I know reflux has been discussed a couple of times, but i can't find anything useful and im going mad! I am on 20mg of omeprazole BD and gavison PRN (which i'm pretty much drinking atm!). I can't have metochlopramide or Domperidone (metachlopramide gives me vertigo and nausea to the point I cant stand, and domperidone is 'too risky' with my cardiac stuff) and these are the only Prokinetics I know of. When I was on domperidone TDS I was completely fine, but am now at the point where I constantly feel nauseous, have a horible sore throat and that nasty tasteof sick/acid-ness, every time I lean forward i feel like im throwing up in my mouth and I just feel generally dreadful. I have only recently stopped the domperidone, and I honestly dont care any more about the risk of cardiac issues, i just want to stop feeling this dreadful!
I sleep with the bed at an angle, a good 15/20cm undet the feet of my bed. I dont eat greasy or spicy foods atm. I dont eat for an hour or so before bed (any longer than that i just lie awake hungry all night - stupid pred) and the last thing i eat tends to be BRAT foods. The only thing I have yet to start doing is eating with my moning tablets - not something i've ever done, but thought it might help with the pred - going to start that as of tomorrow - I go back to sleep after my meds, what do we think the 'minimum' amount i need to eat to protect my stomach without then making me get more reflux when i go back to sleep!
Is there anything i'm missing? I was wondering about trying some zanac OTC and then talking to my GP about changing my citirizine to that, and was going to start taking 'gaviscon dual action' which has the antacid and the thing that makes a layer over your stomach before I get symptoms. I'm taking regular pain meds anyway, but i'm getting virtually no sleep coz i'm so uncomfortable. I use ondancetron when the nausea gets bad, or very occasionally buccastem (but i dont think thats great to use often, although ive never been formally told this) and I have an anasthetic throat spray and strepsils to get rid of the sore throat and the nasty taste! Anything I can do to feel a bit better would be amazing!! I think i'm willing to try most things! I just wish I could find a prokinetic I could take tbh!
If it makes a difference im currently on Pivmenicillin (not sure on the spelling), 35mg of pred, hydrocortisone, cetirizine, uniphyllin, terbutaline, budesonide, formeterol, omeprazole, ivabridine, flecanide, fluoxetine, Nefopam, Paracetamol, Ipatropium, montelukast and calcichew as regular meds. Then have PRN salbutamol, cyclizine, buccastem, ondancetron, (tramadol/coedine/dihydrocoedine/oramorph but the idea is to not take these obviously! I am allowed to make the call, but i've decided I don't want to be taking opiates at home for 'daily' symptoms), Gaviscon and Piriton. Is there anything in that list that is going to be doing anything disasterous? Obviously the regular meds I can't just change, but can discuss with my GP, and the PRN stuff i can stop/reduce.
Thanks for any advice guys! I'm feeling properly sorry for myself, and I know when I get grupmy and tired I don't always think of the obvious - but i'm at my wits end!