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Prednisone and reflux

Do you feel like Prednisone makes your reflux worse?

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Comments 19

  • K8sMom2002

    Oh, yeah. It can create all manner of GI troubles in me! Have you talked about this with your doctor?

  • Jen

    dolphin – I edited the title of your post to get some more eyes on it.  I know a lot of times, many of us don't want to think of prednisone and find it evil, so I don't want anyone avoiding your post for that reason.  

    Do you find you're dealing with increased reflux while on prednisone?

  • Dolphin48

    Thank you, Jen. I'm having increased reflux and was just switched ftom Nexium to Dexilant. I'm thinking it's the prednisone but wondering if it's Xolair. 

  • Shea

    My doctor told me prednisone does often cause reflux, and prescribed me Zantac for it, and keep antacids near me, and tend to shy away from the very acidic and spicy foods (can be difficult because I used to love spicy foods, but that tendency has changed since it gives me reflux). Coffee can bother it too, but I always use creamer to cut the acidity, and sometimes buybthe low acid coffee.

    I just googled it and this came up:

    Recent studies indicate that some asthma medications may promote gastric reflux. For example, prednisone and albuterol can possibly decrease the contracting abilities of the esophageal sphincter, thus allowing reflux.

     

     
     
    › pubmed
    by JP Lazenby – ‎2002 – ‎ – ‎

    Oral corticosteroids increase esophageal acid contact times in patients with stable asthma. … Predisposing factors for GERD development may include asthma medications such as prednisone. The objective of this study was to determine whether prednisone alters GERD parameters….

     
     
     
     
  • Pljohns

    Prednisone always flares up my GERD.  I usually end up hitting OTC Prevacid or something like that.

  • Dolphin48

    Hi,

    I still have increased reflux. I believe it's the prednisone. Still waiting for the Xolair to reduce my asthma symptoms. I've had 4 injections to date. 

  • K8sMom2002

    Fingers crossed that you can figure out a plan to reduce the reflux AND eventually the Xolair will help in reducing the prednisone you need. What's your doctor's plan on that?

  • Kathy P

    Sorry about the reflux….I do that dance with my reflux and asthma as well and it's a vicious cycle! I cough and that triggers my reflux. My reflux flares and that triggers my asthma. Not fun! My doc has me on an Rx strength reflux med to help keep things under control. We switched it up when the OTC stuff wasn't fully cutting it. Did the doc say how long to give the new med before trying something else?

  • Dolphin48

    I was on Nexium and I'm now on Dexilant. It seems like it maybe helping  me some. I'm on a 16 day prednisone taper now. I think the reflux is a combination of the prednisone, inhaled steroids, coughing, inflammation etc.. I go back to the allergist on June 15 and the Hematologist on June 28. The ENT in July.

  • K8sMom2002

    Dolphin, I hope the 16 days will pass very quickly and you'll be able to do without the prednisone if it's one thing that is making the reflux worse. 

    I'm always curious when I see allergist and hematologist in the same sentence, as my DD has to see both types of specialists as well … she has a rare bleeding disorder. It's good to know she isn't the lone ranger! 

    Here's hoping your appointments this summer will net you good reports!

  • Shea

    You've heard about the foods that can make your heartburn worse, from coffee to chocolate to tomatoes. But what about foods that could make your heartburn better? Check out some key eats you should add to your diet.

    Eat More Low-Acid Foods

    To curb heartburn, build your meals around naturally low-acid foods like:

    • Melons and bananas. While most fruits have a high acid content, these don't. Bananas are always handy as a snack food. All sorts of melons are good, like watermelon, cantaloupe, and honeydew.
    • Oatmeal. It's a great way to start your day. Oatmeal doesn't cause reflux, it's filling, and it has lots of healthy fiber.
    • Bread. Choose whole-grain — it will be the first ingredient on the label — which is made with unprocessed grains. Other healthy-sounding breads — like wheat, whole-wheat, or 7-grain — may be made with refined grains, which are stripped of natural fiber, vitamins, and other nutrients.
    • Rice and couscous. These healthy complex carbs are great if you have reflux. When choosing rice, go for brown rice, which has more fiber.
    • Green veggies. Broccoli, asparagus, green beans, celery, and cauliflower are all low in acid.
    • Lean poultry and meats. Prepare chicken and turkey grilled, broiled, baked, or steamed. Just remove the skin — and don't fry it, Roland says. Even ground beef and steak can be fine, as long as they're lean.
    • Potatoes. Other root vegetables are good, too — just not onions.
    • Fish. Grilled, poached, and baked fish are all good choices. Just don't fry it or use fatty sauces.
    • Egg whites. They're a good source of protein and are low in acid. Just skip the yolk, which is more likely to cause symptoms.

    You can't tell how acidic a food is by looking at it. It's not on the nutrition label either. But you can research a food's pH, which is a score of its acid content. The lower the pH number, the higher the acid — lemon juice has a pH of 2.0. If you aim for foods with a pH of 5 or above, you may have fewer symptoms. You can find the pH level of foods on some government sites and in low-acid diet cookbooks.

    ETA link – CRR – 06-7-2017

  • Kathy P

    How goes the reflux Dolphin? I was at the allergist yesterday and he's added even more reflux meds! Ugh! He's concerned that I'm having exercise induced reflux when I bike, so now I have to take Pepcid before along with pretreating with albuterol.

    And he "threatened" me with a prednisone reset  I'm not there yet! I can still get things calmed down enough with other meds.

  • Dolphin48

    Hi Kathy,

    So sorry to hear about the increased reflux. It sure is a viscous cycle.

    i hope you feel better soon.

    I'm still struggling with the reflux issues as well. I have two days of prednisone left. I'm hoping I don't need to go back on it.

    Hang in there.  

     

     

  • K8sMom2002

    Fingers crossed, Dolphin! I hope you can stay the off the prednisone AND that your reflux will improve. 

  • K8sMom2002

    @Dolphin48, have you been able to completely taper off the prednisone? Any relief from the reflux? I hope so!

  • Jen

    @Dolphin48 Did the reflux get better once you tapered off the prednisone?