12/31/2024
ACID REFLUX/ GERD:
How's it typically treated? With Prilosec/Omeprazole. (see at the end how it is treated without pharmaceuticals)
How long are you supposed to take this medication? No longer than 14 days in a 4 month period.
How long do patients typically take this medication? For years, decades!
What's the problem with that 🤷?
Here are the reasons Prilosec long-term is so bad...
Our bodies need sufficient stomach acid for multiple reasons. Prilosec is a proton pump inhibitor that shuts down your stomach acid production by 80-90%. Listed below is what can go wrong with such a small of an amount of stomach acid...
Increased Risk of Infections: PPIs suppress stomach acid, which can create an environment favorable for the growth of bacteria and other microorganisms. This increased risk of infection includes pneumonia, Clostridium difficile infection, and urinary tract infections.
Nutrient Deficiencies: PPIs can interfere with the absorption of certain nutrients, such as vitamin B12, iron, and magnesium. This can lead to deficiencies and related health problems.
Bone Fractures: Long-term PPI use has been associated with an increased risk of bone fractures, particularly hip and spine fractures. This is thought to be due to the reduced absorption of calcium and vitamin D.
Kidney Problems: In rare cases, long-term PPI use can damage the kidneys. This risk is higher in individuals with pre-existing kidney disease or those taking high doses of Prilosec.
Magnesium Deficiency: PPIs can deplete magnesium levels in the body, leading to symptoms such as fatigue, muscle cramps, and irregular heartbeat.
Other Potential Side Effects: Other potential long-term side effects of Prilosec include:
Increased risk of gastric cancer (although this risk is considered low), Liver problems, Diarrhea, Headache, and Dizziness.
It's important to note that the risk of these side effects varies depending on the individual and the duration of treatment.
How do ND's treat Acid Reflux?
It would be too exhaustive to list all the ways this is treated but here is a very simplified and common example of how this is treated...
In a lot of reflux cases, patients AREN'T PRODUCING ENOUGH stomach acid. Stomach acid triggers the lower esophageal sphincter to close. Most of us are stressed when we eat and this in turn, lowers our stomach acid secretion so taking a digestive enzyme containing betaine HCL or apple cider vinegar with a similar pH as stomach acid with meals may be the trick until the patient can implement digestive hygiene habits- eating while calm and not while stressed or in a rush, etc. Very rarely are patients producing too much acid.