I only ask this because I had my GB out. I knew something wasn't right when I started having to burp a lot. I would only get severe indigestion during the middle of a GB attack. My gastro (prior to my Hida scan) put me on Nexium. I'm wondering if I should stop taking this, since I know it reduces stomach acid. Last night, I was thinking about this, and then began to wonder if stomach acid is the same as bile. Does anyone know the answer to this question? I know that stomach acids help break down your food, so I'm thinking that maybe I NEED that stomach acid more now than ever, since my GB is removed. Doesn't it make sense that I wouldn't want to be taking a PPI to reduce stomach acid if I need it to aid with digestion? I never had much acid reflux. I've only had it a handful of times. Anyone know the answer to this?
I am pretty sure they are different. Bile is produced by your liver and stored in the GB (if you have one--if not it "trickles" into your intestines from what my Dr. said). Stomach acid is produced by your stomach. Stomach acid helps with digestion while bile helps break down fat (my understanding).
Stomach acid is put out by some cells in the stomach called Proton Pump cells(not all stomach cells put out acid) and Bile is put out by your liver and controlled by your gallbladder if not removed.
If you are putting out too much stomach acid that it is irritating your esophagus or stomach lining it can be reduced with anti-acid meds from Tums to Proton Pump Inhibitors(PPIs). The acid is used for digestion and absorption of nutrients.
Bile salts are used for digesting fats/ greasy foods. And, it is not controlled-- except by your gallbladder.
My wife had her GB removed 11/2006 and still takes Prilosec for a throat condition but not all the time but for 10+ years. Nexium makes her nauseated.
We also take digestive enzymes with meals to help digestion. The one we use mostly is Essential Enzymes by Source Naturals.
Nexium is a very strong PPI and sorta expensive -- you may consider stopping it from time to time to see what happens or taking one like OTC Prilosec.
Thanks for the info!!! I was really curious about that.
I had an upper endoscopy, and it was fine. No erosion to my esophagus. I have already taken my Nexium today, but I think I'm going to skip it tomorrow and see how I do. I was taking Prilosec OTC, but it didn't work, so I started Nexium. Since having my GB out, I don't have indigestion or acid reflux. I only had reflux a few times, and it was terrible.
I'm feeling much better since my GB was removed. I'll be 2 weeks post-op on tuesday. Yesterday, I tried one bite sized square of my mom's homemade fudge. No problems. So later, I had another one, and again, no problems. I also ate a 6" steak and cheese hoagie yesterday w/no problems. But for some reason, I was able to eat that prior to my GB surgery w/o a problem, so I didn't really anticipate any problems yesterday. I won't eat fried foods tho. Too scared of those!!! I'm gonna start trying them in a couple weeks tho, and I'm SO looking forward to that!