Chronic Kidney Disease and GERD: Yes, There Is a Connection (2023)

September 14, 2019are diet pills bad for your kidneys,Diet Pills

Anne, 73, was first diagnosed with GERD (Gastro-Esophageal Reflux Disease) 10 years ago. It initially started as a symptom of a common hip, but when antacids were ineffective, he sought medical treatment for his condition. Several different drugs have been tested; In the end, she was given Prilosec (omeprazole) twice daily, which is effective in maintaining her GERD symptoms. He has been taking Prilosec ever since.

GERD is a condition in which the muscles between the stomach and esophagus are weak and thus allow the stomach contents to enter the esophagus. Symptoms usually burn, pain, and pressure sensation in the chest. People can also cough if their contents reach the trachea. Sometimes these symptoms are so severe that people believe they have a heart attack. The two main medical treatments are Inhibitor H2 and Proton Pump inhibitors. Both are designed to maintain acidity in the stomach to stop the burning sensation. The person still has reflux of stomach contents, but they do not symptoms of reflux.

(Video) Chronic Kidney Disease, Animation

A new medical procedure is to strengthen the esophagus at the point where it enters the abdomen — a procedure called fundoplication. Another is called LINX where a band is placed around the esophagus to prevent stomach contents from entering the esophagus. As this is a new procedure, little is known when writing this article.

The causes of GERD are not known in medicine but several lifestyle and nutritional factors have been linked: obesity, smoking, alcohol consumption, high fat diet and carbonated drinks. If someone has a hose hernia, it can also cause or worsen GERD. Most medicines can cause or aggravate GERD as well.

In my practice, I have seen other factors contributing to GERD: food allergy or sensitivity, the inability to digest one's food, emotions and mental states (especially if the person suppresses emotions or thoughts so they do not face them - basically "swallowing" feelings).

In Anne's case, she took 9 different medicines and supplements; most of the medications she has been taking for at least 20 years. Anne's people take what is commonly known to cause GERD are prednisone, a statin drug for cholesterol, and Lasix (diuretic). She is not sure if she is allergic to any foods, and she refuses to discuss her mental / emotional state with anyone. She weighs more than 100 pounds and doesn't watch what she eats (stating "that's what they're all for"). In essence, he has many "risk factors" for GERD.

Prilosec manages Anne's symptoms, but at a cost.

(Video) Anemia from Chronic Kidney Disease (CKD)

About a year ago Anne was diagnosed with stage 3 Chronic Kidney Disease (CKD) when routine blood tests showed high levels of creatinine and calcium. She has no symptoms of other kidney problems except for back pain that may or may not be related to kidney failure. His MD started it on metformin as a high glucose level (diabetes) common with CKD. She has been taking medication for other conditions often caused by CKD (high blood pressure and fluid retention).

The cause, according to the renal specialist, is Prilosec, a drug he thinks he can't stop taking without curing GERD symptoms. So he kept taking drugs that he knew would make it worse. He sought my care "to release Prilosec."

Prilosec (omeprazole) is a Proton Pump Inhibitor, which means blocking certain enzymes on the surface of the stomach to prevent acid production. It's more technical than that, but generally, this is what it does. One of the great warnings about medicines in this class is that they cannot be used for more than 2 weeks, with a 4-month break between courses, due to the high risk of kidney damage.

Anne took it twice daily for 10 years without any rest.

Although Anne had many health challenges, she only wanted to give up Prilosec while she was taking care of me. After examination and history, I realized that he probably didn't digest certain foods. Bile tests show that it works at just 40%, meaning that some digestive enzymes are either not produced or not produced in sufficient quantities to digest food.

(Video) Chronic Renal Failure (Chronic Kidney Disease) ESRD l Nursing NCLEX RN & LPN

I also wonder if he got enough nutrients to make digestive enzymes. One of the medications she is taking is statin to reduce cholesterol. He takes this once a day, a standard dose. But during that time, he took the drug and also took all his supplements. Unfortunately, with statins, they block the absorption of almost all nutrients when taken, even from foods, which is the main reason why statins are taken only once daily — if taken more often, people will be exposed to poor nutrients for a short time. .

