Proton pump inhibitors and chronic kidney disease – what you need to know!
Proton pump inhibitors (PPI’s), AKA acid blockers are back in the press again as a medical journal has indicated they are linked to an increased risk of chronic kidney disease (CKD). Kidney disease is estimated to affect 31 million people making it the #8 killer of Americans. This most recent research article indicates that for those who chronically use PPI’s, the risk for CKD might increase by as much as 50%! This is an unfortunate statistic. Currently, about 30-45% of my new clients are taking PPI’s, but they were not given proper informed consent on the side effects of chronic usage prior to stepping into my office. Common names of these medications include: Omeprazole (Prilosec), Lansoprazole (Prevacid), Dexlansoprazole (dexilant), Esomeprazole (nexium) and Rabeprazole (Aciphex). The “Purple Pill” and other PPI’s essentially block your gastric proton pump in parietal cells, which effectively stops the production of hydrochloric acid in your stomach. Without proper acid your body may have a better chance at healing duodenal ulcers (which are typically from stress and a suppression of the immune systems ability to fight H. Pylori) but you will have an increased risk of:
With so many risk factors why do we consume these purple pills in massive quantities every year (number three most common drug prescribed in the United States and sales worth over $14 billion in 2010)? The number one reason is that as many as four in ten Americans suffer from symptoms of gastroesophageal disease, or GERD, and many depend on the medication to erroneously correct “excess” stomach acid. They have been led to believe by their physicians (and what is more correct, the pharmaceutical sponsored research) that if they don’t correct the problem (which is annoying!) they can have higher rates of gastric cancer. In fact they are treating the symptoms and even with usage of PPI’s, esophageal adenocarcinomas have increased 350% since 1970. Secondly, and importantly is the PPI’s allow a continuation of poor lifestyle choices that predispose the body to these problems. If I take my pill I can eat ____, or drink ______! So what is really going on here? Multiple problems are actually responsible for GERD and I will touch briefly on the multitude of causes, which lead to acid reflux:
So what should be obvious at this point is that a simple pill to fix the ill is not addressing the underlying cause and can significantly increase risk of side effects and disease. Functional medicine shines in these cases as it provides the template to relieve symptoms through decreasing esophageal inflammation, promote healing by eliminating the underlying dietary and lifestyle factors. Here are a few simple steps you can implement to help with your symptoms:
Although this is by no means a customized list that will address all reflux symptoms, they are fairly easy to incorporate and clients have indicated they make a difference! To truly evaluate this problem we need a time line of your health so that the functional medicine model can pick out the important details and then develop a customized treatment plan for best results. Trying to use the western acute care model to manage this chronic condition is difficult and fraught with future problems as symptoms persist. Consider taking a different approach to your symptoms through functional medicine and get engaged in your healthcare. Take back your gut health and let your health soar!
Specializing in complex, chronic conditions like IBS, GERD, Celiac, Colitis, Hashimoto’s, Rheumatoid, Sjoegren’s and other auto-immune disorders.
Ian really knows A LOT about thyroid problems! His knowledge and confidence convinced me to make the lifestyle changes -including no gluten, no sugar, and more exercise-that are essential to healing hormonal imbalances and to staying well. Several months later, I feel stronger, more energetic, and am happier than I have felt in a long time. Many thanks for all your help!
We’ve set up a comprehensive new patient special that includes everything necessary to determine the root cause of your condition and start you on the journey to getting your life back.
✓ 1-Hour Comprehensive Physical and Neurologic Exam
✓ Advanced Brain Mapping
✓ Complete Blood Panel – Examining Over 80 Unique Markers (Includes lab fees)
✓ Follow Up Session to Review Findings and Develop Customized Care Plan
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