150 mg per day.
Lifestyle change is the only way to get off PPI’s. Eliminate sugar, high fat, coffee, tea, citrus, spicy, chocolate, mints, alcohol and tobacco. Exercise, resistance and cardio 5 days a week with intermittent fasting (18-6) small meals (2 per day) lose weight (BMI near or below 25.) I was diagnosed with Barretts. Took 40 mg nexium for 15 years. Luckily, Barrett’s went away but breaking from the PPI is tricky. First go to the 20 mg OTC, for several months. Then get a pill splitter and cut the 20 tablets in half. Take 10 mg a day for several months and supplement with a 150 mg. Zantac before bed. Then take the 10 mg every other day for at least 2 months (with the nighttime Zantac.) monitor yourself along the way. You might have to stay at a level longer. Then stop the nexium, continue the Zantac. If so far so good, drop the Zantac to 75 mg at night. That’s where I am at and I will stay there. If I have a late or larger than normal dinner, I revert to the 150 Zantac for that night. One other tip. Get 4” “bed lifts” for the head of your bed (extra pillows won’t do it.) That slight elevation will help keep stomach acid from rising up as you sleep. Good luck to you. Any questions I’ll be glad to help.
You need to GET OFF of them immediately...
Same here, 20+ years!
@@tdeviller Ive been on it for 20 years. I have had no side effects and in fact it helps me eat very comfortably. I was on 40mg and tapering down to 10 very slowly. i am on 20 and feel great. Did you have any side effects?
I'm 42 and have just come off my PPI after 9 years. I'm two weeks in. Along with adjusting my diet to remove as much sugar as possible and taking one dose of magnesium indigestion liquid before bed and I've never felt better in years.
I would wake up and immediately feel discomfort in my stomach on ppi. Then throughout the day I just didn't feel right and I became determined to get off them and fix the route of the problem if I could.
It does annoy me though my GP would be happy to give me them indefinitely and almost all of my family and friends, especially the men, take PPI long term.
My dr prescribed this for me and even increased my dosage in the last 4 years. I recently weaned myself off. I used Oil of Oregano. Black seed oil and CABBAGE JUICE that I juice fresh. I am going great !!! My joint pain is almost completely gone ! This took me a month. 2 weeks To taper off and 2 weeks to heal the stomach and rebuild the mucus lining. I am happy I am off this
How did you wean off? I’m trying to wean off Omeprazole and today I had a bad acid rebound.
Hi Kitty...would love to try and get off PPI.....Please let me know how much oil you used, in water or in cabbage juice....please please
I have the same journey!! Celery juice on an empty stomach in the morning and cabbage juice in the evening on empty stomach is helping a lot!
The most truthful, informative words I've ever heard coming out of a human beings mouth.
This needs to get out there so people know. Most doctors wont tell you this!
I’ve been on them for years and when I’ve tried to get off, my stomach is churning acid and I get diarrhea. Now I had a gallbladder attack last week. Thank you for all this info! If only every doctor was as informed.
Are you now starting weaning off PPI? When I stopped, the 2nd day I had burning sensations in my throat and even in my jaw....
@@mariannameyer4719 just started yesterday. Whenever I've missed a dose I can tell right away. I opened up the capsule and literally removed only about 10 beads. I had NO idea I wasn't supposed to take these long term and daily.
I got off them after 5 years it’s brutal but don’t give up it gets better at the 3montn mark
I had horrible issues, and I ended up getting the "Nissen Fundoplication" surgery, and hernia repair.. I have not had a single issue since.. There are a few things that you have to get used to, like being unable to vomit, burp, avoidance of certain foods... BUT, the procedure was a life saver. No more medications, pain, heartburn, reflux... I have an amazing surgeon who I still see for checkups, but no more issues!
I am considering this surgery. But if you can’t vomit, what would happen if you got the flu or food poisoning?
@@GottaSayIt I wondered the same but I ve heard that The Linx can erode and cause gagging and more refluxing . Ive seen some people just keep gagging with it since theres something around their esophagus . Im not sure if I would want a foriegn object in my body unless it was really needed . Its more tempting because they can remove it and you can vomit n burp apparently . Not sure if you can have it if you have a hiatal hernia depending on the size of it .
I’m 36. Been on omeprazole for 5 yrs straight. I have lo b12 inflamed joints. Did a full body scan for Stanford pet/mri, they said I have arthritis and think I have fibromyalgia there seriously needs to be a fucking law suit. This should has ruined my life! I use to work 14 hr days never felt pain. Active my whole life
Been a nurse for 50 years, never connected the dots. This is a very interesting video. Coming off my PPI. Thanks so much. You're never too old to learn something new. God made the human body to work as a unit and sometimes we interfere with that.
