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Low Stomach Acid? (Read 6477 times)
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Low Stomach Acid?
08/25/12 at 08:55:51
 
Does anyone have problems with low stomach acid using the H1 blockers? Do you supplement with Betaine HCL with meals if so? Kind of concerned about this due to candida issues and gut problems in general, realizing could be caused by mast cells.. or could be possibly triggering mast cells and adding low stomach acid to the mix might make things worse.. parasites, bacterial imbalance, yeast imbalance doing  well with low stomach acid.
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PamH
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Re: Low Stomach Acid?
Reply #1 - 09/17/12 at 16:57:10
 
I have the opposite problem, too much acid.  I have severe indigestion all the time.  I feel like my food just sits and sits.  When I drink my cromolyn it eases the pain. Then I have issues with belching.  Which relieves me more.
I even take 4 zantac a day.
Sorry I'm not more help!
Pam
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Re: Low Stomach Acid?
Reply #2 - 09/17/12 at 17:14:47
 
R,
I have a history of candidiasis and leaky gut and struggle with it after all these years, especially after eating small amounts of bread or pasta.  I do take probiotics every day and a multi-enzyme on days I feel I need it. I was on PPIs for years and weened myself off them about 2 years ago, long before I learned of mast cell dosorders.  I do take an H2 several times a day but am concerned about the ph of my stomach due to the H2 blockers.

Looking back, I can clearly see that my leaky gut and likely liver methylation/detox inefficiencies is at the crux of my multi-system issues.  But by understanding mast cells, I can know apply the mast cell decoder ring to better understand my symptoms.  

Trying to figure out my next steps.  

Best wishes,
Lyn      
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Joan
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Re: Low Stomach Acid?
Reply #3 - 09/17/12 at 18:13:25
 
It is possible to have too little stomach acid.  You could try to reduce your dosage of H2 antihistamines and see if that helps.  I had to go from 20 mg. to 10 mg. of Pepcid in the a.m. in order to help digest food properly.      

It might not be a stomach acid issue, though.  It could be a digestive enzyme issue.  When I'm having a flare, I find Bromelain to be very helpful for digesting fats and protein.  Stomach inflammation can cause you to feel full all the time, too, and an inflamed stomach won't function properly.

Have you been checked for parasites in stool specimens?  Parasites can trigger mast cells, so if you suspect that, do have your doctor order testing.

For yeast, probiotics can be helpful.  If you think you have a big yeast problem, you might consider asking for a systemic oral medicine designed to treat that.  My doctor put me on Diflucan for a few weeks when he was trying to diagnose me, in case mold or yeast were causing trouble.  I didn't think it helped me, thought, to be honest, but it sounds as though you've had problems from mold in the past.

Have you seen a GI doctor about your digestive problems?  I don't know where you live, but there are several GI docs in the country who know a lot about mast cells and GI issues.  One is in Colorado, one in Oklahoma, and one in Boston.  There are probably others.
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Re: Low Stomach Acid?
Reply #4 - 09/19/12 at 04:22:21
 
Joan,
I am wondering what my problems are.  I when I am triggering, I feel like my food just sits never digest quickly.  Seem I have acid indigestion for hours. When I had to go off of atarax I noticed this started. I think the atrax being a strong antihistamine was controlling the mast cells in my stomach. Now it a free for all!  I ate popcorn the other day and for 2 days I was miserable.  It felt like it "shredded" my stomach. I have acid in my throat constantly...yuk!  So do you think the zantac is helping or hurting??
Are you saliclyate sensitve??  I looked into the bromelain you were talking about and it is made of pineapples, I love pinapple but I cant eat it due to the salicylates...
I would appreciate any advice!
Thanks,
Pam
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Joan
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Re: Low Stomach Acid?
Reply #5 - 09/19/12 at 08:43:21
 
Hi Pam,

     Too much histamine can cause over-stimulation of gastric acid secretion.  If you have too much acid, it could be that you aren't on enough or the right antihistamines.  And/or, you could have reflux, an ulcer, gallbladder issue or other unrelated problem.

   This would be something to talk with your GI doctor or mast cell specialist about, if you have one you can contact.  If you're already taking 4 Zantac, it might be worth a review.  

  If the problem got worse after you went off Atarax, then did you try going back on it to see if it helped again?  Normally an H2 antihistamine, like Zantac or Pepcid works best in the stomach, but I've sometimes found that Benadryl helps mine, especially if there's nausea, too.  

  If your stomach is very irritated, I wouldn't wouldn't recommend  bromelain, and especially if you're sensitive to pineapple, although the one I get is made from the stems, not the fruit.  I don't know if there are salicylates in the stems or not.

  Can you take probiotics?  I find those very helpful to my entire GI.  Gastrocrom helps me, too.  Don't know if it would help you or if you're taking it already.

 


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Re: Low Stomach Acid?
Reply #6 - 09/19/12 at 13:37:59
 
Joan,
Thank you, I think you have helped me.  I have not tried the atarax again, the last try resulted in my throat swelling.  I really wish I could take it because it helped in so many ways! Calming, sleeping and stomach pain!  I wasn't very calm though the last time I took it, my heart rate went through the roof! Any way, I think that I am not taking enough antihistamines. I dropped down to one a day because I had a reaction with Zyrtec.  Since then I dropped Zyrtec and have been rotating Allegra and Claritin on a daily basis. I went back to two today because the pain is rediculous!  I have made an appt. with my specialist to discuss this pattern of me becoming "allegic" to meds after a year of use.  I am on Cromolyn(gastcrom) and hopefully I cant become allegic to it, because I think it is saving my life!
I saw a gastrologist and had an upper GI before my specialist put me on mast cell stablizers.  Nothing showed up in the tests.  He also stretched my throat because I complained that my throat felt tight!  Dah Cheesy That happens when it swells!  Did'nt have all the dots connected at the time.
I would like to say that I would not recommend any one to get their thoat stretched, that was not pleasent for about 3 days after!
So with that being said I bet you are right about not having enough antihistamines in my system.  I will talk with the doc about it.
Thanks so much!
Pam
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Joan
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Re: Low Stomach Acid?
Reply #7 - 09/19/12 at 17:40:21
 
OMG, that doctor is unbelievable!

