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    mug2k's Avatar
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    Bad Stomach Ache before meals, food seems to alleviate symptoms

    Hi

    I've been getting pretty severe stomach aches only before meals, it's definitely not just normal hunger as I'm eating the same amount I've always had. The pain had been just below the belly button but lately its near my lower right abdominal. Even after I've eaten I get a acidic feeling in my lower throat maybe 30-90 mins post meal. Around the evening onwards I start to feel very bloated and have the need to burp/belch alot and it makes my stomach feel a little better.

    My doctor just said it's IBS, but that's not really a diagnosis as IBS is a very general term and doesn't mean a specific thing. I've been taking Lansoprazole (Proton Pump Inhibitor) for about 2 weeks and the symptoms are only slightly better but no way near gone.

    Any idea's ?

    Thanks,
    Marcus

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    eKatherine's Avatar
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    What is it you are eating that is followed by those symptoms?

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    It doesn't matter what I eat the stomach issuse are there all day everyday since they first appeared. I'm not actually eating paleo at the moment I was about a year ago but now I'm just eating non paleo but healthy stuff and no junk food.

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    Did your doctor test you for hyperchlorydria before putting you on a proton pump inhibitor? There's a ton of evidence that most people actually suffer from the opposite (hypochlorydria), but doctors often just throw PPI's at people without actually diagnosing them properly.

    Sounds like it could be some kind of SIBO issue (Small Intestine Bacterial Overgrowth), which a PPI would just serve to exacerbate.

    Chris Kresser, who is a doctor (unlike me) and whose advice you should listen to (also unlike me) has a great series on Heartburn/GERD, SIBO, PPI's, Stomach Acid, etc... I'll get you started:

    Heartburn / GERD

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    eKatherine's Avatar
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    The post-eating symptoms you are experiencing are often signs of gluten intolerance. Do you eat gluten at every meal?

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    Quote Originally Posted by RichMahogany View Post
    Did your doctor test you for hyperchlorydria before putting you on a proton pump inhibitor? There's a ton of evidence that most people actually suffer from the opposite (hypochlorydria), but doctors often just throw PPI's at people without actually diagnosing them properly.

    Sounds like it could be some kind of SIBO issue (Small Intestine Bacterial Overgrowth), which a PPI would just serve to exacerbate.

    Chris Kresser, who is a doctor (unlike me) and whose advice you should listen to (also unlike me) has a great series on Heartburn/GERD, SIBO, PPI's, Stomach Acid, etc... I'll get you started:

    Heartburn / GERD
    Just done routine bloods so I'm unsure if hyperchlorydria is included in those tests. I forgot to mention I have an itchy rash that I've had for years that comes and goes but has got quite a bit bigger than usual since starting on the PPI's, no idea if they've affected the rash but the timing kind of lines up.

    I'll check out the link.

    Quote Originally Posted by eKatherine View Post
    The post-eating symptoms you are experiencing are often signs of gluten intolerance. Do you eat gluten at every meal?
    Pretty much yeah, can you become gluten intolerant all of a sudden ?. I know I've become intolerant to nuts lately as my stomach hurts pretty badly a few hours after I've had some.

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    eKatherine's Avatar
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    It's not impossible that you have more than one problem here. Many people do suddenly find they are intolerant to gluten.

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    No, you can't test stomach acid levels with bloodwork. As I said, most people who get prescribed PPI's actually have LOW stomach acid, and it makes the issue worse. You should read the Kresser stuff I posted. It's worth your time.

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    Is it possible it is a stomach ulcer? I have just begun a paleo diet after spending several weeks seeing specialists who could not diagnose my spinal migraines which began with eating (or not eating) and severe stomach pain. I put myself on a GAPS diet and started eating fermented vegetables and taking aloe vera. I'm pretty certain I had a garden variety stomach ulcer.

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    Quote Originally Posted by RichMahogany View Post
    No, you can't test stomach acid levels with bloodwork. As I said, most people who get prescribed PPI's actually have LOW stomach acid, and it makes the issue worse. You should read the Kresser stuff I posted. It's worth your time.
    I just read it all and it makes lots of sense, I'm gonna try the baking soda test 3 mornings in a row and the Betaine HCL test with a few meals to confirm low stomach acid.

    Quote Originally Posted by Glenview View Post
    Is it possible it is a stomach ulcer? I have just begun a paleo diet after spending several weeks seeing specialists who could not diagnose my spinal migraines which began with eating (or not eating) and severe stomach pain. I put myself on a GAPS diet and started eating fermented vegetables and taking aloe vera. I'm pretty certain I had a garden variety stomach ulcer.
    I could very well be that, the articles that RichMahogany directed me to indicated that low stomach can be the perfect environment for h.pylori to thrive and that bacteria can lead to ulcers. The articles mentioned the GAPS diet so I'm gonna look into that, do you know of any decent guides for it ?.

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