Acid reflux and digestive issues are common for so many of us. Hectic lives and stress are just two reasons why people may suffer. Whilst medication can bring some relief, it isn’t always the answer and it’s good to be informed about reflux medication side effects.
Proton Pump Inhibitors (PPIs) are a class of medications commonly prescribed for managing heartburn, acid reflux, and other gastrointestinal issues. While they can be effective in providing some relief, they don’t address the root cause and long-term use may lead to unexpected health concerns. If you’re one of the millions taking a PPI, it’s crucial to understand both their benefits and potential risks.
Understanding PPIs
PPIs work by reducing stomach acid production, which may alleviate symptoms of acid reflux and many in fact, help heal damage to the oesophagus. They’re often prescribed for conditions like gastroesophageal reflux disease (GERD), peptic ulcers, and Barrett’s Oesophagus. While PPIs can be life-changing for those suffering from severe acid-related disorders, their widespread use has raised concerns about overuse and long-term side effects.
Reflux medication side-Effects on Nutrient Absorption.
Vitamin B12 Deficiency
One of the most significant concerns with long-term PPI use is its impact on vitamin B12 absorption. Your body requires a substance called intrinsic factor, along with stomach acid, to absorb B12 effectively. PPIs reduce stomach acid levels, as a result, leading to B12 deficiency over time.
Symptoms of B12 deficiency include:
– Persistent fatigue
– Poor memory and cognitive function
– Tingling and numbness in extremities
Magnesium Depletion
When we take a PPI we have much more difficulty breaking down our food to get access to the key nutrients we need. One of these is magnesium. Magnesium is crucial for numerous bodily functions, including muscle and nerve function, energy production, and bone health.
Watch for symptoms of magnesium deficiency such as:
– Muscle weakness and cramps
– Fatigue and low energy
– Headaches and migraines
Iron Deficiency
Stomach acid plays a vital role in iron absorption, particularly non-heme iron found in plant-based foods. Reduced stomach acid due to PPI use can potentially lead to iron deficiency anaemia.
Be aware of symptoms like:
– Persistent fatigue and weakness
– Palpitations
– Breathlessness
Bone Health Considerations
Long-term PPI use has been associated with an increased risk of bone fractures, particularly in older adults. This may be due to reduced calcium absorption or other mechanisms not fully understood yet.
If you’re on long-term PPI therapy, especially if you’re over 50 or have other risk factors for osteoporosis, consider:
– Discussing calcium level testing with your GP
– Asking about bone density scans
– Ensuring adequate calcium and vitamin D intake through diet or supplements
IBS-Like Symptoms and Gut Health
Interestingly, some people on PPIs report experiencing IBS-like symptoms. This could be due to changes in gut bacteria or altered digestive processes resulting from reduced stomach acid. Symptoms may include bloating, gas, diarrhoea, or constipation.
There are many ways that this can be supported from simple lifestyle measures to things that support the digestion process beyond stomach acid.
If you’ve been on a PPI for an extended period and are experiencing any of the symptoms mentioned in this article, it’s advisable to chat to your GP about your concerns and any testing that may be available.
Overuse and Alternatives
There are over 2.8 million people take PPIs without a clear medical indication for their use. Many of these people may have started with some simple heartburn and still be them over a year or more later. Where there is no significant underlying need a PPI should be taken at the lowest effective dose for the shortest period of time.
Coming off PPIs can be challenging. Studies show that the risk of rebound heartburn after abrupt withdrawal of a PPI can mean patients often restart them. Understanding why this happens and how it can be minimised can be a major first step to managing this.
Over 25% of adults worldwide use PPIs, with many more buying them in supermarkets and pharmacies. While they can be an important treatment for some, many people can manage their symptoms with simple diet and lifestyle changes.
Your Options
As an accredited reflux practitioner, I specialise in working with clients who have been offered PPIs but are seeking a natural approach to managing their symptoms. When a PPI is necessary and essential, I offer strategies to support digestion, reduce reflux medication side effects and reduce nutritional deficiencies.
If you’d like to know more about how I can support you with digestion and reflux then do get in touch:
Email: info@thegutmaster.co.uk.
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