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Post by historytracker on Aug 7, 2014 1:16:33 GMT -5
I saw Dr. Greenbaum yesterday and now I will be taking 20 mg. Omeprazole two times a day for the heartburn and any anti. He also said I need to be a "detective" and find those foods that are triggering the heartburn. That is kind of what I have been doing. The main culprit is sometimes the vitamins.
First of all - I can not take all of them at the same time. I am thinking about changing the vitamins and try to take less pills. It is not that I want to miss what I am taking, but to find different versions of the vitamins, such as in liquid form. I know I used Vitalady for this last order, but I need to research more about the vitamins. I want to take less pills, but accomplish the right nutritional requirements for the DS.
Anyone have any suggestions?
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Post by newyorkbitch on Aug 7, 2014 5:16:00 GMT -5
Start the omeprazole twice a day and don't change anything else. See if that fixes it.
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Post by OnMyWay2Thin on Aug 7, 2014 5:29:12 GMT -5
Hi Cindy,
I'm curious to see if taking the second dose does the trick. I'm about to order Vitaladys recommendations as so far I've only been taking the multi 3x per day and B-12. I definitely need a calcium as the liquid calcium I bought is too thick to come out of the bottle! I was told to hold off on iron as my iron is really high right now from IV bags in the hospital. Keep us posted and let us know if it works.
Kelly
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Post by newyorkbitch on Aug 7, 2014 19:52:03 GMT -5
Vitalady's vitamin schedule divides up into 4 times a day so you don't take everyone all at once - you shouldn't take everything all at once.
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Post by bboop on Aug 8, 2014 1:02:44 GMT -5
I take a script anti heartburn pill and I still can't take vitamin C...if anybody knows of one that is easy on the tummy tell me. Even the time release seem to bother my stomach. I can actually feel the burn. Not good.
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Post by historytracker on Aug 8, 2014 1:31:36 GMT -5
I have my pills broken up to 4 times a day. I take 15-20 minutes each time I need to take pills. I know I cannot take them all at once. The mid day pills make me nauseous. My heartburn starts from the time I take those pills and sometimes continues throughout dinner.
I started taking the Omeprazole twice a day. Greenbaum suggested that I stop taking vitamins which I believe I will do until I get this under control. I want to research vitamins to see if there are other options for me to take. I know with Vitalady I ordered her 3 month supply (chewable) vitamins. So I need to see what other options she has. Well with DS, things change so hopefully this is not forever.
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Post by newyorkbitch on Aug 8, 2014 2:03:27 GMT -5
Bad advice to stop your vitamins.
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Post by historytracker on Aug 8, 2014 5:02:41 GMT -5
Just temporarily I want to try it a day then try each vitamin and see which one might be causing the heartburn. I do not think it is the iron or vitamin C as that is what I am taking in the morning. I take all the meds slowly over time and it always is the mid day pills that start with the heartburn.
Also I have been the same weight for the last 8 days and I have had it! I need to get this under control so I can focus on getting back to health and losing weight. Now I could be in a plateau and at least I am not gaining weight. I just need to keep focused.
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Post by newyorkbitch on Aug 8, 2014 5:38:20 GMT -5
Plateaus are completely normal and they are going to happen. You can't worry about it. Just keep focusing on protein and fluids.
You need to give the new way of taking omeprazole a chance for a few days.
Take a zantac at noon and see if that helps.
Don't stop your vitamins.
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Post by historytracker on Aug 8, 2014 6:58:06 GMT -5
Zantac - I will try that. I am only stopping the vitamins then trying each one to see what is giving me heartburn from the mid day vitamins. I have it every day and that is without eating food. I also want to restrict caffeine intake and I am an ice tea junkie. So today I am only drinking water and other non caffeine drinks. I will be back on my vitamins shortly. There is no way I want to be deficit in my blood work.
