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IBD/IBS/GERD

IBD/IBS/GERD

Regarding GERD, I’m wondering about using melatonin before bed to manage symptoms for gastroesophageal reflux. I was a patient of Dr. Wright from Tahoma Clinic years ago, and he was using six drops of melatonin before bed to help with acid reflux, but I felt like it didn’t treat the root cause.

Dr. Amy Nett: Yeah, great question. I think Chris has written about the use of melatonin in gastroesophageal reflux previously....

How much PHGG do you recommend for IBS daily? Is there a particular brand that you recommend?

Chris Kresser: The study showing that PHGG improved treatment outcomes while patients were taking rifaximin was 5 grams. Other studies...

I’m reading the article “5 Causes of IBS Your Doctor May Not Be Looking For,” and Intolerances to other foods like dairy products, eggs, peanuts, and seafood are also common among IBS sufferers. These may be true food allergies (IgE-mediated) or more mild intolerances (IgG- or IgA-mediated). I’m not really sure how I’ve missed this, but does this mean that true food allergies are IgE mediated, and IgG and IgA are actually only mild intolerances? What does a true allergy mean, and what does a mild intolerance mean?

Dr. Amy Nett: Great question. I’m glad you asked. I think this is an important point because I do try...

s HCl with pepsin safe with gastritis, a hiatal hernia, or Barrett’s esophagus? How would you recommend handling long-term use of PPIs in these conditions?

Dr. Amy Nett: Remember you’re increasing stomach acid when you’re using HCl, so I would not use it with gastritis...

In the GERD treatment section, one suggested step is supplementing with digestive enzymes, but no specific product is recommended. Is there a particular product recommendation that you’ve had success with or general guidelines to look for when shopping for a product?

Dr. Amy Nett: For digestive enzymes, we commonly use Digestzymes. I think that’s a Designs For Health product. Digestzymes is...

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