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  • Omeprazole causing gastroparesis??

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    Old 07-09-2016, 07:21 PM   #1
    sammietay
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    Unhappy Omeprazole causing gastroparesis??

    Hello! I've been dealing with stomach and sinus issues for about a year now, with no real relief. It started last fall when my sinus issues became so bad that I started seeing an ENT to relieve the stuffy nose and mucus drainage. A few months after seeing the ENT, I began noticing the stomach issues. I noticed myself getting nauseous every day when I'd wake up and it'd last all day. I threw up once or twice, but nothing serious. A few months after this, I started getting mild heartburn. Nothing serious, but noticeable. Finally, I went to see a gastro when the nausea just wouldn't go away. Around this time, my ENT put my on omeprazole 20mg twice daily thinking it'd fix my stomach/sinus issues. He believes after scoping my throat that the stomach acid is going into my sinuses and causes all of my sinus issues. He said the omeprazole would help reduce the acid that was going up into my chest/sinuses/ext. I can't determine how long after this that my gastroparesis issues started, but it seems like pretty soon after starting the pills is when it happened. I had an upper endoscopy done and was diagnosed with having acid reflux/GERD and gastritis. A little after that, I had a gastric emptying study done that showed I had gastroparesis. It was the first time I noticed the symptoms. I would eat and get full very easily and felt bloated constantly. Since then (this was around feb/march), the nausea has subsided but the gastroparesis symptoms have gotten worse. I go through phases where I can barely eat without the food coming up through my chest and giving me heart burn, or more so a feeling of fullness. It's more irritating than a burning sensation. I've also noticed when I overeat it feels like it's going into my sinuses. My right ear will start crackling and I have no idea what that means. I started eating more liquids for meals and reducing my fiber intake. It seemed to help, but it felt like my stomach shrunk so whenever I'd eat anything it'd cause it to come back up in my chest. I can't figure out what are triggers and what aren't. The food just sits in my stomach and the bloating is getting intolerable. It's causing me to become depressed, increased anxiety, and lack of self confidence. I was in europe for about 7 weeks this summer and at the beginning of the trip could only eat very small amounts without getting extremely full or getting the feeling of fullness/reflux in my chest. I slowly increased my food intake while I was there. At first, it got a lot worse but by the end of the trip I could eat mostly anything and only have mild issues. Now that I'm home, the symptoms are creeping up again. My main question is: what are the odds that the omeprazole actually caused the gastroparesis? I never had any of those symptoms before hand except for mild heart burn on occasion. The main reason I was on the pills in the first place was to help my sinus issues (which haven't really cleared up all that much).

    I really just feel like I need to wean myself off of PPIs and try to find a more natural way to fix my issues but I don't know where or how to start. I've heard of ginger, pepzinGI, probiotics, slippery elm, but again, not sure where to start or how much to take. Any help would be appreciated! Very scared about the rebound period. I'm also taking allegra and montekulast every day as well as far as prescriptions. Birth control as well.

     
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    Old 07-10-2016, 01:22 PM   #2
    rainbowsrock
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    Re: Omeprazole causing gastroparesis??

    Don't go off a PPI cold turkey!
    If you already have gastritis it will go much worse when acid production goes into overdrive
    After my first endoscopy I was prescribed Omeprazole and something for gastroparesis, can't remember the name now but I only took it for a week as it had serious side effects and isn't available in some countries

    Not really sure what's going on with you but I felt bloated and nauseous and like food in my stomach wasn't being digested when I was having gallbladder attacks. Gallbladder pain is under the right ribs going through to the back
    Gastritis pain is under the left ribs
    Edited to add the drug for gastroparesis was Domperidone

    Last edited by rainbowsrock; 07-15-2016 at 03:28 AM.

     
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    Old 07-10-2016, 05:50 PM   #3
    sammietay
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    Re: Omeprazole causing gastroparesis??

    Quote:
    Originally Posted by rainbowsrock View Post
    Don't go off a PPI cold turkey!
    If you already have gastritis it will go much worse when acid production goes into overdrive
    After my first endoscopy I was prescribed Omeprazole and something for gastroparesis, can't remember the name now but I only took it for a week as it had serious side effects and isn't available in some countries

    Not really sure what's going on with you but I felt bloated and nauseous and like food in my stomach wasn't being digested when I was having gallbladder attacks. Gallbladder pain is under the right ribs going through to the back
    Gastritis pain is under the left ribs

    I'm currently on 20mg twice a day (started around February??) and the past two days I have taken one instead of two. I'm not sure if this is a good way to start weaning off or not. I haven't had any bad acid reflux, but I can feel pressure in both ears now. It feels like liquid moving around in both ears right after I eat, even if it's just soup. I'm guessing this is part of the rebound period, but I'm not sure. Any help with that would be greatly appreciated as well! It just seems like a viscous cycle from sinus to stomach issues and I can't stop it. Losing a lot of hope

     
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    Old 07-11-2016, 01:52 PM   #4
    rainbowsrock
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    Re: Omeprazole causing gastroparesis??

