Re: it's back
My Gastroenterologist recommends not eating after 5. You should wait a minimum of 3 hours after eating to lie down though. You have to give the food and drink a chance to work its way through your digestive system before sleeping.
A wedge pillow may help, but if you aren't using it right, it can squish your stomach. I prefer sleeping with my headboard propped up. The recommended incline is 4-6 inches. A couple bricks on each side will work. I just put a couple of those bed storage risers from the local bed and bath store. I like them because they have a stablizing cup at the top. It may feel strange sleeping on an incline and you may have a bit of sliding, but you are letting gravity help.
Also, sleeping on your left side is recommended as well. If you look at a picture of your stomach you could see why. Again, let gravity help some.
As for the use of Nexium, it was a horrible choice of PPI for me. I had nasty diarrhea from the first day I took it. It didn't stop when I went off either. I actually developed IBS after taking it for a couple weeks. That was 16 months ago. You might find you have better luck on a different PPI. While everyone has success with different PPI's, my preference is Prevacid in the Solutab form or Kapidex.
My GI doc also suggested I supplement with an OTC medication in addition to my PPI's when my reflux was bad. I preferred Gaviscon (not the strawberry smoothie flavor though) which you chew and creates a foam barrier to help keep the acid from hitting your esophagus as much. Other people prefer supplementing with Zantac. There are others on this board who have those two recommended as PPI supplements as well. Just watch your timing on how you take them. I would take a Prevacid 1/2 hour before breakfast, another 1/2 hour before dinner and the Gaviscon after dinner before going to bed.
It is also important to watch your diet and avoid foods that trigger the reflux, especially until you get your reflux back under control.
Last edited by MountainReader; 10-03-2009 at 12:31 PM.