Gastroenterology Community
31.8k Members
Avatar universal

Hiatal hernia and PPI usage

I have mild gastritis from a hiatal hernia that just recently became symptomatic.  I tired prevacid with little help and was finally relieved with a prescripton dosage of Omeprazole before breakfast and an Rx of Cimetidine at night.  I also have osteopenia, so my doctor tried to wean me off both, but had to return to the Tagament Rx at night.  I am showing symptoms again of nasal drip and throat clearing, but I am afraid to stay on the PPIs for extended periods.  Any thoughts?
1 Responses
Avatar universal
This is more common than you might think, and "yes" there is a way to take your PPI's and address your osteopenia. For some background, (in case others reading this have same question) Calcium, unlike almost all other vitamin/nutrients requires a high acidic environment in the gut for absorption. When taking PPI's you are obviously creating a low acidic environment so your uptake of calcium drops to minimal amounts.  So what if you need to continue taking PPI's?... here is what I have had patients do with clinical success: First find a high quality chelated calcium and magnesium (1000 mg/400 mg), then take it after the last bite of your largest meal of the day.  Why? because after the end of the largest meal you will have the highest acidic level of the day giving you the best possible uptake. This plan combined with the chelated form of both calcium and magnesium will drastically improve total absorption. This approach showed marked improvement on Dexa-scans given at the next year point.

  Good Luck!        
Didn't find the answer you were looking for?
Ask a question
Popular Resources
Learn which OTC medications can help relieve your digestive troubles.
Is a gluten-free diet right for you?
Discover common causes of and remedies for heartburn.
This common yet mysterious bowel condition plagues millions of Americans
Don't get burned again. Banish nighttime heartburn with these quick tips
Get answers to your top questions about this pervasive digestive problem