Do you know if Omeprazole is considered a PPI. I’ve been on it for two years and I think I’m experiencing side effects.
@@addiemorgiewicz4973 yes it is!
@@addiemorgiewicz4973 ... Yes it is, just google PPI names.
I've been off of PPIs for several years, and I was prescribed them for over 7 years, and have been off of them for 8 years. They are only designed as a short term prescription.
Absolutely true! And doctors prescribe it like candies!!!! I had a bad experience!
I've been feeling my worst this last week, realizing this morning i forgotten to take protonix this week! You have answered what i have saying and, no doctor has agreed with me. I feel so bad nauseated, yucky feeling, weak, light headed and my joints hurting. I called poison control, they said if you haven't drank the protonix for a week, drink it your body is used to it. I just took it and I'm calling the doctor asap! Yes, i have silent reflex, i have nausea, dry cough, sinus issues. The cough got worst after covid but, this all makes sense. We need doctors like you all around the world. Much respect to you for your knowledge and, help to everyone.
Many don’t realize too how much the Mind/Body plays a role in acid issues. Like the “butterflies” in your stomach before something nerving - doesn’t mean you need medication, or an Endoscope Test.
PSTD, Trauma unresolved can really mess up a body. Especially the ANS, CNS
True i have gastritis due to stress
@@the_unconventional_Indian77 I have esophagitis due to stress.
@@arymhansie how to heal it
some of the side effects of hyperacidity is also some of these things you mentioned: anxiety, feeling of doom, nervousness as it irritates the vegas nerve. THEN when you come off PPI's you can have some of these same feelings again either from the addiction to the medication or the re-acidification of your stomach which is not as strong due to missing natural lining.
I’ve been back and forth to the doctors for stomach issues since 2009. Had my gallbladder removed. The reflux was terrible. Come to find out after many tests later, barium swallow, gastric emptying etc, I have severe GERD with LPR, and gastroparesis. Life has been utter hell. My entire life revolves around my reflux.
Hi I wanted to ask what are u taking for ur pain?? I can share some info about it
Wouldn't it be wonderful if all the medically oriented videos on TH-cam presented authoritative information on the topic as well as Dr. Chris Smith?
Yes
He is amazing!!!
Dr. Smith is amazing, perfectly stated, the medical commnnity needs to listen
Oh wow....you have literally just solved my medical mystery. I know I have allergies and I know I have GERD, but I couldn’t pinpoint what is making me completely miserable. I have recently been diagnosed with “asthma”, GERD, recurrent pneumonia, I have chronic coughing and throat clearing, chronic post nasal drip....I know I have respiratory reflux now!! Thank you sir!! Also I’m at University of KY as a nurse, so it was cool to hear of that article!
Same with me, so how to fix respiratory reflux?
@@YunusAhmadMir I have it too but no cure unfortunately except for surgery
So his conclusion is to have the surgery, otherwise it won’t get fixed. That’s depressing.
I had a CT scan chest for dry chronic cough and my pulmonologist said I have lung scarring, it was six month ago. I asked if it’s chronic and the doc said no idea to answer because it was my first ct and nothing to compare.
Now I’m so scared when I follow up I’m six month and the scarring grow it’s called idiopathic pulmonary fibrosis. Worse than cancer because there’s no surgery to cure and prognosis is worse than cancer. Reflux can cause that according to Dr Smith and it’s convincing
You’d better take CT scan if you have respiratory reflux. I wish I didn’t have it but unfortunately symptoms tell me I do
@@gina933 I have had multiple CT scans and multiple episodes of pneumonia. I think I have finally figured out my problem- I have a gluten intolerance, possible celiac (would need to have an endoscopy to know for sure). It causes all of my symptoms, when I stopped gluten I am getting better.
I had been taking PPIs for about 3 years on a daily basis before I decided to go for laparoscopic fundoplication (Toupet method). The surgery was a great success and I have been off PPIs for more than 2 years now. I can luckily eat everything. At any rate, I did some tests about a week ago, and they showed that I have quite low vitamin/mineral levels (A, B, D, iron, selenium, Omega 3, magnesium, to name a few). Most of these deficiencies were attributed by the doctor to the long term use of PPIs in the past.
If you dont mind me asking, what sort of tests revealed your low levels? Reason I ask is that many things dont show as low in bloodwork but are still low in body. Thanks.
@@mikeinpcola5543 I don't mind you asking at all. In that specific instance, I was talking about a basic blood test. Furthermore, I could recommend you to consider a comprehensive stool test.
Happy that you had such success with the operation!
I have just had the exact same operation done, (also the Toupet) 3 weeks ago, and I wonder, if you had any problem with reflux after the surgery?
