Have been dealing with horrible stomach pain and bloating that has made it very difficult to eat and sleep over the past few weeks and has obviously exacerbated akathisa due to the stress. I was prescribed protonix (proton pump inhibitor), pepcid (antacid/antihistamine), and carafate (antacid) to treat this but very worried about how this will affect akathisia due to past medication sensitivity.
I didn't want to take anything but the pain will not go away no matter what non-medication route I go down so I don't really have much choice. Anyone have experiences with these types of medications with aka?

F20, 5’5”, 95lbs
Diagnosis: GERD, gastritis, hyperactive gallbladder
Medications: pantoprazole, carafate, zofran (as needed), gaviscon (as needed)
I do not take any vitamins, supplements, or use any other substances. I get acid reflux all the time no matter what. When I’m hungry I get acid reflux, I eat I get acid reflux, I drink water I get acid reflux, I get stressed I get acid reflux. I will take antacids to try to stop it, but they don’t help and neither does the PPI. I’m on the GERD and gastritis diet, but still get acid reflux. I will get constant pain in my stomach, bloating, I can’t breathe most of the time, my chest hurts, my throat feels tight, I’m always nauseous, I have little to no appetite, and I keep losing weight. I don’t know what to do at this point, I’ve done so many test with the majority coming back normal. Should I go to the ER? I’ve been like this for over a year, I cannot live like this forever.

Hi there! I recently posted a vent the other day and had gone to the emergency room. I’ve been dealing with this sort of problem for a little over 5 months now and I’ve been prescribed a few medications and wanted to share what has worked for me so far.
Omeprazole 20 mg (brands like Prilosec) - I was prescribed 20 mg and to be taken once 30 minutes before breakfast. For me, it had worked in the past, but hasn’t really had a huge effect on me until recently. I’ve been taking it for about 3 weeks (tomorrow marking 3) and I started to feel more nauseous the more I take it, making it difficult to eat in the mornings. I was advised from my emergency care doctor that I could still take it but if I see that it isn’t helping, I could stop.
Antacid (Tums) and simethicone (brand names can be Gas-x) - I found these to have been useful for the first three days and then caused a lot of pain for me, especially the simethicone. There would be days that it would caused me to double over in pain and it was too much to handle. I stopped taking both because I noticed that they weren’t much help.
These next three medications were prescribed to me by the emergency care doctor.
Aluminum hydroxide, magnesium hydroxide, and simethicone (brand name is Maalox Advanced Maximum Strength or Mylanta) - This one I find to have been pretty helpful and I started to take this one yesterday. This is a liquid medication, so my doctor recommended to take 20 milliliters 4 times daily as needed for indigestion, between meals and at bed time. I had bought the generic brand at my local pharmacy because I couldn’t find the other brands but make sure that they include the three ingredients listed. I feel like it costs your stomach to prevent any discomfort. The pharmacist told me I could take this an hour before eating to prevent discomfort or as instructed. I took this about three times yesterday after purchase and I feel like it had helped me. Of course, every stomach is different but this is what I’ve seen has helped me the most. Some of these liquids come in flavors, and I would recommend cherry or anything that is not mint or lemon flavor (sometimes I wonder why they even make those flavors as those are really hard on the stomach).
Famotidine 20 mg (Brand is Pepcid) - The doctor told me that this was similar to omeprazole and it would be okay to take them together (omeprazole in the morning and this one at night) and I have not tried it so far because he suggested I’d try each of the medications he prescribed once at the time to see what helps me the best. I’ve seen a lot of people say that this medication works well for them and I hope that it does help me too.
Sucralfate 10 mL (Carafate brand) - This was prescribed as 10 mL four times a day for any abdominal pain and discomfort. I haven’t tried this yet since I am trying out each medication one by one, but I will soon try this medication out. A lot of people on here have recommended that this helped out a lot, so I have high hopes for it. The doctor told me that this is mainly for the pain, and he recommended me to wait since I was on my cycle the time of my visit and told me it could interfere with my cramps, depending on how my cramps had been with my symptoms.
I wanted to just share these and see if anyone had any advice on which to take, like I had mentioned, I find the Maalox generic to have helped me recently, I slept so well last night and didn’t wake up with any pain (I haven’t slept properly for the past week due to the intense flare ups) so that was such a relief. If you do try this one out, let me know how that works for you! I am not a medical professional in any way, but these were recommended to me by a medical professional! Wishing everyone a safe recovery 🫶🏼

I am 19 M and have been diagnosed with gastritis for about 4 and a half months now. It has been an up and down road to recovery. I am currently taking 40 MG pantoprazole once a day, along with carafate twice a day and Pepcid tablets when needed. I am also on a relatively bland diet (chicken, pasta, broccoli, basic breakfast bars) and have been for a couple weeks now. I am struggling with constipation presumably due to all the PPI and antacids I have been taking. However, I don’t want to stop taking this due to fear that my gastritis symptoms could worsen. Also wondering if vaping nicotine products regularly is affecting my recovery process? Is there anything yall would recommend I take on top of the stuff I’m already taking or anything I could be doing differently? A response would be much appreciated as I am starting to get frustrated with the whole process.

I think I developed gastritis at the beginning of January after heavy food, alcohol, and then a food poisoning episode lasting 2 weeks that probably broke the camel's back.
Initially it was hard to figure out what I had but symptoms were anxiety, hot feelings on one side of my neck that would come and go, general abdomen discomfort, and pins and needles in my limbs. I was on antibiotics + PPIs for the food poisoning and seemed to be getting better, but I guess my stomach must have gotten progressively more inflamed—when I thought I was OK I had a burrito and that caused a lot of nausea and vomiting that sent me to the ER for dehydration (started having heart palpitations and buzzing in my whole body).
After the ER was when it truly started resembling gastritis for me. I’ve had gastritis 2 years ago (was caused by spicy food, sour candy, and NSAIDs) and it felt similar. It had resolved in around 2 weeks; endoscopy 2 months later showed H Pylori so I did the treatment to eradicate it (wasn't confirmed though).
Anyway so this time, I only ate rice, bananas, and oatmeal and slowly introduced salmon for variety. I was getting back to normal over the course of 2 weeks. But I was set back by a single peppery dinner last week that caused a very delayed flareup after 18-24 hours (unfortunately I had leftovers from the meal for lunch because I thought I was in the clear).
I am still going through an extended flareup (with some days of relief) despite returning to a bland diet and eliminating triggers. My symptoms almost always seem to manifest as this kind of sprain-like feeling in my left arm along with heat or churning in my stomach area.
Anyone had similar experiences, and any ideas on causes and treatments? I am at my wit's end and it almost feels like my lack of hope because of the persistence of this condition is almost as bad as the condition itself.
edit to add: Since the ER trip I’ve been having Carafate and the PPI together, along with antacids PRN... just also added slippery elm tea (just powder and honey in water) to the rotation.

Hi all, currently taking PPI’s (40mg x2 a day) a H2 blocker x 2 a day and antacids/ carafate for pill induced esophagitis.
I know PPI’s are linked to kidney stones & I so I’m wondering if there’s any tips I could use to reduce the risk of them forming? (Other than water of course)
Only going on the meds for 2 weeks before weaning, but worried about my kidneys & iron levels in the meantime.
TIA!