Without sufficient nutrients, the digestive enzymes will be depleted and the food will not break. The 2 major signs that food is not broken down are GERD (because the food is too long in the stomach) or gas (either in the form of belching or flatus). Anne has both.

I started Anne's at Papaya Chews, which will be taken every meal. Papaya is a natural food that contains digestive enzymes. Pineapple will help, too, but Anne doesn't like pineapple. I also recommend that he take his supplement in the morning and statin in the evening to ensure that he receives the maximum benefit from the supplement.

At this time I choose not to give homeopathic medicine. Homeopathy will work to address the most life threatening conditions, the most challenging health challenges. When Anne takes many different medications for conditions that affect the heart, lungs and kidneys, it is difficult to determine the most dangerous conditions for life and health. Plus he has a pacemaker, so I have to be careful with him.

The plan was to drink Chepa Papaya for a few days and then look at taking Prilosec only once a day. She will call within a week with updates or if she is unable to get down to 1 Prilosec tablet daily due to GERD symptoms.

(Video) Chronic Renal Failure (Kidney Disease) Nursing | End Stage Renal Disease Pathophysiology NCLEX

She called 2 weeks later and said she was able to take 1 Prilosec daily without any symptoms of GERD. Therefore, we discuss this by damaging it from Prilosec completely as suggested by the MD.

For 1 month, she was able to go 3 days without Prilosec before her GERD symptoms returned, but she was now aware of her blood pressure. She sought medical attention and found her kidneys deteriorating, resulting in increased blood pressure and difficulty breathing (due to increased water retention). He was given additional medications to manage his blood pressure and water. He was told by the MD to stop Prilosec as soon as his kidney function became worse; but Anne says she won't as long as she has GERD symptoms.

Anne called a month later and stated that she was able to completely release Prilosec by taking Chew Papaya. She no longer has GERD symptoms.

I didn't hear from Anne afterwards. The main purpose of keeping me safe was to turn off Prilosec; has been achieved. I wish her the best and hope her kidneys heal as soon as the medication is stopped — or at least worsens.

I urge everyone to always look for any medicines (and natural supplements) they take to make sure they are administered properly and not taken longer than necessary, or ordered. Doctors see many patients every day and have many remedies to remember — they are commonplace for mistakes made. Everyone needs to monitor their own care and instructions from a doctor to minimize their mistakes. As a teenager, when I was first diagnosed with asthma, the medical doctor often prescribed antibiotics that should not be given to my asthma medication; If I didn't do my own research, I could be very sick.

(Video) Anemia in Chronic Kidney Disease

Everyone needs to know more about their medicines than what their color is. Investigate carefully. If you have questions, ask your pharmacist or prescription doctor. If you also take natural supplements, discuss possible interactions between medications and supplements with people who are knowledgeable in natural supplements and natural remedies.

Your health is important. You're important. Careful.

------------------

FAQs

Is acid reflux connected to kidney disease? ›

Can Kidney Disease Cause Acid Reflux? Although acid reflux may be more common among those with kidney disease, there's no proven link between kidney disease and an increased risk of acid reflux.

Can GERD damage kidneys? ›

Over time, the kidneys may be damaged or scarred by this reflux. This is called reflux nephropathy. Reflux can occur in people whose ureters do not attach properly to the bladder or whose valves do not work well.

What can I take for acid reflux with kidney disease? ›

To maintain healthy acid levels, people with CKD are treated with alkaline substances such as sodium bicarbonate, also commonly used to neutralize heartburn and indigestion.

What gastrointestinal disorders are common in chronic kidney disease? ›

Patients with chronic kidney disease (CKD) frequently experience upper gastrointestinal (GI) symptoms including dysgeusia, anorexia, hiccups, stomatitis, nausea, vomiting, and gastroparesis. Constipation and diarrhea represent the main lower GI tract symptoms associated with CKD.

Are acid reflux medications bad for your kidneys? ›

Using PPIs may increase the risk of developing acute interstitial nephritis. If caught early, the condition can be treated and leave no signs of damage to your kidneys. Increased chance of heart attack(s): Using PPIs for long periods of time (many months to years) may increase the risk of a heart attack.

