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Reflux and Causes: No Metformin due to reflux??

From: Ron (anonymous@obgyn.net)
Mon, 25 Aug 2003 23:43:46 -0500 (CDT)


Hi Sally,

Your reflux can be due to physical injury like a car accident which caused whiplash, lifting heavy weights too often, childbirthing, difficult bowel movements (constipation), doing too many Ab-Crunches etc. These can all damage your Phrenoesophageal Ligament which attach the esophagus to the diaphragm. It can stretch the ligament which means that you can recover from it or if the ligament is completely torn, you develop a Hiatal Hernia which means that you can be looking at surgery to repair the damage. (Nissen Fundoplication) which is not the nicest thing to recover from.

Vitamin B12 Defficiency can also affect the Lower Esopageal Sphincter and gut motility. A viral attack with Shingles can also damage various nerves internally. A Low thyroid function can also affect nerve function and cause depression, constipation, weight gain.

You need a complete workup to figure this all out. A whole bunch of blood tests would be a good place t start. Hemoglobin A1c, C Peptide, Complete thyroid panel, hormone levels, and maybe a Barium Swallow

Good luck to you... Ron ---------------------------------------------------------------

At Mon, 25 Aug 2003, SallyC wrote: --------------------------------------------------------------- >

--
---------------------------------------------------------------
>Hi All,
>
>I have severe reflux, with gastritis and motility problem.  I take
>acidex (pariet over here)for the reflux/gastritis and domperidone for
>the motility, and sometimes reglan the nausea if it is too bad - this
>problem is either related to my hypothyroisd or the insulin stuff
>(though I am not diabetic) or some other endocine stuff.
>
>Have been on metformin for 2 years now at 2000 mg/day and have never
>found that it makes the reflux worse.  I would ask your doc to let you
>try it anyway.  THen if YOU find it makes it worse you can try adjusting
>things.
>
>Best wishes
>
>--
>SallyC
>
> At Wed, 20 Aug 2003, Ron wrote:
>>
>>Hi Randi,
>>
>>If I may make a few guesses....  You developed reflux after some injury
>>to your
>>esophagus...
>>possibilites include...
>>...auto accident involving whiplash injury
>>...strenouous exercise involving heavy lifting
>>...vaginal delivery with lots of pushing
>>...working out at the gym with too many ab-crunches
>>How am I doing so far?
>>
>>If the above is true then you may be a candidate for surgery.  (to be
>>avoided if possible.)
>>If you are already on a high dose of a PPI, maybe you could taper off
>>because
>>it is known to cause anxiety and worsen reflux that might otherwise be
>>less.
>>If you are already on an anti-anxiety med, that is not in the family of
>>klonopin, xanax, valium then you might ask your psych about trying
>>a low dose of one of these...  (usually less than 1 mg a day)
>>
>>If you reply, please make it obvious that the reply is for me.
>>
>>Good luck...
>>Ron
>>
>>----------------------------------------------------------------
>>
>>----------------------------------------------------------------
>>----------------------------------------------------------------
>>----------------------------------------------------------------
>>At Wed, 20 Aug 2003, Randi wrote:
>>----------------------------------------------------------------
>>----------------------------------------------------------------
>>----------------------------------------------------------------
>>>
>>----------------------------------------------------------------
>>----------------------------------------------------------------
>>--
>>----------------------------------------------------------------
>>----------------------------------------------------------------
>>>At Wed, 20 Aug 2003, Randi wrote:
>>----------------------------------------------------------------
>>>
>>----------------------------------------------------------------
>>>I am also on meds daily for reflux and I didn't notice the glucophage
>>----------------------------------------------------------------
>>>interfering with it.  I have been on Gluc for 3.5 years and Nexium for
>>>about 1.5 of those...
>>>
>>>--
>>>Randi
>>>
>>>>At Tue, 19 Aug 2003, Melissa wrote:
>>>>>
>>>>Yes, Metformin can aggravate the reflux until you get used to the med.
>>>>That happened to me, but after a few weeks it got better (but I have a
>>>>severe reflux problem and am on a medication every day for that).
>>>>
>>>>--
>>>>anonymous
>>>>
>>>>>When I saw my Dr.  a couple of weeks ago, she said that she was going to
>>>>>try me on Metformin/ Glucophage after my next visit.  When I saw her
>>>>>again, she told me that we should wait until I get my acid reflux taken
>>>>>care of.  She told me to take Zantac.  She said that the Metformin would
>>>>>really agetate (SP?) my reflux.  Does this sound right to anyone, or is
>>>>>she just giving me the runaround.  I keep reading all of these horror
>>>>>stories about bad Dr's, so I would just like to know if this seems
>>>>>right.
>>>>>
>>>>>Thanks,
>>>>>Melissa
>>>>
>>>--
>>>Randi
>>>
>>>email always welcome at randigeller@aol.com
>>>



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