PPI Stepdown, pt 3

It’s been about 5 days since my last dose of esomeprazole. I got myself a care package of aloe juice, alkaline water, stomach tea (with similar ingredients to the Ibrogast formula that is too pricey) and the Target brand of Pepcid (famotidine 10mg + antacids).

The day I got the supplements, I didn’t use anything at all and made it through the night. The next day was rougher, with more breakthrough GERD and I took the Pepcid before bed. The day after that, fine.

So it’s been very uneven as far as the breakthroughs are concerned, but overall, I’m doing pretty well without the PPI. I think I’m done. I am so relieved!

I take Tums for minor flares, aloe for worse ones and occasional Pepcid at night. I’ve taken a tums before bed a couple of times when I feel that there *might* be a GERD incident. So far, so good.

I’ll update again if there is any change, but I think this is probably where I’ll be from now on. I think I’ll always have some sort of GERD flaring up, simply because of the shape of VSG making the stomach basically a turkey baster that pushes acid up to the esophagus. No particular foods have any effect, nor does alcohol, it’s all very random. I’m hoping the volume of my Lil Tummy™ goes back to about a cup, but if it doesn’t, no big deal. I think the overall inflammation is getting better.

So, I’m living proof that you CAN get off of PPIs. From start to end it took me about 6 weeks. Perhaps 8. With the quarantine of Covid-19, my sense of time is a bit distorted. I think it’s about 8 all together. It was not too bad for the most part, I did lose some sleep here and there, but I have to say, it’s been easier overall than it has ever been in the past to stop the PPI. I think it’s because I did the stepdown slowly this time. The first step was a month or so, then the second and getting off was quicker. I actually feel that the half tab at night made things worse than just not taking it.

I hope this roadmap might help others who want to be off of PPIs before they find out they have kidney damage or other issues.