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Medical Forum / General / General / February 2008Cannot sleep due to indigestion .. please help ...
I've been having bad indigestion since 4 days ago ... and I've barely been able to sleep since. The main problem is that every time I drift off to sleep, I feel something coming up which wakes me up. Last time a few months ago when I fell asleep with this feeling, I woke up having major stomach cramp (like a heart attack) and ended up on the bathroom floor and toilet for hours. I've been to the doctor and she's been giving me Zantac 75mg and when I told her it helped a little bit today she gave me a sample pack of Nexium 40mg to try. Anyone know how long it takes before it takes effect? I took one earlier today. I'm also taking Papaya Enzyme by Swiss on suggestions by people on these newsgroups (I don't know how much is the limit since it doesn't say so I hope I don't overdose). I don't have any food allergies that I know of and I'm taking the usual precautions (no food 3 hours before sleeping, no spicy, cold, acidic foods, taking in more soft foods and salads, etc.) I suspect this strange episode might be due to the medication I'm currently taking for low serotonin levels (started 7 days ago). I was taking these two prescriptions just prior to this indigestion (since then I've stopped taking them). 1) Paxil (paroxetine HCL) http://chealth.canoe.ca/drug_detail.asp?brand_name_id=374&dowhat=accept_disclaimer 2) Apo-Alpraz (alprazolam) http://chealth.canoe.ca/drug_detail.asp?brand_name_id=335&dowhat=accept_disclaimer 3) Tylonel (extra strength 2 tablets 3 times a day, or twice a day with new 8 hour kinds) The last few quick naps I took were in my car, because I don't have an elivated chair/bed at home. (and due to a back and neck problem I can't simply stack pillows). I don't know how much longer I can keep this up ... now I know what it feels like to be sleep deprived ... I'm only 26, female ... am I too young to have these problems? > I've been having bad indigestion since 4 days ago ... and I've barely been > able to sleep since. The main problem is that every time I drift off to [quoted text clipped - 18 lines] > > 1) Paxil (paroxetine HCL) http://chealth.canoe.ca/drug_detail.asp?brand_name_id=374&dowhat=accept_disclaimer > 2) Apo-Alpraz (alprazolam) http://chealth.canoe.ca/drug_detail.asp?brand_name_id=335&dowhat=accept_disclaimer > 3) Tylonel (extra strength 2 tablets 3 times a day, or twice a day with new > 8 hour kinds) [quoted text clipped - 4 lines] > now I know what it feels like to be sleep deprived ... I'm only 26, female > ... am I too young to have these problems? http://www.google.com/search?hl=en&ie=UTF-8&q=gerd HMc > I've been to the doctor and she's been giving me Zantac 75mg and when I told > her it helped a little bit today she gave me a sample pack of Nexium 40mg to > try. Anyone know how long it takes before it takes effect? Proton pump inhibitors like Nexium work best if taken in the morning on an empty stomach; then eat something 20-30 min. afterward. They will not work well if taken episodically, as one might an H2 blocker such as Zantac. They (Nexium and Zantac) can be used in combination. Symptoms are usually improved after the first day. > I'm also taking Papaya Enzyme by Swiss on suggestions by > people on these newsgroups (I don't know how much is the limit since it > doesn't say so I hope I don't overdose). I would suggest stopping that, and any other potentially offending OTC medications. > I'm taking the usual precautions (no food 3 hours before sleeping More like 4 hours. > I suspect this strange episode > might be due to the medication I'm currently taking for low serotonin levels > (started 7 days ago). Possibly. SSRIs can cause dyspepsia, like most any medication. Of course, so can an untreated mood disorder, so you should definitely let your doctor know you've stopped your meds if you haven't already done so. > The last few quick naps I took were in my car, because I don't have an > elivated chair/bed at home. (and due to a back and neck problem I can't > simply stack pillows). Try propping the legs of your bed's headboard up on short (3-4") blocks (old hardback books can work) to raise the head of the bed; this can help with nighttime symptoms. Good luck. Thanks for the response. I don't know how much longer I can go without sleep :-( The problem with me is that I need to be elivated more than 45 degrees in order for it to do anything (as I found out with my car seats). I'm trying to call some friends over to help me lift the mattress, the frame is one piece so the only thing that can be elivated is the mattress. So you mentioned for the Nexium it won't do anything until the next day? Not even feel slight improvements? It's been about 20 hours since I took it. My stomach was pretty much empty ... Do you know if drifting off to sleep (and causing the acid or whatever to come back up) is slowing down my recovery? It's hard to