Hi everyone, I need advice. I cannot tolerate Xyrem anymore. I tried Xywav and failed that too. I was totally fine for a little over a month…until I started vomiting violently every morning and I started vomiting blood. I went to ER and the blood was because I was busting capillaries from how hard I was throwing up. It’s essentially the same thing that happened on Xywav. Apparently my guts cannot tolerate the medication despite a lot of troubleshooting on my end. I’ve tried eating 2,3,4 even 5 hours before taking the meds, taking my acid reducer at different times, I tried Carafate, antacids, different doses. You name it, I tried it to make it work.
The issue I have now: the month Xyrem was working, was the best month I’ve had in years. I am absolutely distraught because I had my life back. Now I’m about to go without it and I’m not sure what to do. The last few days I haven’t been taking Xyrem have been awful. Stimulants aren’t really an option (I take Adderall for ADHD but I can’t take a higher dose) because of heart issues. I tried Wakix and had a horrible reaction to it. I am allergic to Venlafaxine so I can’t take that. I also cannot use cannabis, it is not an option for me.
What are some other treatments that have worked for you?

Labrador is 12.5. Former guide dog for the blind, now an elementary school therapy dog.
Started vomiting Thursday night, including all his food. No breakfast given; continued vomiting on Friday. Gave 1/2 cup food and water for dinner, vomited it all up. Took him in Friday night. X-ray was normal, blood work okay, but showed high cpl (was "unreadable" as it said it was over >1175 with >400 showing signs of pancreatitis). Vet said to treat as Pancreatitis.
Left vet with anti nausea meds and carafate (to help heal stomach before food) and told to give chicken and rice. Still won't eat. Had a little water overnight but also vomited again. Now Saturday and no food and drink all day and vomited once more. Took back to vet and got pain meds, antacid, and Gabapentin. Having a hard time giving him any meds. Vet now closed. I know he needs fluids but all emergency vets within 2 hours are full.
Now what? Is he dying? Is there a chance he'll start eating tomorrow? I'm hysterical. Is there more/different that he should be getting?

Labrador is 12.5. Former guide dog for the blind, now an elementary school therapy dog.
Started vomiting Thursday night, including all his food. No breakfast given; continued vomiting on Friday. Gave 1/2 cup food and water for dinner, vomited it all up. Took him in Friday night. X-ray was normal, blood work okay, but showed high cpl (was "unreadable" as it said it was over >1175 with >400 showing signs of pancreatitis). Vet said to treat as Pancreatitis.
Left vet with anti nausea meds and carafate (to help heal stomach before food) and told to give chicken and rice. Still won't eat. Had a little water overnight but also vomited again. Now Saturday and no food and drink all day and vomited once more. Took back to vet and got pain meds, antacid, and Gabapentin. Having a hard time giving him any meds. Vet now closed. I know he needs fluids but all emergency vets within 2 hours are full.
Now what? Is he dying? Is there a chance he'll start eating tomorrow? I'm crushed. Is there more/different that he should be getting?

Hey guys, I’m extremely overwhelmed with all the medicine I have to take and the timing around them and around food. It’s become an all day thing I have to worry about and taking over my life. I get an uncomfortable fullness and pressure no matter what I ear or how slow or how little. I’m finding trouble fitting in my normal medications I was already taking before this flare up.
So of course Pantoprazole, I was taking once a day but after last E.R visit, was told I can start taking twice so I’m assuming to fit that in at night somehow.
I’ve been starting the day with pantoprazole but am wondering if this has to be taken on its own? Can I wake up and take this plus my normal meds at the same time? (I think I have to starry crushing my pills anyways hard to swallow them.) Or does there have to be a wait? So I have to wait 30 mins before I can eat? Or can I eat at the same time?
I’m also started on sulcrafate 4 times a day, but this specifically says to wait 30 mins before eating anything, hour before and hour after antacids which sucks when I take it and have a reaction but then have to suffer before I can take mylanta or tums. Can I take sulcrafate at the same time as pantoprazole, my normal meds (including birth control pill) and wait 30 mins to eat then?
I also was prescribed Bentyl that requires time in between its use and anti acids, also to help taken up to 4 times a day. What about sulcrafate though? Can I take that with sulcrafate? Can I take it pantoprazole?
This whole thing is just adding so much stress on top of an already stressful situation. I can barely eat. I eat like half a potato a little bone broth and maybe a little fruit so far in the day which is not much…
It’s a full time job taking care of myself with this right now and is so painful to eat. Even right now I’m up at 5 am with what I call “the hungers” where if I don’t eat, my gastritis will send me into full blown inflammation response like I ate one of my food intolerances (gluten, soy etc.) which hasn’t happened the last few mornings so now I sit here and wait 30 mins because I started with sulcrafate but should I have taken pantoprazole first?
I’m going batshit insane and already pretty neurodivergent and take things very literally.
HELP! T.T
Edit: Took my Carafate, eating my puffed rice cereal with little almond milk, starting to get some discomfort while at the same time not satisfying my gastritis… so like can I take tums or mylanta here soon? T.T or do I have to wait longer since I took the carafate and ate?

First off I want to admit I have had health anxiety for years ever since my mom had colon cancer. For the last couple of weeks I have had crazy burning pain in abdomen and upper stomach pain under right ribs and awful back pain that spreads over my whole lower back. Everything I eat gives me extreme gas and terrible reflux but if don’t eat I feel just as bad. I have been on nexium for years. Even drinking water is an issue right now. Stools have been loose but nothing clay colored or jaundice with occasional diarrhea. No vomiting and I still have an ok appetite. I have been sleeping terrible and I wake up with gas and stomach pain early in the morning every day. My digestion stinks. I have had issues for years ever since my gall bladder was taken out but nothing this severe and it always been manageable abe. This feels like a different type of pain and I am terrified it is pc. I have lost about 5-10 lbs i have a doctors appointment next week. How likely does this seem like pc and what test should I ask for at the doctors appointment. 41 year old male. I had a colonoscopy and a scope 2 years ago and everything was clear then. Probiotics and any more antacids don’t do anything.
Update: Saw my doctor yesterday was prescribed carafate. Had an absolutely awful night unable to sleep to due pain all across my abdomen and back. Had my wife take me to the er. All of my blood tests and urine tests were perfect. Pushed for a ct but the doc said it was not necessary at this point which was disappointing. Anyways I guess I will continue with the prescribed meds and see if there is any improvement. Going to see my chiropractor soon to see if that helps with any of the pain. It is nice to know that blood work was clear and that docs don’t think it is anything pancreas related but i would feel a lot better had I gotten a ct that was clear.
Update #2 Had a follow up with my doctor today. Abdominal pain has improved some but pain across my lower lowecenter back and especially below right ribs has gotten considerably worse. Have managed to gain a few lbs over the holiday weekend which is encouraging. Pain seems to be worse when sitting or laying on back but is there 24/7. Feels a touch better after eating and then gets really bad a couple hours later. Ct scan was scheduled but it sounds like it will be a few weeks. Just never has consistent amount of pain like this. Between the pain, gas, indigestion, it is really wearing on me. I am not feeling great about what the ct is going to find.