I'm currently doing a "cold turkey" from the PPI, but man do I have stomach burn 😬
@SorenTheKjeldsen Greetings, Soren! I did not encounter any traces of reflux symptoms subsequent to the surgery. During the initial span of three to four weeks, my dietary regimen predominantly comprised nourishing soups and blended vegetables. However, within the initial six months after the surgical procedure, I did encounter a particular predicament, namely flatulence. I must admit, it was a rather vexing situation at first. Nonetheless, the occurrence of flatulence began to gradually diminish and eventually fully subsided.
Alright thank you for the answer!
Maybe I should just give it time though - I have been taking PPI for 8 years straight, so it will probably take some time to get completely out of the body.
Enjoy the weekend 😃
Thank you so much. I’ve been struggling with GERD for many years and my mom died from esophageal cancer. I will followed with GI! God bless you
Thank you for all the information. I was diagnosed with Barrett’s esophagus Probably over 12 years ago. I was started on Nexium. Then acifex. Omeprazole. Then time released Dexalant. I’ve been on proton pump inhibitor‘s for over 12 years. I’m 63 years old and I recently within the last year fractured my L3 spine. I was in heavy construction/pipefitter. I have an endoscopy every year and my G.I. doctor says no cancerous cells. And that I’m OK. I also heard it causes kidney disease/Alzheimer’s/throat cancer. I take supplements every day. Calcium/magnesium/vitamin B/vitamin B12. I also take folic acid because I found an article online that said Ppi’s plus folic acid cure it. I seem to be tolerating the PPIs. But now after watching your video I’m scared out of my mind. Every time I see my G.I. doctor he doesn’t really fill me in on any other treatment other than a endoscopy and PPIs.
I am in the same situation. Aged 68 and diagnosed with Barretts syndrome two years ago (no sign of cancer yet) and have been on PPI 40mg twice a day. It is really a situation of being between a rock and a hard place. I wonder what optons are available...the lesser of two evils perhaps?
I was diagnosed with Barrett’s Esophagus 4 years ago and I’m with both of you feeling scared. I am on Protronix for 4 years. My cousin had Barrett’s and my neighbor and both haves passed from esophagus cancer!!!
What do we do??? We know we’re not misdiagnosed so I have the wedge pillow but if I don’t take PPIs … I would have horrible acid reflux. Should we try to IF? My doctors say I have to stay on PPI for life, too!!!
@@peanutcampbell you should ask what the absolute risk difference is for 10 years on ppi and those side effect . then you will see the true picture . PPI risks are limited
I was just diagnosed with Barrett’s at 49 just started taking ppis so now I’m totally freaked out
This is the first time I've heard words from a doctor that makes sense. Life-saving consultation. Describes exactly what I have been going through for years, especially at night! Thanks for this video!
Check out Dr John Bergman's TH-cam channel.
Doctors used to be like him. Now sadly they’re like the drive thru window at McDonalds - they know nothing , and they pass you along for the next patient waiting
15 years on PPIs and I developed low B12 and elevated homocysteine that caused blood clots in my legs that traveled to my lungs twice before Covid in April 2017 and Sept 2018. On Eliquis for life now with minor permanent lung damage. Got a sluggish gallbladder removed in March 2021 that made reflux even worse, possibly due to alkaline bile reflux. Got a hiatal hernia repair and a Nissen Fundoplication May 2022. Reflux med dose cut in half. Now take B12 supplements. I also developed ostopenia low bone density at 54 due to poor calcium absorption.
Excellent video and very informative.
Great video thank you. I'm just taking myself off of PPI's after 27 years.
spot on! -Great presentation that needs to be more widely circulated and listened to - I know this video is dated 2016 - though still so *very* relevant
I've been taking PPIs for over 20 years. I'm 35. Suddenly lots of health issues undiagnosable. Looking at surgical solutions now as I'm concerned they're killing me.
Hope you feel better soon. I have been on them for 4 years and really concerned. What symptoms are you having now ?
In the same boat, hope your doing better now. Wondering how your coping now? are you continuing to take PPI's? I attempted to stop them ..unsuccessfully though..i tried the gradual reduction however got really bad acid burns.. down to taking them 3 times a week. 100% has affected our health, what sort of health issues are you experiencing? I think getting our magnesium tested a must!!
@@andrewt1327 I've been taking 60mg dexilant for several years. Battled w/ insurance to give me 2x30mg/day and have weened myself down to 1x30mg. Hoping to step down to weaker ppinajd eventually he blockers. Weight it prob the biggest factor for making that happen. Have also found that intermittent fasting and of course not eating after 6pm helps
People also need to be advised that GERD can be a sign that they may have sleep apnea. Sleep apnoea creates which can pull acid up from the oesophagus into the throat…
I had no plans of taking a synthetic reflux medication again. I will never take another Synthetic Statin.
