Tiredness and GERD
Vanny
Do you all just have heartburn and discomfort when you eat or do some of you
have reduced energy levels and feel tired and listless?
I am trying to work out what is wrong with me. I have spoken to two GERD
sufferers recently who said that tiredness had nothing to do with the
disease. I was diagnosed with GERD and have taken 20-40 mg Nexium daily ever
since, except when I had to stop it for a week in readiness for a lactose
intolerance test (than was a dreadful week). I am on a GERD diet and sleep
in a slanty bed.
I do show symptoms of overdosing on Nexium when I take 40 mg daily for 2-4
weeks. I try to keep to a strict diet and 20 mg Nexium a day, but twice a
week or so have to raise it to 40 mg a day (one hour before breakfast).
What is wrong with me? Bloods: CRP negative, ESR 20, liver enzymes are
borderline high (Nexium?), haemoglobin is 12.8, iron is borderline low. I
inject with vitamin B12 and folic acid once every few months, but do not
attribute my current condition to vitamin deficiency. I get very tired very
quickley and feel like an 80 year old (am 44).
Thanks.
Vanny
P.S. Have Crohn's disease with ileostomy (12 years), chronic stomach pains
(most likely adhesions due to six ops.), heart failure (NYHA 1), gall
bladder problems in addition to GERD
John Que
meds slow the metabolism of estrogens and cause
a build up which in turn suppresses testosterone
levels by acting on the hypothalmus. There are reports
of testosterone suppression in some women also.
PPI meds may also suppress DHEA levels with
"unknown consequences". I'd suspect a drop in androgen levels
in either gender may explain some of your symptoms.
Clearly you have more going on as you note in your
short bio.
JQ
"Vanny" <Vannyss20...@hotmail.com> wrote in message
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Vanny
Thanks for your answer. After nearly two years on Nexium, I persuaded my doc
to switch Nexium for Pantoprazol. I also had a week and a half off work sick
running up to Xmas with ESR at 35 (gut infection?). I feel better than I
was, but my energy levels are still not good.
I also have a stenosis (due to adhesions?/Crohn's?) in my intestine, which
probably leads to higher back pressure (my theory) and hence have real
problems with the GERD. I take metoclopramide (Reglan) to keep everything
moving, otherwise my gut would be virtually static.
I am going to the gastroenterologist this Friday for endoscopy and
ultrasound. I will ask him to check my left kidney for signs of stones
because that is where the pain was when I was off sick although a dipstick
test showed no signs of infection or protein, etc.
I will also make an appointment with an endocrinologist. Thank you for the
tip.
Vanny
"John Que" <123456789t...@hotmail.com> schrieb im Newsbeitrag
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John Que
I''ll suggest you have more reason than most to take both vitamin and
mineral supplements.
Though iron supplements tend to trouble when comes to the GI tract. Iron
sulfate
can cause constipation at least in the doses the Docs use to treat anemia.
If you go to endocrinologist, I'd have your estradiol checked as PPI meds
can
elevate the levels of this hormone. The drug slows the metabolism of E2.
Elevated estrogens provide negative feedback to the hypothalmus that
results in less testosterone production. There are both meds and certain
supplements that suppress the production of estrogens from androgens.
Some in the impotence forum use DIM supplements. I doesn't take
much DIM to lower estrogen. The Docs have anti-estrogens also
some are quite expensive. I'll add that one does want suppress
estrogen too much as it also plays a role male sexuality and has
a role in maintaining bone strength. I shudder at the amount
of money involved here with specialist and the tests.
Taking PPI med can result in the stomach being colonized
by rather undesirable microorganisms. I gather that this
is the cause of the increased chances of pneumonia among
PPI med users.
It there a Crohn's support group on the Usenet or
in Yahoo groups?
We are all different so what works for one may do less for another.