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Post by illinids2 on Aug 8, 2014 8:42:26 GMT -5
Zantac - I will try that. I am only stopping the vitamins then trying each one to see what is giving me heartburn from the mid day vitamins. I have it every day and that is without eating food. I also want to restrict caffeine intake and I am an ice tea junkie. So today I am only drinking water and other non caffeine drinks. I will be back on my vitamins shortly. There is no way I want to be deficit in my blood work. Not having any food is likely hunger pain coming across as heart burn to you. You should be eating something small every one to two hours during the day as that is best way to get protein and it will make you feel better. I have a hard time believing the vitamins are causing GERD symptoms. Anything is possible buy I don't see that as likely. You also have to stop thinking you are going lose a certain amount of weight every week. It will fluctuate from nothing to a bunch, but you will lose a significant amount of weight the next 9 months...of this I am certain.
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Post by newyorkbitch on Aug 8, 2014 10:21:49 GMT -5
Having an empty stomach can trigger heartburn. You should be eating small, frequent meals. Reduce your caffeine consumption. Don't eat for 3 hours before bed. Take a zantac in the middle of the day. Don't eat citrus, tomatoes, or spicy food.
Try all of that BEFORE you consider changing your vitamins.
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Post by Girlrocker on Aug 8, 2014 10:38:10 GMT -5
Cindy, a week is NOT a plateau - 4-6 weeks, maybe. And you can't stop taking your vitamins, because you are juggling heartburn and have a side health issue that also takes your time/mental energy away from focusing on weight loss. This is LIFE. You have a surgery tool, guidelines you have to follow, and there will be a lifetime of obstacles that can come our way. I understand as I posted on your other thread the particular anxiety being a revision, being in a weight range you've never been past before and the fear you won't get past it. But you have got to drill into your head that you cannot force, rush this, diet, manipulate. Do the work with your DS re: your food, liquids and vitamins. Add light-moderate exercise this early out, PROGRESS on all fronts. You will tweak as necessary, which is different than manipulating, break away from diet mentality.
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Misty
Junior Member
Posts: 60
Surgery Type: DS
Surgery Date: 07/22/2014
Surgeon: Dr. Hazem Elariny
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Post by Misty on Aug 8, 2014 14:07:50 GMT -5
Zantac - I will try that. I am only stopping the vitamins then trying each one to see what is giving me heartburn from the mid day vitamins. I have it every day and that is without eating food. I also want to restrict caffeine intake and I am an ice tea junkie. So today I am only drinking water and other non caffeine drinks. I will be back on my vitamins shortly. There is no way I want to be deficit in my blood work. Not having any food is likely hunger pain coming across as heart burn to you. You should be eating something small every one to two hours during the day as that is best way to get protein and it will make you feel better. I have a hard time believing the vitamins are causing GERD symptoms. Anything is possible buy I don't see that as likely. You also have to stop thinking you are going lose a certain amount of weight every week. It will fluctuate from nothing to a bunch, but you will lose a significant amount of weight the next 9 months...of this I am certain. This just happened to me. I kept complaining of heartburn. Medicating for it and still no real resolve. Finally 2 days ago I decided to have a protein shake when it started and it went down fine, heartburn gone. It turns out I really could not tell the difference between hunger pain and heartburn! Seems silly that I couldn't tell the difference but just goes to show that we are relearning the whole eating thing!
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dawn4511
Junior Member
Posts: 92
Surgery Type: Revision
Surgery Date: 08/14/2014
Surgeon: Dr Dennis Hong
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Post by dawn4511 on Aug 8, 2014 14:46:56 GMT -5
Thanks good to know re the hunger and not heartburn. I will have to keep that in mind when it's my turn.
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Post by newyorkbitch on Aug 8, 2014 15:58:26 GMT -5
I am not sure there is confusion between hunger and heartburn - it may just be that by eating/drinking something, the heartburn stopped. An empty stomach can be a heartburn trigger.
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Post by west4thavenue on Aug 8, 2014 18:01:44 GMT -5
Thanks good to know re the hunger and not heartburn. I will have to keep that in mind when it's my turn. Abdominal sensations in general are all a new world to me. I never felt "full" before this surgery. And I ate fast. I can't do that now ! Hunger feels different than it used to feel. For me, this has involved a significantly large learning curve in many respects.