Hi all,
I've had requests to post my potentiator stack across this and a few other boards, so I wanted to make this post to share what I've learned and so I can send this to those who ask in the future. Three things first: grapefruit juice and arginine inhibit kratom's effects for me, so I no longer use them. You can use them on off-days as it supposedly helps; still in the beginning stages of studying this. Secondly, for all except the multivitamin, I take the label-instructed dose +1 as I'm a hefty fella. I won't list out brand names but I get pretty much all my potentiators from Amazon and a local health foods store. Thirdly, and most importantly, ***do not take your regular dose when using any potentiators for the first time***. Depending on your tolerance, you may want to drop your dosage in half and try these one by one (at the time I began experimenting with potentiators, I had an extremely high tolerance ($600/month in extracts) so I just cut my dose in half and used all the potentiators at once and it was like my first time again. Most of these products can be easily acquired through Amazon or a local health foods store.
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IMPORTANT NOTE: if you are a long-time and/or regular user, please also consult this thread:
https://www.reddit.com/kratom/comments/17s6uyz/a_rarely_discussed_serious_side_effect_of_kratom/
Regarding the above thread, I am still in the beginning stages of learning about what works best for me, but this is something that is well-worth your attention and the investment in a few supplements (all of which are mentioned in the OP)
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Anywho, enjoy, and I hope you find this helpful.
Minimum 1 hr before dose; 2 is better

• Black seed oil
• Turmeric
• Magnesium citrate
• Multivitamin (must contain zinc)
• Agmatine Sulfate
• Ibuprofen
• Allergy meds if you get itchy on kratom
• CBD Isolate powder (you can use other forms of cbd, this is just the most cost-effective and easily absorbed. I just down half a teaspoon every few hours on my kratom day).
• When dosing, drink pure organic lemon juice, mixed with raw honey (more cost effective and better for the environment if you can find the kind that comes in a big glass bottle rather than the little lemon-shaped ones; they also tend to be higher quality) (note that there is a balance which must be struck when it comes to the PH of your stomach in order for the kratom to remain fully intact throughout the absorption process without suffering damage from your stomach acid. Some days if my stomach feels a little acidic, I'll take 4 Pepto Liquicaps* before my lemon juice, or just skip the lemon juice entirely - more on that below)
• Bonus item: I take kratom on a completely empty (24 hrs since last solid food ingestion, avoiding fibrous liquids) stomach, but a reputable source has said that pairing your lemon juice with a small amount of a dense, fatty cheese can boost absorption. I haven't tried this too many times for fear of food wasting my dose, and I'd only recommend it if your stomach feels more acidic/not backed up, but give it a shot. Cheese rocks.

If my stomach feels 'backed up'

• 2-3 prebiotic + probiotic gummies (Align brand, amazon store brand is awful and useless) following kratom ingestion

If my stomach feels acidic

• Ginger powder capsules
• Pepto Bismol liquicaps

If I feel like I might get nauseous

• 1 Dramamine, non-drowsy
• 4 Emetrol chewables

And that's it. I don't know if I can post brand/product names, but if a mod ok's it, I'll post the most bang-for-your-buck, high-quality non-liquid extracts (fuck shots) I've found in about 10 years of regular use. One of them is a green and the other is a heavy red. I don't find much of a point in going for white/white-leaning strains/products because reds and greens always produce more euphoria and pain relief (for me) and if I get too sleepy I can just have a bit of caffeine (I'm hypersensitive to it so I'll just have a weakly-brewed cup of decaf tea, which does still have caffeine in it). Thanks for reading!
*this section previously recommended Tums - after experiencing the agony of joint calcification, I am completely done taking Tums for the rest of my life - Pepto Liquicaps are the only OTC antacid I will ever take - bear in mind that taking antacids at least 30 mins before your kratom dose can really boost the efficacy of your dose by ensuring that your stomach acid does not destroy any kratom before it has a chance to be absorbed. If you regularly struggle with stomach acidity, I recommend talking to your doctor about pantoprazole and sucralfate/carafate.
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• Updated 1/7/24

I've dealt with flare-ups of excruciating stomach pain for 20 years. My last scope was about 12 years ago. At the time, the doctor said I had some gastritis, but that everybody has some gastritis if you scope them. I've never noticed improvement with antacids. I have zero bowl issues, nausea, or reflux. It's just this pain that feels like I'm being stabbed by a burning hot knife.
I had Covid a couple of weeks ago, followed by the worst flare-up I can remember. I saw my PCP last week but went to the ER when the pain got unbearable. They did a CT, blood, and urine. Everything was normal, so he gave me protonix and carafate. I can't tell if they're helping. I'm working on getting a GI appointment, but my insurance is terrible.
The doctors I've seen seem to think I'm overreacting to a mild ailment, but I've had a natural childbirth, and this pain is absolutely worse than that. So my question is, how much does gastritis hurt? Can it leave you crying and doubled over on the floor for days? Because whatever is going on in there feels anything but mild.

Hi, guys. I'm 7 weeks post op and for the last 2 weeks, I've had severe, debilitating nausea, vomiting and fatigue. I'm barely able to function. I, of course, called the surgeon and she advised in a brief message that this is common after introducing new foods back into my diet. I might buy that if I introduced new food in my diet. I've been following their diet recommendations and, up until that point, only had very mild nausea once coming home after surgery. I've run a fever on a few of these last few days. However, I'm still taking my vitamins, drinking maybe 45 Oz of water and am keeping down 2 protein shakes a day. Feeling this way is a real problem as I'm single without any family support and mother to a 7 year old. I had to keep her out of school on Monday as I was too sick to get out of bed. Is it normal to go through this in this stage post op? No medications..Zofran, carafate, antacids work. Any advice? Or should I insist the surgeon do additional testing (she always wants to throw meds at me without finding the root cause of stuff, which is really irritating. )
Have a great day, guys!

I’m back on Pristiq because my mental health has been the worst it’s ever been for the past year. It’s the only med that’s ever worked for me- I’ve tried over 20 different kinds (it’s a long, unfortunate story). I’ve been taking the starting dose (25 mg) for 3 weeks now and it has completely brought back my gastritis and severe reflux, which is torture, as you guys know. I’m confused because I’ve been on Pristiq two other times for extended periods at 3x the dose I’m taking now and it didn’t bring back my gastritis, so why is it so bad this time?? These days my body just rejects everything. I swear my medication sensitivity got way worse after my doctors had me try far too many.
Anyone ever had a gastritis flare from Pristiq and eventually gotten past it (with diet and lifestyle changes) without having to quit taking the Pristiq? I really feel like I don’t have an option here. Thanks in advance for any input!
Btw, it’s probably worth mentioning ahead of time that I’ve struggled with gastritis on and off for 8 years. I have the diet nailed down, I was recently tested for H. Pylori again and it was negative again, I’ve tried every PPI and H2 blocker, carafate, antacids, natural remedies, you name it. I’m a seasoned gastritis sufferer so I know the remedies and such, I’m just beyond frustrated that I can’t treat my severe mental health problems without paying a painful price. I’m trying to stay positive and hope it’ll go away as I continue my strict diet and lifestyle, but I’ve also been through this enough times to know that it usually doesn’t get better until you cut out the main offender. I just can’t really afford to do that this time

