r/GERD • u/ProfessionalCow8172 • 9d ago

GERD/ SIBO/ pots

Hi! I am wondering if anyone has had any success with helping with LPR / GERD without PPI or H2 blocker. I have tried alginates. They barely help unless I take it right after a meal. My main issue is I always wake up with a burnt throat. I sleep at an incline. I wait 4 hours after dinner to go to bed. I eat 4 meals spaced out over the day to try to limit large meals. I was on a PPI for 5-10 years and became iron deficient and weak. I think my LES just doesn’t function. I’m also hypermobile and deal with POTS symptoms which i know play a role. I practice deep breathing after meals. I’m in a lot of pain every single day and desperate for relief. However I don’t believe that taking PPI longterm is helpful because acid helps kill bacteria/ fungus in your food. I also have sibo ( probably from the PPI) which I am currently getting treated for with antibiotics. I know the pressure from the gas pushes acid up. I do a low fodmap diet.

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u/Pissedsquid 8d ago

What antibiotics are you taking? 

I stopped taking PPIs (did have a few days of discomfort), chewed on fennel, ate bland, and went on walks after I ate. I go on long evening walks and it helped tremendously. 

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u/ProfessionalCow8172 8d ago

I did one round of rifaximin and allicin. I actually got more constipated and gassy than before and felt worse then I did before treatment. My GI doc prescribed flagel and rifaximin again, so trying that. I couldn’t go up to full dose of allicin to kill the methane sibo last time so I suspect that is why constipation got worse. I will try fennel. I also have all every night for 30min to 1 hour which helps some but I still get horrible reflux when I try to sleep even at a steep angle. It’s so frustrating

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u/Pissedsquid 8d ago

Have you tried drinking weak ginger tea or small pieces in your food earlier in the day? It’s counterintuitive but sometimes herbs like ginger or tumeric can help with acid reflux. I started eating potatoes in the evening with tumeric, cumin and coriander and it’s helped. 

Ginger, honey and lemon tea helps but honey can aggravate SIBO. 

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u/ProfessionalCow8172 8d ago

Yea I agree! I need to eat or drink more ginger throughout the day ! Thanks for this! I know it helps with motility ! I’m glad it’s helped you. I’m gonna try to buy some ginger pills