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Post by historytracker on Aug 9, 2014 4:03:03 GMT -5
I experimented with vitamins yesterday. I decided to try all the pills to see if anything was triggering the heartburn. All of these were taken on an empty stomach. I do not eat then drink for 1 hour after my meals. I did not have any of my diet Snapple ice teas which I usually have 2 a day. I avoided the caffeine.
I got in a protein drink (50 grams). For breakfast I had a slice of diet rye with turkey sausage and a slice of cheese. I had a string cheese for a snack and later I had 2 oz of tuna with mayo and some cheese.
Heartburn was much better and was relieved with 20 mg Omeprazole. However I took my night time vitamins just before bed and I had to get up and grab some tums. I think it could be a combination of things such as maybe taking them too fast, on an empty stomach or could be related to caffeine intake.
New York Bitch - I hope you are wrong. My roma tomatoes are just turning red in the garden, I zest all kinds of citrus in my cooking and I love spicy food! Guess in time I find what things I need to avoid.
Thanks for your help.
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Post by newyorkbitch on Aug 9, 2014 6:08:19 GMT -5
Why are you taking all your vitamins on an empty stomach? Why are you having an empty stomach at all? You should try to eat small frequent meals throughout the day.
Tomatoes, citrus, spicy food - all well known acid triggers. Do some reading about heartburn.
Heartburn is not "relieved" by omeprazole - omeprazole is a PPI. Zantac provides relief if you get breakthrough heartburn.
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Post by illinids2 on Aug 9, 2014 6:44:29 GMT -5
Not sure what diet rye bread is but eating bread this early on is not wise in my opinion as it bloats the stomach and keeps protein from being eaten because you are full. Guess what else a full and bloated stomach will csuse? Yep, "indigestion"/heartburn because your stomach is jammed pack.....and as NYB said acidic fruits are a key trigger as well.
At this point you need to be eating small and frequent meals that are simple. Meat(seafood included), cheese, eggs, Greek yogurt, sour cream and nuts should be your staples. As you get further out you can add things back slowly but for now you have the stomach of a baby and you wouldn't feed a new born acidic and spicy foods so why do you think you can do it and then wonder why you have GERD.
I don't mean to be harsh but you have to get your head wrapped around DS life and what you need to be doing early on. You are going too fast with foods and you have to stop the diet mentality.
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Post by west4thavenue on Aug 9, 2014 11:56:23 GMT -5
My surgeon told me there were two foods that I needed to avoid for the first year post-op: bread and rice. He said they expand in your stomach. Same thing for carbonated beverages. I know exactly how you feel about your own produce. We had the most beautiful and abundant crop of grapes this spring, and I couldn't touch them. I kept telling myself it's just this one year. Next year I will be able to enjoy them...in moderation, of course. High sugar content. I'm in my 5th month out from surgery, now, and have only begun to tolerate tomatoes in the last couple of weeks. You are SO fresh from surgery. I think you need to pass on the tomatoes for a while.
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Post by illinids2 on Aug 9, 2014 20:21:24 GMT -5
My surgeon told me there were two foods that I needed to avoid for the first year post-op: bread and rice. He said they expand in your stomach. Same thing for carbonated beverages. I know exactly how you feel about your own produce. We had the most beautiful and abundant crop of grapes this spring, and I couldn't touch them. I kept telling myself it's just this one year. Next year I will be able to enjoy them...in moderation, of course. High sugar content. I'm in my 5th month out from surgery, now, and have only begun to tolerate tomatoes in the last couple of weeks. You are SO fresh from surgery. I think you need to pass on the tomatoes for a while. Rice doesn't bother me but bread bloats me quickly. Carbonation doesn't feel good and will send me running the bathroom.
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Post by historytracker on Aug 10, 2014 3:30:46 GMT -5
You know since I was a kid - all I eat for breakfast is toast and some protein. I hate eggs and cereal and all the carbs that I eat are from breakfast pancakes, waffles and bagels.