I can barely tolerate what Synthetic Medications I take and I have a long list that no practioners want to put in my medical records that I tried in Namebrand, their Generic and some were prescribed again in their Generics even though I tell them I cannot tolerate them.
Bless you for being such a great physician 🙏
I've got to say that having GERD and a Hiatus Hernia for over 10 years, this Dr explained things better than any Specialist I have seen. Currently, my systems have been worse than ever, tightness and discomfort in my chest and back. Also, it is hard to swallow. My last endoscopy showed a 3 cm Sliding Hiatus Hernia (this was 2 years ago). The Linux system sounds great but I don't think the NHS in the UK offers this which is shut a shame. Has anyone else had this procedure done? If so, what are your thoughts?
Check out Dr John Bergman's TH-cam channel. You won't be disappointed. God bless.🕯️
The NHS is not going to be doing anything for anything from now on. I had to pay for my prostate operation because it was going to be 2 years before seeing anybody about it. The drug Tamsulosin was the cause of my GERD I have an incompetent sphincter that allows stomach acid to burn the hell out of my oesophagus, PPI for 6 weeks and see how it goes then I want to see about surgery again it needs private payment.
@@GWAYGWAY1 Hi, what's your results now aftet the ppi for 6 weeks?
@@akwasiasare3456 I paid over £2000 for tests and they show no GERD but the Hiatus Hernia is there and it is trapping the Vagus nerve when I eat and then work. This causes direct pain and if I persist trying to carry, walk or lift the reaction cause vomiting
I managed to pull the stomach down whilst deep breath out and it went off, but came back as soon as anything was eaten and the stomach had contents. I need the hiatus between the cru to be repaired and no linx as there is actually no acid coming up at all during the 24hr acid test.What worries me now is that they will not just do the repair without the linx as it is too cheap without having one done. The NHS will NOT do a simple repair as it is not worth doing to an older man so am expecting a bill of £10000 privately.
I have been on PPI's for 30 years thought they were harmless..no warnings on packet..i have stopped taking them cold turkey..still suffering 3 months later..going to have to go see doctor for help..greetings from australia
Hi what symptoms did u receive after taking ppis
@@alexlabra1562 hi...issues sleeping with bone pain moving about the body..when i stopped taking PPI's i immediately, no longer suffered with cronic stiffness and no longer had bone pain allowing me to sleep easier..
Incredibly insightful video. Gotta thank this doctor for taking the time to do this
I have been taking this Omeprazole for eight years. The doctor never mentioned these side effects to me until I had had enough of diarrhoea and cramps. Called the doctor who said to stop taking it immediately. Useless bunch of clowns.
Raising the head of my bed 8 inches so that I sleep with my head above my stomach helped my nighttime GERD.
Great information. I have been on PPIs for 10+ years. I am sick of these drugs. I have a chronic cough because of reflux, but there are no good doctors here in my community who truly understand all the issues you presented. I will get off the PPIs.
By getting off on ppi ur acid reflux will end??
Thank You , good to be informed about soo many different possibilities
Did 4 weeks and they made me feel much worse , gradually came off them. Changed my diet, lost weight ... feeling much better.
1
How are you now
Did you have dizziness too
I had lots of issues and side effects with PPI in the first 6 months, it made my digestive system and heartburn worse, i even got a c-diff infection... I had Nissen Fundopilcation on 3/5/21 and I am very happy with the results
If see a good Naturopathic Doctor.
@@pinkoceanflower3045 agree mate I am going for naturopath approach for this life taking disease .
@@pinkoceanflower3045 I went to one and didnt get better . They do the same thing but precribe a shit load of supplements . They take your money .
I have been taking PPL since 2013 and now' I am suffering from high blood pressure. I take b12 and D3 as oral supplimentary. I am good now. My doctor has told me to take pantoprazole livosulpride for life time. I am now 41 years old.
Thank you for a very informative video! Reflux is so common and yet so misunderstood. Fix it properly!
I had horrific joint and muscle pain after 5 years with no warning from my doctor about side effects.
I quite one year ago, now back to normal and I am so glad . I feared I would be in a wheelchair it was so bad.
Did you had acid rebound after stopinj?
@@nikosulenta6973 some, but it gradually declined. It sometimes flares up after certain foods, but I'm not guzzling this poison everyday anymore.
That's the trick they tell you to take it and it's perfectly safe. It isn't. I think using it short-term is okay. Just don't keep taking it everyday.
@@Fendermanpaul i am 4 months off them but i still get reflux almost every. I was on them for a year. My doctor prescribed them but my GI specialist thinks i should get off them becuse i had minimal gerd in the first place. But my reflux is now much stronger then it was before i stared taking them. I hope that i can ever get back to normal. Do you think you can damage ability to produce normal acid for ever?
