Personally, I think that any patient that has GERD symptoms should have stomach Ph level testing and an endoscopy before being given a PPI. Just my thoughts.

I struggle with GERD, but at night all hells seems to break loose. It literally forces me to stay awake and remain sitting up all night. It’s so miserable

i was on ppi for 2 years and i got SIBO and terrible bloating also I had severe symptoms; chest pain and burning and i couldnt work. Eventually i gave myself a 380 Nissen and I got better. No more discomfort or reflux. All good.

I have a 35 year history with gerd. I cant believe how backwards this is. There is supposed to be no live bacteria and thus no fermentation in the stomach. The bacteria live because of too much fermentable food (sugar, starches, even veg fiber) and too little acid. First eliminate fermentable foods for a while. The relief will be amazing. Yes, a very low carb diet and lay off raw veg at least for a while. Then increase acid by taking apple cider vinegar. For me, low carb cuts out 80% of it and ACV takes care of the rest. I can eat salad and veg with no problem. I had horrific reflux 30 years ago. Went away when I first started low carb 23 years ago to control my newly diagnosed type 2 diabetes. Over the years if I slip up on the low carb it comes back then goes away when I get back on track.

I’m learning more from the comments. 🤔

I think the problem is fixating on acid and not reflux. There are other damaging secretions in the stomach that will come up, as the doctor says. Also, this constant claim about not going to bed after eating ignores places like Italy and especially Spain, where the traditional dining time is around 10:00 p.m.

I was drinking morning coffee without milk then heartburn started so I ate a tums but I thought it messed up my stomach and belching started. I've discovered sip some water after a sip of coffee to reduce acid in the esophagus. It's helpful.

How long can we take PPIs and what about the long term side effects? I do ok with PPIs but worry about long term.

What abt H. Pylori? SIBO/dysbiosis/neuromuscular weakness?

Dr. Kevin Ghassemi is an outstanding doctor.

Very interesting video. My problem started with a cough that persisted for 3 months. I eventually shook it but came back three months later. Four weeks into that, I started to get the lump in throat sensation which would not go away. My doctor put it down to reflux and gave me a PPI. I really went downhill after that. Started to get bloating, belching, and heartburn. After four weeks on the PPI I was referred for an endoscope and esophagitis was found. Another 3 weeks of PPIs and in my follow up visit I was admitted to hospital for more tests. I had a ct scan and while no cause for the reflux was found, there was scarring in my lungs which they are putting down to reflux. I just been discharged with a 4 month prescription for more PPIs - 40mg twice daily. I have a followup visit in 6 weeks. My quality of life has gone down the toilet, I feel miserable most of the time. I'm often sensing what I can only describe as a mist of acid coming up and irritating often up as far as the back of my throat. Going to try an alkaline diet to see if it helps. The magnetic ring device looks promising but I think I'm still a way off the point where surgery would be considered - my doctor has not even mentioned the s word yet.

My throat was completely fine until I took one pill of Omeprazole which is a proton pump inhibitor and ever since I have had difficulty swallowing. Has anyone else had this happen to them? It’s been about 3 months and it’s improved moderately but there is still problems. Also my tongue and the roof of my mouth feel weird as well.

So, Dr. Ghassemi, what causes the increased abdominal pressure? (DDx: bacterial dysbiosis / overgrowth, producing excess H2 gas; poor diaphragmatic tone, which would reduce hiatal pressure or herniation; obesity, which can produce a mass effect; overactivity of T6-T9 vertebrae, which innervates the stomach; etc., etc., etc.)

Isn't reflux due to low acid in the stomach? This doctor is talking about reducing acid even more with medication!! Strange !!

Every time i gain weight i cant breathe driving, belching and the worst was neck ache with nausea (mostly like morning sickness) then throwing up bile. Not going to gain weight or eating tomatoe soup again!

I have a hiatal hernia and bad gerd I want get surgery who should I talk to.

Are these Stomach Conditions affected adversely by taking d Vaccine? Anyone with and reactions ?

BMI index, weight loss may help you.

Been on PPi's for 8 days and had the endoscopy. Dr. recommends taking Protonix for 3 months. Never had any problems with heartburn but told I have GERD. PPI's don't seem to help and I have severe upper back pain between shoulder blades. Protonix doesn't seem to be helping me and I want to know if I can stop taking it. From what the doctor described @14:48 could it be possible that I am hypersensitive and need something else or nothing at all? I should mention that I was on antibiotics up until 2 days before the endoscopy due to an infection and took one Protonix pill before quitting for 2 weeks due to the endoscopy. More problems seem to happen after the endo. Like something stuck in throat, coughing, more belching, more gas, weird electrical shock feeling in my head and this horrible back pain in upper back. I would rather quit taking this med but want to make sure not making a mistake.

Anyone got no appetite as well

Will gerd sympton worsen after vaccine ?

Who feels like they can't catch their breath sometimes?

He is a good doctor. But most doctor bad doctor syamdrom bds

No point Do surgery