Gastritis occurs when the stomach lining is inflamed and when the mucosal lining of the stomach is impaired. Gastritis increases the risk of developing peptic ulcers. The main approaches for healing chronic gastritis and peptic/duodenal ulcers involve addressing the root cause of gastritis and repairing the inner mucosal lining of the stomach.
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ROOT CAUSES (ETIOLOGY)

• H. Pylori. The bacteria H. pylori is a leading cause of gastritis and stomach ulcers. Blood, stool, and breath tests as well as biopsies can confirm this pathogen's presence. Beware that breath, blood, and stool tests sometimes show false negatives. Antibiotics used to eradicate H. pylori include amoxicillin, clarithromycin (Biaxin®), metronidazole (Flagyl®) and tetracycline. It's best to retest after antibiotic treatment to confirm that H. pylori has been successfully eradicated. Some popular natural antimicrobials used to combat H. pylori with clinical research backing their effectiveness include mastic gum and manuka honey.
• Peptic Ulcers. Peptic ulcers (stomach ulcers) are ulcers that develop in the inner lining of the stomach and can occur due to prolonged exposure to chemical irritants (i.e. alcohol, nicotine, NSAIDS, etc.) and H. pylori infections. Endoscopies are used to diagnose peptic ulcers. When left untreated, ulcers may transform into perforations (holes in the stomach), which is a serious medical emergency. With proper treatment, dieting, and lifestyle changes, peptic ulcers usually heal within a couple of months.
• SIBO, Candida, Dysbiosis. Small intestinal bacterial overgrowth (SIBO) can occur for many reasons, including when your GI tract has motility issues (impaired migrating motor complex [MMC]; impaired interstitial cells of Cajal [ICC]). PPIs that are used for long periods of time can reduce the acidity of the stomach in such a way that may promote SIBO. Tests to confirm SIBO include a breath test to measure any elevated levels of hydrogen, methane, or hydrogen sulfide ("Triosmart Breath Test" is a popular in SIBO). SIBO is infamously underdiagnosed and is thought to be a cause of many cases of IBS. Antibiotics used to treat SIBO include Rifaximin, Ciprofloxacin, and Norfloxacin. Some antimicrobials such as allicin, oregano, and berberine can also effectively reduce SIBO. In addition to antimicrobial or antibiotic therapy, leading SIBO researcher Dr. Mark Pimentel advocates that people suffering from SIBO try the "Low Fermentation Diet" (similar to the "Elemental Diet" and "LOW FODMAP Diet") to starve the SIBO. GI Maps are stool tests that can identify other microbial overgrowths, such as Candida.
• Bile Acid Reflux, Gallbladder Issues. HIDA scans measure the rate at which bile is ejected out of your gallbladder, which helps diagnose problems of the liver, gallbladder and bile ducts. Ultrasounds can detect gallstones. If you have issues with your gallbladder, you might have bile acid reflux. This condition can cause gastritis when the bile, which is secreted by your gallbladder to carry away waste and break down fats during digestion, flows into your stomach. Bile acid sequestrants (bile acid binders) are used to manage symptoms in this situation. Some cases of bile reflux occur or are made worse by the removal of the gallbladder.
• Food allergies, Food intolerances, Celiac Disease, etc. Food allergies can be a major cause of FD and gastritis. It occurs when the immune system mistakes food particles for foreign threats. However, food allergies are often overlooked for the following reasons: (1) most GI doctors do not test for food allergies (or food intolerances). (2) Food allergies are not always obvious to the patients because they don't always manifest as the more obvious symptoms (e.g. hives, itching, anaphylaxis). (3) You can develop food allergies at any time. (4) The root causes of food allergies are complex and aren't understood very well. Skin prick and blood tests can help diagnose food allergies. Food allergies can be classified as IgE-mediated, non-IgE-mediated, or a mixture of both. Unlike IgE-mediated food allergies, the non-IgE-mediated food allergies primarily cause symptoms in the GI tract (e.g. nausea, vomiting, IBS, indigestion). Celiac disease (CD) often manifests with dyspeptic symptoms. Chronic gastritis is a common finding for those suffering from Celiac Disease. Food intolerances occur for many reasons, such as when the body lacks certain enzymes that break down specific foods (for example, lactose intolerance), as well as other reasons.
• Autoimmune Gastritis. For example, Parietal, intrinsic factor, gastrin, and pepsinogen would be in the workup.
• Mast Cell Activation Syndrome (MCAS) is an uncommon condition that can cause gastritis, as well as other GI issues such as heartburn, dysphagia, constipation, diarrhea, nausea, and dyspepsia. MCAS is correlated to having SIBO as well. MCAS causes a person to have repeated severe allergy symptoms affecting several body systems. In MCAS, mast cells mistakenly release too many chemical agents, resulting in symptoms in the skin, gastrointestinal tract, heart, respiratory, and neurologic systems.

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HEALING AND TREATMENTS

• Prevent acid secretion and neutralize stomach acid. Medications such as PPIs and H2 Blockers to reduce the amount of acid your stomach secretes. Antiacid can be used to neutralize the acid already secreted. Reducing stomach acidity using medications such as antacids can reduce inflammation and encourage mucosal repair. PPIs and H2 Blockers work best when taken 20 minutes before a meal and may be used before sleeping. Some people suffer from hypochlorhydria, the condition of having low stomach acid. Symptoms can mimic GERD, lead to SIBO, and cause malabsorption. In this special exception, it's counterintuitive to take PPIs and antacids. Some people experience relief from GERD by sleeping on a 45-degree incline.
• Provide an artificial coating for the stomach. Prescriptions such as Carafate (sucralfate) and supplements such as DGL Licorice, Slippery Elm, Marshmallow Root, etc. provide an artificial barrier for your stomach. LG Chapellen recommends taking Carafate before sleeping since acid lingers during sleeping.
• Eliminate all chemical irritants. Strictly avoid nicotine, alcohol, caffeine, THC, NSAIDs (some painkillers), opiates, etc.
• Implement a bland, alkaline diet. Pursue a bland, alkaline diet that avoids acidic, spicy, and fatty (greasy, oily) foods to avoid irritating the stomach and reduce acid secretion. Protein should be consumed in moderation because it’s a complex macronutrient that’s hard to digest yet is essential for mucosa repair. LG Capellan advocates a diet of bland foods with a pH of 5 or higher. Chocolate, whey protein, and raw fibrous vegetables might also be triggers. Some people advocate a low FODMAP diet and avoidance of dairy and gluten. Since protein is essential for mucosa repair yet can very difficult for the stomach to digest, gut researcher LG Capellan recommends Hemp or Pea protein powder since it's easy to digest.
• Reduce inflammation. Consider supplements such as aloe vera, chamomile, and ginger to reduce inflammation in the stomach.
• Encourage mucosal repair. The mucous-secreting cells in your stomach benefit from supplements such as zinc-Carnosine (Pepzin GI), collagen (bone broth), L-Glutamine, MUCOSTA, and certain compounds found in cabbage. A relatively new product that may be worth trying is “MegaMucosa”. It’s a supplement designed to regrow the mucosal lining and has clinical trials backing its effectiveness.
• Eat more frequently with smaller meals. The stomach takes 2-4 hours on average to empty (unless you suffer from motility disorders such as gastroparesis and PDS subtype functional dyspepsia). Too much food at once can cause inflammation and irritate ulcers. The stomach produces acid when there's too much food and accumulates acid when it's empty for too long. Digestive enzymes may help with indigestion.
• Probiotics (enhance your microbiome). The healthy bacteria in your stomach are essential for good health. Lactobacillus and Bifidobacterium-based probiotics have anti-inflammatory effects that reduce the chance of developing gastritis. They also possess antioxidant effects that reduce damage to the intestinal lining. Prebiotic supplements such as fiber can be taken with the probiotic supplement to provide the food the probiotics need to proliferate in your GI tract. They’re also good at combatting indigestion (especially when taken in tangent with digestive enzymes). A brand of probiotics called "H. Pylori Fight" might also help.