@@nikosulenta6973 don't suddenly stop them. I weaned off over 8 months. Very gradually.
Now I just take one 10mg. IF I need. You will get reflux etc. But you won't stop making acid. It takes time to repair and adjust.
Don't eat big meals, don't drink certain alcoholic drinks, I can't take beer. Just be sensible. Keep fit if you can. It'll improve over time.
We should all learn not to trust pill bottles and potions. Everything has a price, eventually.
@@Fendermanpaul I hoping this don’t happen to me because I just got them for 8 weeks because I have low vitamin d and taking vitamin d capsules
This video is old but is the most informative and real honesty video i have seen to date on reflux!
When he said there was a link with heart arrhythmia and low magnesium due to the PPI, the penny dropped for me! I have been on the PPI between 1-2 years but have recently been diagnosed with heart arrhythmia. Couldn't understand where it came from as no history of heart problems in family. Tried operation to treat but could not treat it and have been advised that it is quite common for it to return, even after a successful surgical procedure to treat. Now I'm on 2 sets of different meds to treat the arrhythmia and may need more if the current meds not manage it?
My reflux problem had slowly gotten worse to the point that it came up my throat constantly through the day, leaving a fowl green taste at back of mouth and started to change my voice and irrigate it. Hugely anxious about coming off the PPI (in case of severe rebound) and how to go about it? I've gone and seen a specialist, and have had the camera placed down throat in to my stomach. He couldn't give any explanation for my reflux problems and would only dismiss my concerns about being on PPI long term. Wish there was a specialist near me with the same professional care, honesty and understanding as the specialist in this video!
I just had an upper Endoscopy and was prescribed Rabeprazole. One-half hour after taking the first pill, I began having awful chest pain under both shoulders that felt like someone was sitting on my chest and squeezing it. The pain lasted the entire day without any relief. Day two: I took another pill and all the chest pain came right back and it hurts. I will not take these ever again.
Try H2 blockers
CIDER VINEGAR is the best food to lower stomach acidity . Use diluted with water and caution . SINGING gave me the best relief whilst suffering worst times . YOGA ,Meditation etc . Anything conducive to relaxation will help .
Best Wishes
Singing??? That would give my wife heartburn!!
Thanks for this video. My doctor prescribed Pantoprazole as a preventative drug to counteract any side effects from arthritis medication!
Sounds like my life except I’m not getting checked properly and just being told to take a bunch of medication that’s not helping.
You just described my experience with sinus issues, reflux and the runaround I've experienced.
Thank Dr. Smith for explaining in detail about reflux. This has been most hopeful, as I had reflux for the last several years and only recently began taking PPI medication in the last couple of weeks, which has reduced my symptoms. I will check further in correcting reflux issues.
Just been told at 56 I need to take these FOR LIFE!! He said start and stop them as needed.
The ulcer I was diagnosed with ( by GP partner) apparently is indigestion. I have not healed in 8 months but I have made improvements. I am chronically stressed. I told him it felt like a hole an now feels like a lump. I had H-pylori..They treat for 1 week and do not retest in the UK
I took Omeprazole for 7 yrs. doctors gave it out like candy I do noticed now I had a hard time functioning and remembering things. I wish I knew this yrs ago
Amazing... what a great Dr.!
Just destroyed my confidence in my gastroenterologist, “Barretts not that big of a deal, we’ll scope you again in five years”. So I’m going to be looking for a new one.
Great scope of info. Thank you Dr. We need more of you. ❤
Tingling in arms, back, legs.
Feeling sick all the time which worsens after eating.
Stumbling.
Being easily startled.
Worsening eyesight.
One doctor misdiagnosed the symptoms and actually increased the dosage of the ppi, it took doctors 7 months to diagnose the cause.
May i ask what the cause was? Are you feeling better now?
Hey Tox! 🥳💊🌪What was the cause of all your symptoms? Ido have them too and in my case I think is deficiency of B12 due to a 4 yearse of PPI, zantac 💊❌🌪🌋in specific . Greetings!😎
What was the diagnosis I've been going through the same thing.
@@joelpatterson3413 'Mineral deficiency to PPI use', calcium and potassium were low, magnesium was very low.
They pumped me full of calcium for 24 hours when it got really bad, now every day I have to take vitamin D 800ui and arould 500mg calcium carbonate, they changed PPI to H2 Blockers but there is a shortage of them atm.
I've been using PPIs for over 15 years. I found out I developed a B12 deficiency, have arrhythmia and now a leaky heart valve. Every time I express concern to my doctor about being on PPIs, he tells me that I will probably have throat cancer if I stop taking them. I've tried to wean myself from them but, almost instantly, my GERT starts back up. Looking for a way to get off this medication.