stay awake after not sleeping for 5 (now 6) days straight. :-( > > I've been to the doctor and she's been giving me Zantac 75mg and when I told > > her it helped a little bit today she gave me a sample pack of Nexium 40mg to [quoted text clipped - 33 lines] > (old hardback books can work) to raise the head of the bed; this can > help with nighttime symptoms. Good luck. > Do you know if drifting off to sleep (and causing the acid or whatever to > come back up) is slowing down my recovery? When you lie down to sleep, stomach acid can move up the esophagus more easily, and decreased saliva production and swallowing during sleep allows the acid to remain there longer. There are many factors which may make reflux resistent to treatment, but these are individualized, and the most useful information will come from your doctor(s). I my case Pantoloc helped, but you should see you doctor. > > Do you know if drifting off to sleep (and causing the acid or whatever to > > come back up) is slowing down my recovery? [quoted text clipped - 4 lines] > may make reflux resistent to treatment, but these are individualized, > and the most useful information will come from your doctor(s). > I my case Pantoloc helped, but you should see you doctor. Pantoloc is one trade name for pantoprazole (a proton pump inhibitor like Nexium), known as Protonix in the U.S. Also when I called Telehealth Ontario, they asked me if I was pregnant. I don't think I am but is it possible with my symptoms? > Also when I called Telehealth Ontario, they asked me if I was pregnant. I > don't think I am but is it possible with my symptoms? Are you a sexually active female of reproductive age? Then it's possible. Went to doctor today ... not much she can help me with other than say take 2 Nexium per day if necessary. I am afraid to overdose but that's what I did today. My friend came over to elivate my mattress today. Still I am having problems sleeping ... I think I've been sleeping a total of 3 hours in the past 7 days. Today I threw up on the soft bun I ate. I am so sick I feel like I want to die. Every part is hurting .. stomach, legs, arm, lower back, headache, neck, etc. I'm contemplating going to the hospital in hopes I'll get better rest with their beds. Do you think they will reject me because I'm not a life threatening emergency? > > Do you know if drifting off to sleep (and causing the acid or whatever to > > come back up) is slowing down my recovery? [quoted text clipped - 4 lines] > may make reflux resistent to treatment, but these are individualized, > and the most useful information will come from your doctor(s). > I'm contemplating going to the > hospital in hopes I'll get better rest with their beds. Do you think they > will reject me because I'm not a life threatening emergency? Probably. However, you might speak with your doctor about referring you to a gastroenterologist. Day 11 ... I'm doing much better now. I think the double dose of Nexium worked. Soon after taking it I was vomiting everything I ate, but just as quickly I was finally able to go to sleep!! Wow, I can't believe I went 7 days without sleeping ... not fun at all and I hope I won't have to do it again. Thanks to all who have responded :-) I'm not out of the woods yet though since I still get ocassional stomach pains especially after drinking cold/room temperature fluids. It's been like this sometimes for the past year or so ... and I'm not sure how this came about. Could too much eating right before going to bed cause this? Because other than doing that and eating spicy foods and TV dinners (and things with MSG), I really don't see how the problem could have developed (I don't drink, no coffee, no smoking, etc.). And if I don't know what caused this in the first place, it's hard to prevent this from happening again in the future. > > I'm contemplating going to the > > hospital in hopes I'll get better rest with their beds. Do you think they > > will reject me because I'm not a life threatening emergency? > > Probably. However, you might speak with your doctor about referring you > to a gastroenterologist. Being overweight is the most common cause. That is my problem unfortunately. I'm only 20 so don't feel like you are too young. I just got pantoprazole today, took my first dose and so far I still feel like sh.t. I have barely been able to eat or drink anything for 4 days because it hurts so bad to swallow. I have been told to avoid eating less than 3 hours before sleep. Also sit or stand up for 45 minutes after you eat because apparently thats how the stomach empties or something and is supposed to help. Also avoid fatty foods and caffeine. >Day 11 ... I'm doing much better now. I think the double dose of Nexium >worked. Soon after taking it I was vomiting everything I ate, but just as [quoted text clipped - 18 lines] >> Probably. However, you might speak with your doctor about referring you >> to a gastroenterologist.
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