​
Here are some other important things to consider on your journey to healing gastritis:

• Using Proton Pump Inhibitors (PPIs) with Carafate (sucralfate) and possibly H2 Blockers can be more effective than using these drugs alone.
• Healing from chronic gastritis can unfortunately be very slow for some people. But don't be discouraged. You can heal or at least get to a point where symptoms are manageable if you identify the root cause and practice the best regimen for healing.
• The path to recovery in gastritis has a very small margin of error. One small mistake can set you back a long time. Mistakes are very costly in the road to recovery. Be strict on your regimen for healing.
• Autoimmune diseases and Chron’s Disease are rare causes of chronic gastritis.
• Antiemetic drugs such as zofran, phenegran, compazine, scoplamine, dramamine, etc. can help prevent nausea and vomiting. Herbal remedies for nausea include ginger and peppermint.
• The notion that stress is a root cause of gastritis is outdated conventional medical knowledge cited before the discovery of H. pylori. Stress and anxiety can exacerbate symptoms, but they are unlikely to be root causes.
• Some people argue that long-term PPI usage can be harmful, leading to SIBO, hypochlorhydria, and increased GERD symptoms. Many people experience an acid rebound withdrawal effect when stopping PPI usage. LG Capellan recommends using H2 Blockers as a way to ween off PPIs.
• Ask your doctor about gastroparesis (delayed gastric emptying) and functional dyspepsia if you continue to have symptoms despite normal test results (symptoms persisting in the absence of organic causes). Delayed stomach emptying (slow digestion) (gastroparesis) is an overlooked but potentially serious condition that's confirmed by a test called a 4-hour gastric emptying study (GES). Modern research suggests that gastroparesis and functional dyspepsia are not totally separate diseases; instead, they lie on a spectrum. Gastritis is comorbid with gastroparesis and functional dyspepsia. Some treatments include prokinetic drugs, which help stimulate gut motility (drugs that accelerate the process of digestion). See Gastroparesis for more. The prokinetic called "Reglan" may cause irreversible tardive dyskinesia as a side effect.
• Gut-brain axis research has led to antidepressant SSRIs and tetracyclines such as mirtazapine, lexapro, amitryptiline, nortriptyline, etc. being used to treat nausea, post-prandial fullness, and other GI symptoms resulting from functional dyspepsia, gastroparesis, and cyclic vomiting syndrome (CVS). Prokinetic drugs are also used. Some natural prokinetics include ginger, peppermint, and artichoke.
• Functional dyspepsia is a condition that has two major subtypes: Postprandial Dyspeptic Symptoms (PDS) and Epigastric Pain Syndrome (EDS). PDS is diagnosed on the basis of symptoms similar to that of gastroparesis, such as nausea, bloating, vomiting, and early satiety in the absence of organic causes. EPS is diagnosed on the basis of symptoms similar to that of an ulcer in the absence of organic causes, such as abdominal pain, epigastric burning, and stomach cramps.

Functional Dyspepsia - PDS and EPS subtypes.

ADDITIONAL RESOURCES

• “The Gastritis Healing Book” by LG Capellan.
• “TrioSmart” Breath test for SIBO.
• SIBO Research and lectures by leading SIBO researcher Dr. Mark Pimentel (Click here for Pimentel's 2023 Presentation of Major Findings and Research).
• GI Map (a stool test that analyzes a person's bacterial, viral, fungal overgrowths).
• A list of the major treatments for gastroparesis.
• The main approaches for healing SIBO.
• A chart of main foods and their respective pH levels.
• Join our official gastritis Discord today!
• List of Support Groups (Discord, Facebook, etc.).
• Consider “GasX” for excessive belching.
• Iberogast - a popular supplement of nine herbs used for functional dyspepsia and irritable bowel syndrome.
• functionaldyspepsia and this Functional Dyspepsia Starter Guide.

(Last updated: 11-24-2023. Please share any other information or important medical findings not mentioned in this manuscript.)

TLDR: I’ve been dealing with left-side upper abdominal pain since mid-November. I finally got an ultrasound, and the results said I have gallstones. My surgical consult is Monday. Any tips on what I need to ask? I haven’t had surgery since I was a child, and I’ve never had a “consult” for surgery.
I’ve been having upper left (under the rib cage) nighttime abdomen pain since before thanksgiving. The pain only happened after dinner and lasted 7-8 hours, always like a stabbing pain in the middle of my chest. I would have dull pain in my left side during the day. At night the attacks would be stabbing pain in the center of my chest and right side. I went to my PCP, who said I had a stomach ulcer but needed an H. Pylori test first. I ended up in urgent care, which sent me to ambulatory care and said, “well, here is Carafate, and this should help.” Things got worse, and then my H Pylori test came back negative. My PCP put me on hardcore antacids. Things got worse until I ended up in the ER, puking blood. They said, “you probably have a stomach ulcer. Do you want a CT scan? It probably won’t show anything if you have an ulcer. “ I declined and took the referral to the GI Specialist. Finally, the GI doctor said gastritis or gallbladder failure. She ordered an ultrasound which just came back and showed gallstones. I haven’t seen the radiologist's report; I only know that I have gallstones from a message from the specialist. I’ve lost 20 pounds and haven’t been able to eat solid food after 2 pm since December. I’m frightened but relieved to have answers. My surgery consult is on Monday. What things do you recommend that I bring up or ask during said consult?

