Re-raising this.  DD's appointment with bigwig ENT in Philly for vocal fatigue showed damage caused by reflux.  She is drinking alkaline water and I am trying to figure out what to feed her.  We have been doing a lot of grilled chicken and orzo with a veg lately.  We had pasta with sauce the other day and she told me she could feel the reflux.  Last night I made chicken tacos with a bit of fresh OJ and lime juice and again her reflux flared.  She has been on Prevacid and Zantac for the last few weeks.  I know tomatoes and citrus are not good for reflux but they have never bothered her before.  So, any tips on what to feed her? The Dr. recommended at cook book called Dropping Acid but her diet is already quite limited with dairy, egg, pn & tn allergies - and she is picky.  I always cook with onions and garlic and I guess I need to stop....

"Majority of severe GERD patients required long-term PPI use after antireflux surgery"
http://www.healio.com/gastroenterology/esophagus/news/online/%7B1ab4d0e7-128d-431c-ab9c-4abb49964829%7D/majority-of-severe-gerd-patients-required-long-term-ppi-use-after-antireflux-surgery

Patients with severe GERD used proton pump inhibitors after antireflux surgery at much higher rates than previously reported, and more than half became long-term users 10 to 15 years after surgery, according to recent study data.

"MRI modeling revealed abnormal structure, function in GERD patients’ esophagogastric junction"
http://www.healio.com/gastroenterology/esophagus/news/online/%7Bb75ec0e8-0af1-42d7-8c81-44f58def28af%7D/mri-modeling-revealed-abnormal-structure-function-in-gerd-patients-esophagogastric-junction

Three-dimensional models reconstructed from MRI images revealed a wider esophagogastric insertion angle plus altered gastric morphology that could compromise reflux protection by the “flap valve” mechanism in patients with gastroesophageal reflux disease (GERD).

"PPIs May Reduce Esophageal Cancer Risk in Barrett's Esophagus"
http://www.medscape.com/viewarticle/815054

Patients with Barrett's esophagus who used proton pump inhibitors (PPIs) had a lower risk of esophageal adenocarcinoma, in a systematic review and meta-analysis of seven observational studies.

"PPI use linked to nosocomial C. difficile infection"
http://www.healio.com/gastroenterology/infection/news/online/%7B0dea6ef3-acff-4f69-84df-116f6229fb2e%7D/ppi-use-linked-to-nosocomial-c-difficile-infection

Patients who received therapy with proton pump inhibitors were more likely to develop Clostridium difficile infection while hospitalized than those who did not in a recent study.

"PPIs May Lead to Heart Disease"
http://heartburn.about.com/b/2013/07/11/ppis-may-lead-to-heart-disease.htm?nl=1

In human tissue and mouse models, researchers from Houston Methodist Hospital and two other institutions found proton pump inhibitors (PPIs) caused the constriction of blood vessels. If taken regularly, PPIs could lead to a variety of cardiovascular problems

Thank you.

 

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"PPI s alone not linked to gastrointestinal infection"
http://tinyurl.com/brmnmpd

Researchers have shown that a previously suggested link between the use of proton pump inhibitors (PPIs) and gastrointestinal infections with Campylobacter and Salmonella is due to the characteristics of the patients and not the drugs themselves.