 There are a lot of antihistamines to try.  We only hear about a few of them because they have the most shelf-space in stores and advertise a lot, but there are a lot available.  I was started out on doxepin, which was very helpful for both H1 and H2 histamine.

  When you try a new medicine, it might be safer to ask the doc if you can try it in his office or at a hospital, just in case.

  There are also some other types of meds that the doc might recommend.

  Do you think it was the popcorn that caused the reaction or something on it?  Sometimes our stomachs are so messed up that anything will cause it to react.

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Re: Low Stomach Acid?
Reply #8 - 09/20/12 at 05:35:17
 
Joan, I think it was a "snowball effect".  Last Friday I put some flea meds on my dog.  My husband found some on sale, so it wasn't the normal stuff.  Right away I thought 'wow that stuff smells like a health food store!!??'  It was just overwhelming.  I got the box out and read it and it was "green".  I was made of cloves, garlic, mint--it was just awful! The chemicals would have been better!  The dog loves me so much, she follows me everywhere.  I went to hide out in my room (no animals in the bedroom), so she sat outside my door.  I could still smell her.  I stuffed towels under my door to block the smell but it wasn't helping.  So I got the brilliant idea to just go wash it off her.  That is mistake number 2!
The little stopper in the utility sink got stuck and I couldn't let the water out and the dog was freaking out, so I just rinsed her the best I could.  By this point I could feel the degranulation starting in my stomach.  I had this nasty, oily, stinky stuff all over me. The day went down hill from there!  You know, it takes a couple of days to recooperate...by Sunday I still wanted to stay in bed, but we had tickets to a dinner theater, and I didn't want to not use them. ($$$) So I went; I wore two little masks, but with the people and the purfumes and the horrible bathroom spray that stinks up the whole place, it was not the time to deal with this.
Then a few days later I ate popcon, I should have known better, my stomach just couln't handle it.
It has been better since I added the 2nd antihistamine back in!  I need it and it doesn't do me any good to skip it.  I am so glad that there are a lot of other options out there, because I was afraid I would run out of options eventually.  That is a scary thought!
Thanks, Joan, for good news!
Pam
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Re: Low Stomach Acid?
Reply #9 - 09/20/12 at 06:08:59
 
Hi! Joan, I'm going to piggy back off this thread and ask about your experience with Doxepin. It just sounds like a medicine I should try. Whether the depression I have dealt with over the years is just that, depression, or of it is mast cell related (which I feel strongly that it is), this sounds like the perfect medication for me! As I said in an earlier post, I am responding really really well to extra h2. It's unbelievable! I go to my psychiatrist next week, and I am thinking of bringing up the possibility of switching Zoloft (which I believe does nothing for me) to doxepin. Just wanted to hear your thoughts on this medication. Are you still on it? Interesting to me that an antidepressant has strong h1 and h2 properties. Maybe because it works for people who have depression due to mast cell degranulation!!!!!  I have tried every SSRI made, and have had bad experiences with all of them, including Zoloft. But instead of taking me off Zoloft, the doctor added a small dose of geodon saying that sometimes these kinds of meds help jump start SSRI's. I just feel so strongly that if I get my mast cells under control, I will not have depression/anxiety issues. At my core, that is not who I am. And just feeling better by taking extra h2 the past 5 days just proves that to me even more. I have no depression, no anxiety. I feel like myself (I hope it lasts!). I believe there is a huge connection between depression and anxiety and mast cell disease.
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Re: Low Stomach Acid?
Reply #10 - 09/20/12 at 20:08:57
 
I had been taking only Benadryl at the time and complained to my allergist about poor sleep, morning nausea, and extra low a.m. BP.  He suggested doxepin to address all of that.  If I had depression, it was hidden underneath the mast cell problems, but it did help all 3 of the problems I mentioned.  I took it until Zyrtec came on the market and then switched to Zyrtec and Pepcid.  I was still undiagnosed, but it was such a great relief to at least feel better!

I had mild side effects from the doxepin, but nothing that would have made me stop it.  In your case, I don't know whether an initial dose will be strong enough to take the place of antihistamines or if you'll want to add it to your current regimen.  If the H2s are helping, certainly don't discontinue those!

Anxiety and depression can be about several different things.  First of all, there's the stress of the disease and getting adjusted to having a disease.  It's depressing, too, to find out you have a rare disease.  Also, when things are out of balance in the body and/or it thinks there's an invader, natural adrenalin levels go up, making you feel anxious.
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Re: Low Stomach Acid?
Reply #11 - 01/27/13 at 15:02:14
 
I worry about the stomach acid issue, so I take a small dose of betanine HCL (Douglas Labs) with each meal.   The Douglas Labs was the only version I did not react to.  I discovered it accidentally.  It does not have pepsin in it, and many Betanine HCL supplements do.  

I also take Digest Gold Digestive Enzymes from Enzymedica.   They are $$$ !!!   But they work for me, without a doubt.   They are the very last supplement I would do without.   I do much better when I take them.  

Todd in Tenn.
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