So one piece of toast and that is the only bread I eat all day is going to kill me?
Also - I was heartburn free yesterday. Gee I must have done something right.
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Post by OnMyWay2Thin on Aug 10, 2014 7:00:21 GMT -5
Hi Cindy,
I am so happy to hear you were heartburn-free yesterday!! That's awesome. I think you're doing a lot right. Overall, however, I can't wait until this all becomes second nature to us. I don't want to wish away time but I'm hoping that in about 3 or 4 months, it's all just part of the normal routine.
Have a great Sunday, Kelly
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Post by Joanne on Aug 10, 2014 7:08:12 GMT -5
Hi Cindy
I had terrible heartburn for a few months, too. I honestly cant remember what strength or combination of drugs I used back then, but remember they helped. My surgeon told me most people hit a point around 6 months out where it gets better, and that was true for me.
Regarding the toast - I'm not a proponent of the good food / bad food diet mentaility. To me the only hard and fast rule is to get in enough protein, but it's also important to make good choices. My first concern would be with that bread are you having enough room to eat enough protein. My second concern would be would it lead to more carbs, one piece leads to two etc. So will one piece of bread itself hurt you....not sure. It's a tradeoff for sure. If you want to maximize your weight loss window, it would be the first thing I would eliminate. Maybe save it for a few times a week treat.
Why the turkey sausage (instead of regular?). If you prefer it, that's one thing, but I hope you're not still subscribing to low fat. I know it's counter-intuitive but trust me, more fat will make you lose faster.
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Post by Joanne on Aug 10, 2014 7:16:03 GMT -5
You know since I was a kid - all I eat for breakfast is toast and some protein. I hate eggs and cereal and all the carbs that I eat are from breakfast pancakes, waffles and bagels. So one piece of toast and that is the only bread I eat all day is going to kill me? Also - I was heartburn free yesterday. Gee I must have done something right. Also for breakfast choices that aren't eggs, think outside the box. You can eat whatever you want for breakfast. When I was in Europe breakfasts were all cold cuts and cheeses. Have you tried Greek yogurt? I eat Fage the same way every day. I mix up about a cup of Fage with two squirts of sf vanilla syrup. I add a splash of cream (because I like it more thin than thick, and I want to add in some fat). I mix that all up with frozen berries. The berries keep it icy cold, and really defrost within a few minutes. I love it that way. My best advice is to try to find what you like, even if it's not eggs. Some other things I eat with my breakfast, other than eggs, are: Cucumber slices with cream cheese Smoked salmon rolled around cucumber spears spread with cream cheese Slices of deli ham fried in a pan with cheese Queso fresco fried in butter Peanut butter or nuts Protein shake The codl toppings off my family's pizza from the night before (true!)
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Post by newyorkbitch on Aug 10, 2014 7:58:03 GMT -5
I ate a bowl of tuna salad for breakfast today…breakfast can indeed be anything you want.
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Post by illinids2 on Aug 10, 2014 8:29:55 GMT -5
You know since I was a kid - all I eat for breakfast is toast and some protein. I hate eggs and cereal and all the carbs that I eat are from breakfast pancakes, waffles and bagels. So one piece of toast and that is the only bread I eat all day is going to kill me? Also - I was heartburn free yesterday. Gee I must have done something right. Toast is not going to kill you but it will keep you from getting in protein and can cause heartburn. Just trying to be honest. DS eating is different.
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Post by illinids2 on Aug 10, 2014 8:34:01 GMT -5
And to be clear I don't worry about carbs my comments are about bread bloaring....The carbs are no biggie if you are getting your protein in....and as I said I don't want to come across as harsh I really am trying to help you make conversion, as are other members, to the DS lifestyle. .it is different.
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Post by newyorkbitch on Aug 10, 2014 8:34:57 GMT -5
Any room you have, at this point, should be for protein and fluids. It's too soon to be eating carbs.
I'm glad your heartburn was better yesterday - but do not stop your vitamins.
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