While many cases of gastritis are caused by the H. pylori bacterium, which attacks the stomach lining, a lot of gastritis patients are the victim of something that actually belongs in the system: stomach acid. There are a number of gastritis treatments available, which one depends on the type of gastritis.
Your stomach naturally has acids to break down and digest foods. Your stomach has a very strong lining that stops these acids from getting out into the rest of your body, where they would be corrosive and harmful. But sometimes something happens to your stomach lining that makes it weak, thus letting the acids out and causing pain and discomfort. Gastritis -- which refers to an inflamed stomach lining, regardless of the cause -- is the result. Best Gastroenterologist In Jaipur
If the cause of your gastritis is indeed stomach acid rather than bacteria, there are a number of ways of treating it. For mild, occasional flares of gastritis, simple over-the-counter medications such as Maalox and Mylanta -- basic antacids -- may alleviate the symptoms. If the problem is ongoing, however, or becomes severe, you should see a doctor to determine whether it's serious enough for a prescription.
Your doctor might prescribe an acid blocker. Some of the common brand names of acid blockers that you may have heard of are Tagamet, Zantac, Axid, and Pepcid. These drugs cause the stomach to produce less acid than usual, thus reducing your gastritis symptoms. Of course, it's neither feasible nor wise to get rid of stomach acid altogether, since you need it to digest food. But acid blockers can at least reduce it a bit, to get rid of the excess acid that's causing you trouble.
Continue reading to discover other medical treatments for gastritis and sign up for the free newsletter focusing on overcoming gastritis through natural means.
Another way of doing this is through proton pump inhibitors. Here's how they work. The cells of your stomach have little "pumps" in them that squirt out acid. Proton pump inhibitors work to shut down those "pumps." The cells remain; they just don't secrete acid anymore. Medications that do this have names such as Prilosec, Prevacid, Aciphex, and Nexium. As an added bonus, proton pump inhibitors also seem to reduce the effectiveness of the H. pylori bacterium, thus killing two birds with one stone when it comes to gastritis. Gastroenterologist In Jaipur
The fourth medical way to deal with acid-caused gastritis is something called a cytoprotective agent. These are drugs that give added protection to the tissues of your small intestine and your stomach. So instead of reducing the amount of stomach acid, this tactic says, "Bring on the stomach acid. We'll just give added protection to everything it touches." Carafate and Cytotec are two brand names of cytoprotective drugs. Also, regular Pepto-Bismol has the same effect, coating the inside of your intestine and stomach and thus protecting it from acid. Cytoprotectives, like proton pump inhibitors, are also effective against H. pylori.
As with all medications, you should take these only as advised by your doctor, and report any side effects immediately. Luckily, one or more of these gastritis treatments usually easily solves the issue and the symptoms gradually disappear.

Gastritis occurs when the stomach lining is inflamed. This can occur the mucosa lining of the stomach is compromised. This condition also increases the risk of developing peptic ulcers. The main approaches for healing chronic gastritis and peptic/duodenal ulcers involve addressing the root cause of gastritis and repairing the inner mucosa lining of the stomach.
(Last updated: 8-9-2023)

• Eliminate H. Pylori. Blood, stool, and breath tests can confirm the presence of pathogens, as well as endoscopies and biopsies. Antibiotics used include amoxicillin, clarithromycin (Biaxin®), metronidazole (Flagyl®) and tetracycline. There's also a brand of probiotics called “H. Pylori Fight” which are designed to kill H. Pylori.
• Cure Peptic/Duodenal Ulcers. Peptic ulcers are stomach ulcers that can occur due to prolonged exposure to chemical irritants (i.e. alcohol, nicotine, NSAIDS, etc.) or H. pylori infections. Endoscopies are used to diagnose peptic ulcers. When left untreated, ulcers may transform into perforations (holes in the stomach), which is a serious medical emergency. With proper treatment and dieting, peptic ulcers usually heal within a couple of months.
• Eliminate SIBO/Candida. Small intestinal bacterial overgrowth (SIBO) can occur for many reasons including when your GI tract has motility issues. Strong doses of PPIs that are used for long periods of time can also promote SIBO. Tests to confirm SIBO include a breath test to measure any elevated levels of hydrogen, methane, or hydrogen sulfide. SIBO is infamously underdiagnosed and can also cause IBS. Antibiotics used include Rifaximin, Ciprofloxacin, and Norfloxacin. Some antimicrobials such as allicin, oregano, and berberine can also effective at reducing SIBO. In addition to antimicrobial or antibiotic therapy, Mark Pimentel people suffering from SIBO try the "Low Fermentation Diet" (similar to the "Elemental Diet" and "LOW FODMAP Diet" to starve the SIBO. See the subreddit SIBO for more. GI Maps are stool tests that can identify other microbial overgrowths, such as Candida.
• Eliminate bile acid reflux and other gallbladder problems. HIDA scans are used to diagnose problems of the liver, gallbladder and bile ducts. If you have issues with your gallbladder, you might have bile acid reflux. This condition can cause gastritis when the bile, which is secreted by your gallbladder to carry away waste and break down fats during digestion, flows into your stomach. In this situation, bile acid sequestrians (bile acid binders) are used to manage symptoms.
• Prevent acid secretion and neutralize stomach acid. Consider medications such as PPIs and H2 Blockers. PPIs and H2 Blockers work best when taken 20 minutes before a meal and before sleeping if morning nausea occurs regularly. Some people suffer from Hypochlorhydria, the condition of having low stomach acid. Symptoms can mimic GERD, lead to SIBO, and cause malabsorption. In this special exception, it's counterintuitive to take PPIs and antacids. Antiacids can also be used. Weakening the acidity of the stomach using medications such as antacids can reduce inflammation and encourage mucosa repair. Some people experience relief from GERD by sleeping on 45 degree incline.
• Provide an artificial coating for the stomach. Consider prescriptions such as Carafate and supplements such as DGL Licorice, Slippery Elm, Marshmallow Root, etc. LG Chapellen recommends taking Carafate before sleeping since acid lingers when you’re sleeping.
• Eliminate all chemical irritants. Strictly avoid nicotine, alcohol, caffeine, THC, NSAIDs (some painkillers), etc.
• Implement a bland, alkaline diet. Pursue a bland, alkaline diet that avoids acidic, spicy, and fatty (greasy, oily) foods to avoid irritating the stomach and to reduce acid secretion. Protein should be consumed in moderation because it’s a complex macronutrient that’s hard to digest yet is essential for mucosa repair. LG Capellan advocates a diet of bland foods with a pH of 5 or higher. Chocolate, whey protein, and raw vegetables can be triggers for some people as well. Some people advocate a low FODMAP diet and avoidance of dairy and gluten. Since protein is essential for mucosa repair yet can very difficult for the stomach to digest, gut researcher LG Capellan recommends Hemp or Pea protein powder since it's easy to digest.
• Reduce inflammation. Consider supplements such as aloe vera, chamomile, and ginger to reduce inflammation in the stomach.
• Encourage mucosa repair. The mucous-secreting cells in your stomach benefit from supplements such as zinc-Carnosine (Pepzin GI), collagen (bone broth), L-Glutamine, MUCOSTA, and certain compounds found in cabbage. A relatively new product that may be worth trying is “MegaMucosa”. It’s a supplement designed to regrow the mucosal lining and has clinical trials backing it’s effectiveness.
• Eat more frequently with smaller meals. The stomach takes 2-4 hours on average to empty (unless you suffer from dismotility disorders such as gastroparesis). Too much food at once can cause inflammation and irritate ulcers. The stomach produces acid when there's too much food and accumulates acid when it's empty for too long. Digestive enzymes may help with indigestion.
• Probiotics (enhance your microbiome). The healthy bacteria in your stomach are essential for good health. The right probiotics can help heal damage from gastritis and the antibiotics used to kill H. Pylori. Lactobacillus and Bifidobacterium-based probiotics have anti-inflammatory effects that reduce the chance of developing gastritis. They also possess antioxidant effects that reduce damage to the intestinal lining. Prebiotic supplements such as fiber can be taken with the probiotic supplement to provide the food the probiotics need to proliferate in your GI tract. They’re also good at mitigating indigestion (especially when taken in tangent with digestive enzymes).
• Verify that you don't have Celiac Disease or food allergies. Celiac disease (CD) often manifests with dyspeptic symptoms. Chronic gastritis is a common finding for those suffering from Celiac Disease. Food allergies can cause GI issues such as chronic indigesion, nausea, vomiting, and so on.
• Rule out autoimmune gastritis. For example: Parietal, intrinsic factor, gastrin, and pepsinogen would be in the workup.