Drink Apel cider vinegar 2 spoons in the morning with wormwather in a glass on an empty stomach...Stop eathing bad and Press your stomach down with some object you will See that you can quit coldturkey in the meds , you can Drink also after your meal one Glas ore before sleep
Could have written your story. Where l am now is....l will be getting advice about SURGERY. that is the next best bet .
That's so true the ppi cause b12 I am having something jumping in my skin . The nerve affected
I got lupus from upper zone. I’ve been so sick and not the doctors or the pharmacist or anybody stopped me from taking that drug. Now I don’t know what to do and my body is so broken. My hands are deformed from the flares and nobody wants to talk about the lupus. The pharmacist told me today. Well, it’s so rare. I let them know months ago that I got diagnosed with lupus five minutes after I started taking omeprazole nobody stop me from taking it 1:44 Thank you for the information about quitting the omeprazole because my ass it has been 100 times worse than I ever was in my whole life and I went cold turkey five weeks ago and I’m still sick with acid reflux
I got cutaneous lupus from omeprazole
OMG I want the surgery that keeps you from ever throwing up again!!!
You are brilliant. This information it’s saving so many lives including mine! My surgery it’s in two days and I can’t thank you enough for this information.
What is the name of the surgery? Did it resolve the reflux?
I was on it for 18 years and it destroyed my life I just started to feel better. The doctor's told me stay on them for life. My whole life has been destroyed. If it wasn't for CBS News I would still be on it.
iron grip 455 May I ask how they destroyed your life? I am also trying to get off the Omeprazole for erosive gastritis.
God bless you, hope you're doing well these days, have you in my prayers.
I have barret esofagus doctor told me to stay on PPI for 3 years and see but I do not know what to do
iron grip 455 been on it since I was 14 I’m 35 now and just starting to taper off this week. My magnesium and mineral levels were awful and that’s why led me down this path! Glad your good, gives me hope 🤙
@@ryanchristopher1520 Did you stop taking the Omeprazole? I'm scared to death, cause I have erosive gastritis as well, and I had to stop the natural PPI I was taking cause I'm just feeling terrible taking them. Why do you have erosive gastritis?
Good read , I didn’t know about how it can arm me taking PpI long term .I have been on PpI for over 20 years and now going to get surgery because it’s getting worse . I now have a small hiatal hernia , keeps swallowing all the time , get acid that will go up my mouth , and nauseous all the time . I had rectal cancer 7 years ago and was concentrating on that as it turn out I need med a colostomy and with that I got a parastomal hernia . I will get my parastomal fix in a couple of months then I’ll recuperate from that then will get my Gerd and hernia fix in a year . That’s how long it takes here in Canada to get appointment.
It affects absorption of iron, leading to anemia!
I'm so disappointed with the Drs never mentioned my issues of malabsortion from this medication. Gone for iv transfusion for severly low iron. 25 years on this med . I had stopped completly taking the med and don't advise as acids are flooding up to your mouth non-stop . Do it slowly. It's been 2.5 months and still with issues with some days worse than others . I tried Pepsid for 5 weeks but it caused issues with kidney and bladder so I went back to nexium but lowered from 40 to 20mg . Hes right your muscle becomes weak and doesn't open and close properly. What a battle to get off this med. I totally lost faith in the drug companies.
40 mg it's better than 20 mg side effects?
thank you, you are very helpful and what you talk about resonates with me
Did u get a reply?
Samareh Boag no
So informative! I am currently suffering from SIBO, antral gastritis & a hiatal hernia.. I am trying to have my GI doc treat my hernia & all he does is order PPIs!!! Smh
I love this guy. Someone that finally makes sense...
You aren't the first to mention that ppi's are being handed out like candy, even for people who dont need them. I was given some at the ER when i had black stool one day in case of an ulcer (rightfully so) but then I had an egd done. They found a little inflammation and the very beginning of barrett's esophagus and of course wanted me on a ppi forever. I'm a large guy. 6'3" and 346 pounds who doesn't exercise and has a poor diet and I argued that if i changed those things, wouldnt i improve my disposition? But they want to push the ppi anyway despite already having a low chance that the barrett's esophagus will progress. So why should i take something that has notable side effects (it was giving me abdominal cramps) when i can just make life changes.
Anyway, rant over. :D
Finally a report that makes sense.
It really is a big issue with doctors working in water tight compartments these days and not joining up the dots. Something I have said for a long time.