What organ system affects GERD? ›

GERD (gastroesophageal reflux disease) is a digestive disorder. It's caused when gastric acid from your stomach flows back up into your food pipe (esophagus). Heartburn is the most common symptom of GERD.

What is the safest antacid to take with kidney disease? ›

famotidine (PEPCID-AC) can be taken on an as-needed basis. Omeprazole (OLEX) can also be taken on a as needed basis. Your kidneys may not be able to get rid of the extra aluminum, magnesium and sodium. A build-up may cause unwanted effects.

Can omeprazole affect your kidneys? ›

In recent years, the use of proton pump inhibitors (PPI), especially omeprazole, has been associated with development of chronic kidney disease (CKD). These drugs are widely used worldwide. Although some studies have found an association between the use of PPI and the onset of acute renal failure and CKD.

Is kidney reflux a chronic kidney disease? ›

Reflux nephropathy (RN) often presents in early adulthood with various clinical manifestations of chronic kidney disease. Reflux nephropathy was previously called chronic pyelonephritis as it was believed to result from childhood recurrent urinary tract infections (UTIs).

Can you take Tums if you have kidney disease? ›

People with kidney disease are less able to remove phosphorus from the body. When there is too much phosphorus in the blood, it pushes the calcium out from your bones. This makes your bones weaker. Dialysis can take out some of the extra phosphorus, but medicines such as Tums® are often needed to help remove more.

What are two drugs not to be used in kidney disease? ›

5 Drugs You May Need to Avoid or Adjust if You Have Kidney...
  • Cholesterol medications. The dosing of certain cholesterol medications, known as "statins", may need to be adjusted if you have chronic kidney disease.
  • Pain medications. ...
  • Anti-microbial meds. ...
  • Diabetes medications. ...
  • Upset stomach/antacid medications.

What drugs are hard on the kidneys? ›

Most street drugs, including heroin, cocaine and ecstasy can cause high blood pressure, stroke, heart failure and even death, in some cases from only one use. Cocaine, heroin and amphetamines also can cause kidney damage.

What are the two most common causes of chronic kidney disease? ›

In the United States, diabetes and high blood pressure are the leading causes of kidney failure, accounting for 3 out of 4 new cases.

What are the two main conditions responsible for chronic kidney disease? ›

Diabetes and high blood pressure are the most common causes of chronic kidney disease (CKD).

What is the most severe form of chronic kidney disease? ›

CKD can range from a mild condition with no or few symptoms, to a very serious condition where the kidneys stop working, sometimes called kidney failure.

Is Pepcid hard on your kidneys? ›

Taking popular heartburn medication for prolonged periods may lead to serious kidney damage, even in people who show no signs of kidney problems, according to researchers at Washington University School of Medicine in St. Louis and the Veterans Affairs St. Louis Health Care System.

What are the symptoms of worsening kidney disease? ›

And as kidney disease progresses, you may notice the following symptoms. Nausea and vomiting, muscle cramps, loss of appetite, swelling via feet and ankles, dry, itchy skin, shortness of breath, trouble sleeping, urinating either too much or too little.

What underlying conditions cause GERD? ›

Conditions that can increase your risk of GERD include:
  • Obesity.
  • Bulging of the top of the stomach up above the diaphragm (hiatal hernia)
  • Pregnancy.
  • Connective tissue disorders, such as scleroderma.
  • Delayed stomach emptying.

What is the root cause for GERD? ›

Causes of GERD: Reflux Chemistry and Anatomy

fluids refluxed from the stomach irritating or damaging the esophagus. general sensitivity of esophageal tissue, often caused by natural low acid intolerance, use of prescription drugs or other drugs as alcohol and tobacco.

What health issues are related to GERD? ›

Left untreated, GERD can result in several serious complications, including esophagitis and Barrett's esophagus. Esophagitis can vary widely in severity with severe cases resulting in extensive erosions, ulcerations and narrowing of the esophagus. Esophagitis may also lead to gastrointestinal (GI) bleeding.