​
Here are some other important things to consider on your journey to healing gastritis:

• Using Proton Pump Inhibitors (PPIs) with Carafate (sucralfate) and possibly H2 Blockers can be more effective on average than using these drugs alone.
• Healing from chronic gastritis can unfortunately be very slow for some people. But don't be discouraged. You will heal if you cut out the root cause and stay on the right diet and medicines.
• The path to recovery in gastritis has a very small margin of error. One small mistake can set you back months. Mistakes are very costly in the road to recovery. Be strict on your diet and supplements.
• Autoimmune diseases and Chron’s Disease are rare causes of chronic gastritis.
• Antiemetic drugs such as zofran, phenegran, compazine, scoplamine, dramamine, etc. can help prevent nausea and vomiting. Herbal remedies for nausea include ginger and peppermint.
• The notion that stress is a root cause of gastritis is outdated conventional medical knowledge cited before the discovery of H. pylori. Stress and anxiety can exacerbate symptoms, but they are unlikely to be root causes.
• Some people argue that long-term PPI usage can be harmful, leading to SIBO, hypochlorhydria, and increased GERD symptoms. Many people experience an acid rebound withdrawal effect when stopping PPI usage. LG Capellan recommends using H2 Blockers as a way to ween off PPIs.
• Ask your doctor about gastroparesis and functional dyspepsia if you have delayed stomach emptying, as confirmed by a gastric emptying study. Modern research suggests that gastroparesis and functional dyspepsia are not totally separate diseases; instead, they lie on a spectrum. Prokinetic drugs help stimulate gut motility. See Gastroparesis for more. The prokinetic called "Reglan" may cause irreversible tardive dyskinesia as a side effect. Gut-brain axis research has led to antidepressant SSRIs and tetracyclines such as mirtazapine, lexapro, amitryptiline, nortriptyline, etc. being used to treat nausea, post-prandial fullness, and other GI symptoms resulting from functional dyspepsia, gastroparesis, and cyclic vomiting syndrome (CVS).
• Mast Cell Activation Syndrome (MCAS) is an uncommon condition that can cause gastritis, as well as other GI issues such as heartburn, dysphagia, constipation, diarrhea, nausea, and dyspepsia. MCAS is correlated to having SIBO as well. MCAS causes a person to have repeated severe allergy symptoms affecting several body systems. In MCAS, mast cells mistakenly release too many chemical agents, resulting in symptoms in the skin, gastrointestinal tract, heart, respiratory, and neurologic systems.

​
ADDITIONAL RESOURCES

• “The Gastritis Healing Book” by LG Capellan.
• “TrioSmart” Breath test for SIBO.
• SIBO Research and lectures by leading SIBO researcher Dr. Mark Pimentel. (Click here for Pimentel's 2023 Presentation of Major Findings and Research)
• GI Map (a stool test that analyzes a person's bacterial, viral, fungal overgrowths).
• A list of the major treatments for gastroparesis.
• The main approaches for healing SIBO.
• A chart of main foods and their respective pH levels.
• Join our official gastritis Discord today!
• List of Support Groups (Discord, Facebook, etc.).
• Consider “GasX” for excessive belching.
• Iberogast - a popular supplement of nine herbs used for functional dyspepsia and irritable bowel syndrome.

So on this date 8 years ago I had my RNY bypass. I weighed 338 on the day of surgery. This was after starting at 350.
At my absolute lowest I was down to 192 (size 10 pants, large shirt) this was actually my goal due to being a tall woman (5’8”) if I lost any more I would look sickly.
Well, with time everything changes. I had to get my gallbladder out 7 months after my bypass then started having issues with my uterus. Ultimately I had to have a partial hysterectomy at 18 months out.
Well, that and unhealthy choices along with Covid got me hanging around the 270 mark.
About a year ago I took control of my life. Did a complete change of everything (new job, focusing on health, etc). This helped me get down to the 250s.
Then earlier this year I started having back pain. I thought it was from my job (truck driver) and started taking otc medications for it. I then started having nausea and not keeping anything down. I was constantly seeing a chiropractor for my back because it was hurting so bad.
Proceeded to go to the hospital a few times for my nausea and pain but they kept finding nothing wrong. So I went to the family doctor and he did his tests. Everything came back normal. So he prescribed Mobic. I asked about this drug because of the NSAID classification and was told I would be fine for 10 days of treatment. (*never take this drug after RNY, it is known as the bari killer to my hospital group*).
A few days after I started taking this medicine I was feeling horrible. Once again nothing was staying down. I called my surgeons office and they fit me in next day. The NP prescribes me carafate and antacids and tells me I need an endoscopy to see if I have an ulcer.
The same night I saw the doctor I woke up nauseous again. Went into the bathroom and proceeded to vomit blood…. Scary…. Since my surgical group is a hour away I went to the local ER.
Where they admit me and do an endoscopy where we discover a 4 mm ulcer (I called it Eugene). I was admitted to the hospital for the night to monitor and was sent home the next day. I kept asking if they were talking to my surgical groups office and I was told someone else was doing it.
About 4 days after I am sent home I pass out at my house and my boyfriend drives me to the ER. Once again I vomit blood… they transfer me to the bariatric hospital due to the doctors calling my surgeons office and actually speaking to someone.
So second hospital stay. This time they are monitoring my blood work closely. Overnight I am given 3 pints of blood because my levels tanked. I have another endoscopy done. This time by my bariatric surgeon.
The results are the same. Ulcer is HUGE, recommended revisions to my bypass. I have never heard of revision before so I was nervous. Since I was not actively bleeding and I was stable I was able to go home within a few days. But I was warned that the next time I had the same issue I was having the revision.
Not even 36 hours after being released I woke up in the middle of the night nauseous. I pass out again. This time I am not sure for how long. But I wake up covered in blood. I knew this time I needed help so I called 911 and was picked up and taken to the ER again.
Once there, I was given another 2 pints of blood. And then transferred to the bari hospital…
I saw my doctor the next day and he told me I I was going to have surgery the next day.
So I had my revision. I currently am sitting at 215 starting over at the beginning. Today would have been my 8 year surgery anniversary. But I am now 5 weeks out from revision.
I like to joke with my family that I got a crappy 12 days of Christmas in July.
5 blood transfusions 4 hospital stays 3 surgeries 2 nerve blocks But I am healthy again
Not sure why I have decided to write this down. Maybe it can be a precautionary tale to everyone to keep up with what you need to do after surgery and not squander it.
Thanks for reading…. Hope you learned something or at least fought some boredom away.