    Well, if I were you I'd stay at that dose now until your sinus issues improve
    Then when you get down to 10 mg a day Omeprazole and have been on it a month maybe that's time to start opening the capsules and gradually reducing the little balls
    I did it by putting them on a dark surface and making a square then taking away a quarter of the square and dipping my wet finger onto the remaining three quarters to place on the tongue and swill down with a little water. I stayed on that dose for a few weeks and then went down by another quarter

    When I was completely off Omeprazole I felt great for a few weeks and thought I'd cracked it but then the symptoms began again
    I've tried to get off 3 times. At the moment I'm back on 10 mg. But whwn I feel in a good place I'll try again

    Not everyone will struggle so much. we're all different

    Don't know if I've mentioned it but I rate liquid Gaviscon Double Action to help out with weaning down

    Good luck

     
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    Old 07-12-2016, 09:38 AM   #5
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    Re: Omeprazole causing gastroparesis??

    It sounds to me like the drugs you take for the sinus problems have caused the heartburn, and then the omeprazole has caused the digestive problems.

    You are right to think that you would be better off finding alternative ways to sort these problems out, as drugs cause side effects. Drugs for sinus problems are given to dry out the sinuses. However in doing this they dry out all mucous membranes and cannot simply target the membrane of the sinus cavities.

    Without sufficient mucous lining the stomach and oesophagus the lining will become irritated and can get inflammed. You then get pain. This is then diagnosed as reflux, which in fact it often isn't, and you are given omeprazole.

    Omeprazole suppresses acid production which is needed for proper digestion. So you then get indigestion, in the true sense of the word - you cannot properly digest your food as your stomach is now not working properly.

    So, to answer your question [B]what are the odds that the omeprazole actually caused the gastroparesis? I would say very likely.

    You have taken the first step by reducing the omperazole. You also need to think about stopping the other drugs, which are likely to be making matters worse. You will not heal the stomach if you are taking something that dries mucous.

    Stay on the reduced dose for a while to make sure you adjust to the lower amount and to get used to the change. And then reduce again. If they are pills you can cut them in quarters. If they are capsules, you can open them up and remove some of the granules inside.

    You also need to find some remedies to support you while you are giving up the drugs. It is a bit overwhelming knowing where to start, but it is a bit trial and error.

    I found DGL licorice was very helpful. Slippery Elm can help. And aloe vera juice. And coconut water. Also think carefully about your diet. For now, to allow your stomach to heal only have natural simple foods. No spices, no coffee, no alcohol.

    Wishing you well.

     
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    Old 07-12-2016, 06:50 PM   #6
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    Re: Omeprazole causing gastroparesis??

    Quote:
    Originally Posted by kacyc View Post
    It sounds to me like the drugs you take for the sinus problems have caused the heartburn, and then the omeprazole has caused the digestive problems.

    You are right to think that you would be better off finding alternative ways to sort these problems out, as drugs cause side effects. Drugs for sinus problems are given to dry out the sinuses. However in doing this they dry out all mucous membranes and cannot simply target the membrane of the sinus cavities.

    Without sufficient mucous lining the stomach and oesophagus the lining will become irritated and can get inflammed. You then get pain. This is then diagnosed as reflux, which in fact it often isn't, and you are given omeprazole.

    Omeprazole suppresses acid production which is needed for proper digestion. So you then get indigestion, in the true sense of the word - you cannot properly digest your food as your stomach is now not working properly.

    So, to answer your question [B]what are the odds that the omeprazole actually caused the gastroparesis? I would say very likely.

    You have taken the first step by reducing the omperazole. You also need to think about stopping the other drugs, which are likely to be making matters worse. You will not heal the stomach if you are taking something that dries mucous.

    Stay on the reduced dose for a while to make sure you adjust to the lower amount and to get used to the change. And then reduce again. If they are pills you can cut them in quarters. If they are capsules, you can open them up and remove some of the granules inside.

    You also need to find some remedies to support you while you are giving up the drugs. It is a bit overwhelming knowing where to start, but it is a bit trial and error.

    I found DGL licorice was very helpful. Slippery Elm can help. And aloe vera juice. And coconut water. Also think carefully about your diet. For now, to allow your stomach to heal only have natural simple foods. No spices, no coffee, no alcohol.

    Wishing you well.
    Hello! Thank you so much for you're reply. I've cut my does from 20 mg twice a day, to taking one day. I've already noticed a significant change in my body. I have extreme pressure in my ears and my sinuses and can feel liquid moving all around. I'm guessing this is from lowering the dosage. I also have just started taking probiotics, aloe vera juice, ginger tea, and slippery elm. How much aloe vera juice should I try? If this doesn't help, I am going to try DGL licorice as well because I've seen a lot about that. The initial problem started as sinus issues and slight nausea. I had been getting sinus infections quite often. My ENT says I have chronic sinutis, but right now it feels like all of the mucus is going from my stomach up into my head. I will consider stopping the allergy pills though. I am on allegra as well as montekulast daily.

     
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    Old 07-14-2016, 10:25 AM   #7
    kacyc
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    Re: Omeprazole causing gastroparesis??

    It should tell you on the aloe vera bottle how much to take. I would not take ginger tea. I know it can help nausea, but it is not good for gastritis, or irritated system. Sinusitis can be helped a lot with diet and herbs. And sea air if you can get to the sea. Keep on the same dose for a while before reducing again.

     
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