What over-the-counter medications should you avoid with kidney disease? ›

Medications such as ibuprofen (Advil® or Motrin®), naproxen (Aleve®), or acetylsalicylic acid (Aspirin®) are unsafe for your kidneys. They can also increase blood pressure, increase risk of heart attack and stroke and cause stomach ulcers and bleeding.

What is kidney reflux problem? ›

Vesicoureteral reflux (VUR) is a condition in which urine from the bladder is able to flow back up into the ureter and kidney. It is caused by a problem with the valve mechanism. Pressure from the urine filling the bladder should close the tunnel of the ureter. It should not allow urine to flow back up into the ureter.

What foods help repair kidneys? ›

10 Superfoods for People with Kidney Disease
  • Cabbage. With abundant phytochemicals, this cruciferous vegetable is filling and nutritious. ...
  • Red Peppers. Also low in potassium but high in flavor. ...
  • Cauliflower. ...
  • Blueberries. ...
  • Egg Whites. ...
  • Garlic. ...
  • Fish. ...
  • Red Grapes.

How do you test for kidney reflux? ›

Diagnosing Vesicoureteral Reflux

Reflux is diagnosed using an x-ray called a voiding cystourethrogram (VCUG), or a nuclear cystogram.

What is the latest treatment for chronic kidney disease? ›

He says a new class of drugs, SGLT2 inhibitors, is being called a game changer. The drugs were originally designed to treat diabetes — a main cause of chronic kidney disease. Medicines in the SGLT2 inhibitor class include canagliflozin, dapagliflozin and empagliflozin.

What is red flags in kidney disease? ›

Reduced GFR is a red flag for six major complications in patients with CKD: acute kidney injury risk, resistant hypertension, metabolic abnormalities, adverse drug reactions, accelerated cardiovascular disease and progression to end-stage kidney disease.

What is the fastest way to flush your kidneys? ›

How to cleanse the kidneys
  1. Drink more water. Drinking enough fluid every day is essential to a person's overall health. ...
  2. Reduce sodium intake. ...
  3. Make dietary changes.
Jun 5, 2019

What is the new drug for kidney disease? ›

The National Institute for Health and Care Excellence (NICE) has approved a new drug for chronic kidney disease in people with type 2 diabetes. The medication is called finerenone (also known as Kerendia). NICE has concluded that finerenone improves kidney function and can help to slow the decline in kidney function.

What drugs damage the kidneys? ›

Most street drugs, including heroin, cocaine and ecstasy can cause high blood pressure, stroke, heart failure and even death, in some cases from only one use. Cocaine, heroin and amphetamines also can cause kidney damage.

Videos

1. Stages of Chronic Kidney Disease [CKD]
(Dr. Frita)
2. Chronic Kidney Disease Supplements for improving kidney function and avoiding kidney failure
(Dadvice TV - Kidney Health Coach)
3. Living with chronic kidney disease
(Hopitaux Universitaires de Genève)
4. How Fasting and Better Sleep Helps You Live Longer | Dr Satchin Panda
(Live Well Be Well with Sarah Ann Macklin)
5. Plant Based Diet in treating and preventing Chronic Kidney Disease
(Sean Hashmi MD)
6. Salamat Dok: Kinds of food to avoid for patients with chronic kidney disease, symptoms of re
(ABS-CBN News)

References

Top Articles
Latest Posts
Article information

Author: Aracelis Kilback

Last Updated: 08/09/2023

Views: 6207

Rating: 4.3 / 5 (44 voted)

Reviews: 91% of readers found this page helpful

Author information

Name: Aracelis Kilback

Birthday: 1994-11-22

Address: Apt. 895 30151 Green Plain, Lake Mariela, RI 98141

Phone: +5992291857476

Job: Legal Officer

Hobby: LARPing, role-playing games, Slacklining, Reading, Inline skating, Brazilian jiu-jitsu, Dance

Introduction: My name is Aracelis Kilback, I am a nice, gentle, agreeable, joyous, attractive, combative, gifted person who loves writing and wants to share my knowledge and understanding with you.