I hope doctors see that video so learn
I’ve been prescribed a PPI for 14 years! Only recently did I learn they’re for short term use. I’ve tried so many times to get off them by weaning down and every time it fails. And it was likely a weak LES from pregnancy that caused the GERD. And that’s fixable. There’s no reason for me to be on these meds. But nobody ever decided to figure out the cause of the GERD. I’m so sick from these meds. IBS, SIBO, malabsorption, iron deficiency, etc.
I am with you sane here .
Actually today I read a medical journals from two doctors and these damn PPI’s actually weaken, the LES the PPI remove the acid out of your stomach. You need that acid and acid in your stomach to fight off infections and a whole host of other things. I don’t know how I’m gonna do, but I’m gonna try to wean myself off I have an endoscopic this Monday, January 15, 2024.
Stay informed. Its a billion $$ dollar industry.
By taking PPI long-term, you’re trading that in for IBS .
Wonderful video with great information. I think I can finally convince my husband to deal with his GERD.
So knowledgeable. Great stuff. Definitely going to go to the doctor and get seen for this.
Interesting take on PPIs. From what I got is only take them as directed short term 6 weeks max. Acid in your stomach is good up untill is uncontrollable, which a healthy Diet can help prevent that. But a combination of low acid, medication carcinogenic factors, Alcohol or foods high in toxins can trigger esophagus cancer. Makes sense, since ppl often go back to their bad diet habbits and alcohol consumption after being on “feel better “ PPIs. Acid not only inflames your esophagus but it might just protect you from carcinogenic diets.
thanks dr smith
Great informative video.
I would like to suggest an easy to try alternative approach that maybe could avoid all of this. Just drink a couple glasses of water and jump up and down for a couple minutes to jiggle the stomach back down to its normal position. No harm or cost in giving this approach a try
Forty years ago, I did an activity which forced part of my stomach up through or past the diaphragm. It was a couple months later that I suddenly started having severe stomach pains. I was initially misdiagnosed by a doctor as having ulcers. It was a couple of years of misery before I realized that the doctor was wrong and I had gastric reflux disease, or GERD. Often, GERD happens naturally without a clear cause. More so with older people. Normally, the esophagus sphincter and the diaphragm sphincter muscles line up and reinforce each other. If part of the stomach is pushed or pulled up through the diaphragm, the sphincter muscles don’t line up and stomach acid can more easily leak into the esophagus, causing GERD.
Other people suggest drinking warm or hot water to relax the muscles, I would suggest cold water so that the heavy water will stay in the stomach longer. I would also suggest doing it first thing in the morning so the water won’t affect the digestion process on other food. It may take a repeat on a few successive days for the esophagus to adapt to the new longer length for the stomachs to stay in its new proper position. I would repeat the process anytime I got heartburn or acid taste in my mouth. I have been trouble free for over 35 years now. I later learned of a gastroenterologist in Michigan who recommends this process also; maybe others now also.
The body needs strong hydrochloric acid in the stomach to trigger the esophageal sphincter to close, to break down bulk foods generally, and to specifically separate protein into the amino acid components to be effectively absorbed into our blood stream from the small intestines for use by our body to make new proteins. Most or all GERD medicines block the production of or neutralize the hydrochloric acid which then interferes with protein digestion and interferes with esophageal sphincter closing. Both of those actions are counterproductive.
Wow I’m not surprised 😮
Believe it. I just lost a friend to it! Selling it over the counter is irresponsible. If you experience any type of digestive trouble, first thing to do is change your eating habits.
Amazing talk! thank you .. really enjoyed this.
Thank you so much ..excellent explanation
So very informative! One of the best videos I've watched on the subject, maybe THE best. Thank you for making this video. I would love to have the links. I live in a very small town. I'm going to look around to see if I can find a doctor/facility to diagnose me re the links. P.S. I have LPR and a hiatal hernia.
Glad I see these I'm only 16 years old and I've been taking PPI for 3 days now
Old fashioned medical discussion Doctor sounds like the ones from years ago - which were excellent compared to Drs. today
This is such a great video and I wish I had seen it sooner. I am currently 24 years old and I have been on Omeprazole 40mg a day for about 6 years now and only recently realized my difficulties breathing were caused by my acid reflux after countless doctors visits and years of frustration and confusion. I even had a period where doctors thought I had asthma as well.
Better eating/diet habits have helped but it seems that I would need to be extremely strict with my diet in order to not have respiratory reflux. Not to mention any sort of exercise has become extremely difficult since my reflux seems to amp up during exercise and makes it hard for me to get a full breath.
Because of all this, I am looking to get surgery, hopefully TIF esophageal fundiplication to be exact. Traditional fundiplications (Nissen) involve way too much mutilation and cutting for me to be comfortable with and have higher prevelance of side effects such as bloating/inability to throw up or burp and other methods such as the linx seem more inconsistent in effectiveness and have side effects such as difficulty swallowing. It is a hard decision to make since no option is perfect but I will hopefully be getting a TIF surgery soon after I take the necessary tests.