Hey everyone! I have a couple questions abour medication response, based on previous responses to medication.
I just had my first two ketamine infusions, one being 0.4mg/kg, and the one this morning being 0.5mg/kg. I’ve has the strongest response from this treatment than from any i’ve had at all. This morning i went through an event after my infusion that reminded me of a traumatic event, it really scared me, not knowing why i was upset because of the effect of the ketamine.
My psychiatrist walked into the room and saw me crying, and i told her the situation that had occurred, she started to ask me a few questions, ending in a realization it made me remember a traumatic event, and since she helped me through it during, and made my reaction seem normal, i think it’s not going to bother me anymore.
I’d usual get mad at a person not involved in what triggered me, but rhis time i had a natural reaction and cryed, feeling pure pain without a hostile reaction. I’m so proud of myself and i’m so happy ketamine is working for me. Yes i’m on a fairly low dose, but it’s already working very well. It’s helping with my anxiety, depression, and drug cravings since the first infusion, and now trauma.
My question is, is there any medications that you can take daily that working on the same receptors as ketamine without the psychoactive effect? Anything that i could use so the periods between infusions where my symptoms come back, or somerhing i could use for maintenance so i wouldn’t have to get infusions as regularly as the usual one month?
I’m thinking about maybe selegiline, patch form, 6mg so no dietary restrictions or hypertensive crisis (yes i know it’s not that bad but i’d rather not go through it or risk it), if you have any recommendations please share!
Diagnosis i have: • Treatment Resistant Generalized Anxiety Disorder • Traatment Resistant Depression • Social Phobia • Panic Disorder • Post Traumatic Stress Disorder • Substance/Opioid Use Disorder • Attention Deficit-Hyperactivity Disorder Type 2 • Chronic Insomnia • Irritable Bowel Syndrome Type M • Gastroesophageal Reflux Disorder • Gilbert’s Syndrome • Was Misdiagnosed With Bipolar 1 Disorder During Substance Abuse, Now Not Diagnosed
I’ve trialed 30 medications as of now. Those being: • Benzos: 2mg qd + 2mg did Lorazepam (Ativan), 0.25mg prn Alprazolam (Xanax), 0.25mg qd + 0.5mg did Clonazepam ODT (Klonopin Wafers), and 1.75-5mg a day Clonazepam (Klonipin) • Z-Drugs: 5mg Sonata (Zaleplon) • Gabapentinoids: 300-3,600mg a day Neurontin (Gabapentin) • Antidepressant: 5-20mg qd Escitalopram (Lexapro), 30-60mg qd Duloxetine (Cymbalta DR), 12.5-50mg qd Trazodone (Desyrel), 150mg qd Bupropion (Wellbutrin XL), and 7.5mg qd Mirtazapine (Remeron) • Antipsychotics: 25-400mg qd + 25mg tid Quetiapine (Seroquel), 300mg qd Quetiapine ER (Seroquel ER) 5mg qd Olanzapine ODT (Zyprexa Zydus), 2.5-10mg a day Asenapine Maleate (Saphris) • Mood Stabilizers: 250-750mg a day Sodium Valproate DR (Depakote DR), 1,000mg qd Sodium Valproate ER (Depakote ER), 300mg did Lithium Carbonate ER (Lithobid) • Stimulants: 20-30mg qd Mixed Amphetamine Salts ER (Adderall XR), 7.5-15mg qd Mixed Amphetamine Salts IR (Adderall IR), 20-35mg a day Dextroamphetamine Sulfate SR (Dexedrine Spansules) • Medication Assisted Treatment: 25mg qd Naltrexone (Revia), 2-12mg a day Buprenorphine/Naloxone (Suboxone), 8.6/2.1mg qd Buprenorphine/Naloxone (Zubsolv) • Atypical Anxiolytics: 187-266mg a day Medical Marijuana, 50mg tid Hydroxyzine HCL (Atarax), 10-40mg qd Propranolol (Inderal), 5mg did Buspirone (Buspar), 50mcg qd Clonidine (Catapres) • Dissociative Anesthetics: 0.4-0.5mg/kg Intravenous Ketamine (Ketalar)
As well as these medications for anxiety-related ibs: Antiemetics: 4-12mg tid Ondansetron (Zofran), 2-4mg a day Lorazepam (Ativan), 4-8mg tid Ondansetron ODT (Zofran ODT), 25mg did Promethazine (Phenergan), 1mg did Granisetron (Kytril), and 300mg qd Trimethobenzamide (Tigan) Antacids: 1g did Sucralfate (Carafate), 40mg qd Omeprazole (Prilosec), and 40mg qd Famotidine (Pepcid) Gut Antispasmodics: 20mg did Dicyclomine (Bentyl), and 0.125mg did Hyoscyamine Sulfate (Levsin SL)
I’m currently on the following: 20mg Dexedrine Spansules q8am 15mg Dexedrine Spansules q12pm 8.6/2.1mg Zubsolv q3pm 50mcg Catapres qhs 40mg Famotidine qhs
I currently have these meds as prn: 0.125mg Levsin SL did 300mg Tigan
“Recreational” Drugs I Use: Caffeine Vaping Smoking (Cigarettes)
Drugs I Mainly Used When I Active Abused Drugs: (Three Months Sober Tomorrow • Fentanyl (Smoked) (Daily) • Meth (Smoked) (Daily) • Cocaine (Insufflated) (Daily) • Weed (Smoked/Vaped/Oral) (Daily) • Klonopin (Insufflated) (Daily) • Alcohol (Oral) (Daily) • Dilaudid(Insufflated) (Weekly) • Opana (Insufflated) (Weekly) • Phenobarbital (Oral/IN) (Weekly) • Propylhexedrine (PO) (Weekly) • MDMA (Snorted/Bombed) (Biweekly) • LSD (Sublingual) (Biweek/monthly)
Drugs I Used When I Started Using: • Soma (Oral) (Daily) • Flexeril (Oral) (Twice Weekly) • Hycodan (Oral) (Every Other Day) • Ultram (Oral) (Every Other Day) • Oxycodone (Oral) (Daily) • Meth (Insufflated/Smoked) (Weekly) • Vyvanse (Oral) (Weekly) • Ambien (Oral) (2-3x Weekly) • Weed (Vaped/Smoked/Oral) (Daily) • Alcohol (Oral) (Weekly) • Xanax (Oral/Ate) (Daily) • LSD (Sublingual) (Every 2 Months)

I have your garden variety GERD (just a wimpy LES) and I posted about this a couple of weeks ago, but I went off 40MG protonix after 13 years, about 19 days ago. It just seemed to be causing more issues than it was resolving- was getting more indigestion and other issues and my doctor really has been trying to get me off it so he gave me 40 mg famotidine and sucralfate and of course antacids. He also gave me more Protonix in case I would need it but it seems like he wants me to go 3 weeks with Famotidine and one week with Protonix. In the past he would urge me to take breaks and go 1 week with Famotidine which I could never do.
Anyway, as expected, days 4-8 were kind of hell with the acid rebound, but then I was feeling great. Like not even the nagging discomfort in my chest. I thought "Holy crap! I can pull this off!". In the last 3 days though, I feel that the Famotidine and Carafate and the antacids aren't holding down the fort enough. I'm trying to figure out whether this is just what my normal body with normal acid levels is, or if this is still the acid rebound.
If it's still rebounding, I can hold off a little longer, but if this is how it is with normal acid production then I don't want to torture myself and cause damage and would go back to Protonix, at least for a week. Either way it's a small victory because I've never been off PPIs for this long.
So 19 days enough for the rebound to go away?
*EDIT*
Whether it's still rebound or this is my normal state, I have to go back to the PPIs for another week. I feel that I'm starting to cause damage to my esophagus again and that is too high of a price to pay for the pride of being off PPIs. I'll try again in a week or so and do a 1 week on, 2 weeks off kind of thing.