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Feel the Burn!(13 posts)

Feel the Burn!jtolleson
Aug 1, 2003 10:02 AM
OK, for well over a year, I've been having problems with chronic heartburn. I've been on Nexium for 8 months, but it really hasn't licked it. It can really bother me while riding, particularly if I'm trying to push my pace on a hill climb.

This afternoon I'm having an endoscopy so they can snoop around my esophagus, etc.

Anyone else struggled with this issue or undergone the procedure?

I know that I haven't made the dietary changes I need (I sure do love my coffee...)
i have it....The Human G-Nome
Aug 1, 2003 10:39 AM
it comes and goes and i think it's definitely related to my diet. sometimes on a climb, i'll feel like my insides are on fire and it usually comes with a really strong effort. it will go away for months sometimes but never completely. tell me how it turns out for you.
re: Feel no morecyclopathic
Aug 1, 2003 10:40 AM
had the same problem on long 12hr+ rides. Apparently crunching down over bike squishes stomach and causes excessive acid generation and as result heartburn. Liquid riding diet makes things even worse since stomach is empty. So does hard riding at LTHR.

On my first BMB I used Tums, and while it worked symptoms were coming back, I think over second day I had taken over 20 (and it cannot be good for kidneys ;)

This what worked over counter H-blockers (Zantac 75 or generic). If already have symptoms take one Tums alone. As the matter of fact it works so good I carry both in saddle bag all the time.

Try it, before committing to anything else good luck


PS. Also try to exclude acidity/spicy foods from diet, at least before ride
I was just going to ask . . .Steve98501
Aug 2, 2003 3:03 PM

You may have partially answered my question. "Normal" riding causes me no problems. Rides over 100 miles, like double centuries and RAMROD the other day, have me trying to figure out specific and special nutrition and hydration needs. On these endurance rides I get what I think is acid indigestion, and I keep trying to eat what I think are more digestion-friendly foods that I can digest and turn to energy quickly. They had TUMs at a check point, and I took 5 or 6, and that seemed to help. Are TUMs bad for kidneys?

I don't drink beer before or during rides. Had orange juice, granola cereal breakfast, 2 cups coffee, PBJ sandwich for lunch, cookies, granola bar, hammer gel, and cytomax, in addition to lots of water. I thought if I "perfected" my riding diet, I could finish long rides without feeling slightly sick. Maybe not, if bike position and lots of liquids and long periods near LTHR.

This has me thinking of just not doing rides much over 100 miles so I can avoid that sick feeling. Maybe I should ask my doc, but I have this feeling he's gonna' say cut out alcohol, coffee, and extra-long rides.

Thanks for the insight.

zantac 75rrjc5488
Aug 1, 2003 11:06 AM
I used to get heartburn from EVERYTHING, no matter what I ate or didnt eat, I got heartburn. My doctor reccomended zantac 75 (an over the counter medicine), I take it when I wake up, and then in the evening, usually before dinner, and it works wonders. very rarely do I get heartburn while taking it, and when I do, its usually because I forgot to take the zantac. Its definitly worth a try!
Coffe, check. Spicy food, check. Beer, check.Alex-in-Evanston
Aug 1, 2003 11:41 AM
I was at the doc for a little digestive problem (or something like that) and he nailed me for about 90% of my diet. Coffee, tobasco, beer, diet soda - on and on.

It was murder giving them up, but the change was almost overnight. Good luck.

Can the coffee!koala
Aug 1, 2003 12:08 PM
I had your problem and found one big contributer was coffee and caffeinated beverages with lots of bubbles. Down to one cup in the morn with food. Ill bet if Nexium isnt working you have a nasty ulceration somewhere. In any event youll need to stay on some sort of dietary plan the rest of your life. Growin up means changes. Sometimes I wish I could stay young, healthy and ride as much as when I was a kid.
re: Feel the Burn!MXL02
Jul 31, 2003 6:09 AM
The important thing is to find some way of getting it resolved, because chronic GERD can lead to esophageal cancer. If medication won't control it, you may need surgery, which can be done endoscopically. Cut out all the acidic foods, cut down on alcohol (sorry!), and good luck.
re: Feel the Burn!geeker
Aug 1, 2003 6:00 PM
I had GERD a long time (12yrs!) ago. The doctor prescribed me Losec (brand-new drug at the time, now Prilosec), recommended a diet, and said if the problem persisted after a month, he'd do an endoscopy. This scared the bejezus out of me (I have doctor- and exam-phobias), so I observed the diet and things got better.

FWIW, the main dietary things I recall having to cut out were: alcohol, coffee, deep-fried foods, tomato sauce, soda (carbonation), chocolate (contains aggravating oils). For me, the first three were the biggest culprits. I no longer drink alcohol, still drink quite a bit of coffee, but overindulgence in fried foods (which I rarely eat any more) can still cause slight problems.
2 things I forgotgeeker
Aug 1, 2003 8:00 PM
I was also told: a) Don't eat anything within 2 hours of going to bed; b) Raise the head of the bed a few inches. I only followed b) for the critical month, but still practice a), which I think is very important, and also helps keep weight down.
Free Burnchar
Aug 1, 2003 8:16 PM

Well, I started to get this heartburn stuff, and no, (its now me-the cast iron stomach) at the job I was working at; waking up in the middle of the night and pukin over the sheets, etc. What no coffee, no malted beverage, no hot chiles? I don't live that way.

So I changed jobs.
I found one where I can ride to work and back. I tell other folks that I work where I do 'cause I like the commute. Most of the other workers have the commute traffic problems, they are stuck in traffic, and I have no commute worries.

I really hope you can find a solution for this, all I can offer is my experience as this was onsetting.

Ride on jT

Thanks, gang!jtolleson
Aug 2, 2003 12:41 PM
The preliminary report is much as you suggested. A hiatal hernia and a need to skip the coffee and the beer (he said that alcohol and soda are actually bigger culprits than coffee!) I drink very little soda.

He also gave me a shorter acting Rx than Nexium since my biggest problem is during exercise. It is basically a prescription strength version of Zantac, to pretreat before riding.

I'm going to first do 30 days of dietary adjustments and see where I am. Ohhh beeeer how I love thee ...
re: Could you have Angina?Rob11966
Aug 2, 2003 5:20 PM
How old are you? Do you smoke or have other risk factors for heart disease ie High blood pressure, family history, diabetes, cholesterol etc. Angina is often mistaken for heart burn. Maybe your 19 and this may not be relevent but I have seen mid 30 year olds with coronory artery disease. If this post is relevent to you, a stress test would be a start to excluding this possibility.