My options at this point are to keep taking Omeprazole for the rest of my life and still deal with symptoms, have an extremely limited diet in order to prevent symptoms (ideally), or get a surgery and deal with whatever possible side effects they might cause if any and hopefully no longer have symptoms and no longer take PPIS.
I am ready for this chapter of my life to be over.
Natural is better imo. I'm on a strict diet too.
Oooh wow! Sorry to hear you will be on PPI for the rest of your life. Be careful of getting brittle bones. Wish you were living next to me, we could eat healthier and exercise together.
Are you still suffering badly from GERD?
@@StacyBrown2 Unfortunately yes, its actually gotten worse in the past month and ive been taking even more Omeprazole. My plan was to move forward with surgery but i got side tracked. I need to learn more and take action.
@@oOTheMastaOo240 I'm also on pantoprazole 40 mg in a day since last two years....and I also want to get off from it 😪
thanks for sharing your knowledge
Very good knowledge
My dad had acid all his life and never took medication. Acid killed him at the age of 57 he got stomach cancer. So you have to see pros and cons, I know that everyone want to stay off medication, but would you rather be vitamins deprived (which you can take supplements) or died from cancer caused by acid. If there is a third solution, some of these doctors who are criticizing medication, better come with some magical solution. They are just confusing patients and I feel that doctors are going to become obsolete in 15-20 years, because they are simply good for nothing, they don't listen to their patients and many of them are pretending to know more then they do.
@Szilárd Maku This is a highly presumptuous, ignorant comment! You have no idea why his Dad had acid reflux. He may have had a large hiatal hernia, or his body may have been producing too much acid. How would you know if it was a lifestyle choice or not?
Me too. I’ve been on PPI’s on and off for almost 20 years and am just now experiencing the horrible negative side effects. I’ve weaned myself down to 1/2 a pill every other couple of days and and now trying to stop taking them all together. I’m so pissed that my many doctors over the years never ever remotely suggested that I stop taking these OTC drugs. Money grubbing bastards paid off by Big Pharma.
Lilipop 877o
@Szilárd Maku Have you come off?
@@MonsterMetalManiac Hi MonsterMetalManiac. What side effects are you experiencing? im also looking to come off!
Wow! Amazing information, thank you so much!
Thorough and excellent
25 years I have been on them, they turn off stomach acid, then stomach makes more acid cells. If you try and stop you get double acid in stomach which is agony.
Good Yemeni Chanal
Wow! The real deal, my good doctor.
I'm 20 and have just been told I have to use these for life with no option for surgery. Some scary stuff.
Ive been on a PPI for 17 years with a chronic condition as the result.. only now are they looking at the PPI as the origin of that chronic problem.
He has valid points, but I would recommend to do more research. The video is sponsored by the Albany “Surgical” Center which is basically incentivized to “recommend” as many surgeries as possible. I’m sure they are being responsible with this, but at the end of the day, incentives matter.
Surgery works very well for most people, but not all people. In my opinion, exhaust all options, and if nothing works, go for surgery. There’s no going back once you go under the knife.
That’s how I am approaching my almost 2 year struggle with GERD. I’m going to try a few more things, but if nothing works, I might end up going for surgery myself. Hopefully, diet/lifestyle change will suffice.
I didn’t find him pushing surgeries just awareness of PPIs and accurate DX.
Great addition to my search for information. My goal is to improve my gut health in order to get get off cholesterol and reflux drugs. I am on omeprazole for Barrett’s. My confusion is over the issue of too little stomach acid causing reflux. If that’ s so, why are antacids, PPIs etc, needed to reduce acid? I understand that there are 2 issues around acid - the PH in the gut and the corresponding leak into the esophagus due to a faulty valve. Does a a lower PH in the gut help the valve stay closed, therefore eliminating the reflux? Thanks for any clarification. BTW, I have been using ACV and lemon juice to lower PH. Not sure if that’s appropriate for my situation. Am getting an upper GI next month.
Take 1 tablespoons ofapple cider vinegar to one 16oz. Bottle of water. Tale a probiotic and dgl. Do this for a week then stop taking your ppi. Continue the above for as long as needed
Also, ginger and kiwi...all natural
I'm wondering the same thing...
Coxe Property Management and Leasing What is dgl?
@@lasetlivingstin7752 No the lower acid just burns you less, the acid still goes up on PPIs you just dont feel it.
You’ve been listing my circle of specialists as if you were talking about me. So frustrating! I had the nissum fundoplication lathroscopically 20 years ago and was fine. Now huge amounts of thick mucus and froggy voice.
Thank you so much for this information!! 🙏🙏🙏🙏