Indigestion

rick_chasey
rick_chasey Posts: 75,660
So I have a propensity to suffer from indigestion, inherited from my father.

However, I have noticed I am more prone to it day-to-day when I am riding hard during the week (not specifically during the ride, during the day generally).

I don't tend to change my diet much if I'm cycling or not.

There are also instances that are increasingly common where the limiting factor for riding hard isn't the pain in my legs but in my stomach - especially when riding on the drops.

Anyone have any broad advice or suggestions for the cause?

I've tried eliminating various food to experiment with no conclusive results.

I tend to get it more often when riding on an empty stomach in the evening ride home as opposed to the morning.
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Comments

  • robertpb
    robertpb Posts: 1,866
    Eat slower, take time to chew your food, relax when you are eating, don't work while eating and don't scrunch forward.

    All simple things but they work, you could also try peppermint tea.
    Now where's that "Get Out of Crash Free Card"
  • keef66
    keef66 Posts: 13,123
    Are we talking about stomach pain, or is it acid reflux - stomach contents making it back up into your oesophagus and burning?
    If it's made worse by posture, eg you cite riding in the drops, it suggests the latter and a possible physical cause.

    I've suffered with this for as long as I can remember and suspect it's inherited. For a while I coped by avoiding foodstuffs / drinks that made it worse but in the end I went to the GP. First checked for a stomach ulcer / H. pylori infection but negative. Then gastroscopy which revealed a hiatus hernia - the sphincter which should close the stomach doesn't work properly, so the hydrochloric acid comes back up and the oesophagus isn't designed for it. Not good to leave it like that as it can turn cancerous.

    I'm now on lansoprazole daily, which reduces acid production, and means I can eat more or less normally. However, the physical defect is still there so I cannot eat / drink too much at once, or late at night unless I want to be woken by choking on my stomach contents. Similarly I have to be careful about doing too much DIY / gardening that has me leaning forwards / down.
  • keef66
    keef66 Posts: 13,123
    Stuff that used to upset me: high fat things like sausage rolls / pork pies / battered fish, fresh pastry, fresh bread, coffee, bananas, red wine, spirits, weetabix, tomato soup, and acidic things like orange / grapefruit juice and picallili.

    Things which I was always told to avoid but which I could consume happily: spicy foods, full fat milk, hot drinks.

    You can quickly see if it's excess acid by drinking a teaspoon of bicarbonate of soda in a glass of water. You'll burp like a cow for a few minutes but then if the pain's gone...
  • rick_chasey
    rick_chasey Posts: 75,660
    keef66 wrote:
    Are we talking about stomach pain, or is it acid reflux - stomach contents making it back up into your oesophagus and burning?
    If it's made worse by posture, eg you cite riding in the drops, it suggests the latter and a possible physical cause.

    I've suffered with this for as long as I can remember and suspect it's inherited. For a while I coped by avoiding foodstuffs / drinks that made it worse but in the end I went to the GP. First checked for a stomach ulcer / H. pylori infection but negative. Then gastroscopy which revealed a hiatus hernia - the sphincter which should close the stomach doesn't work properly, so the hydrochloric acid comes back up and the oesophagus isn't designed for it. Not good to leave it like that as it can turn cancerous.

    I'm now on lansoprazole daily, which reduces acid production, and means I can eat more or less normally. However, the physical defect is still there so I cannot eat / drink too much at once, or late at night unless I want to be woken by choking on my stomach contents. Similarly I have to be careful about doing too much DIY / gardening that has me leaning forwards / down.

    I suspect it's reflux yes.

    Sounds like there's not much of a solution, other than medication!
  • keef66
    keef66 Posts: 13,123
    I suspect it's reflux yes.

    Sounds like there's not much of a solution, other than medication!

    I'd still say go to the doc. If it is an ulcer, chances are its caused by H. pylori infection, and it can be cured by a short course of 2 antibiotics. Step-Father-in law suffered all his working life then in his 70s finally got tested and was cured in a fortnight!

    Even if you don't have an ulcer, a daily pill is extremely effective. Half the people I know are on them. And I suspect it's a cheaper option for the NHS than trying to sort out the complications of leaving reflux untreated...
  • rick_chasey
    rick_chasey Posts: 75,660
    Yes.

    I am very averse to being in a position to take a pill every day.

    I do not want that. At all.
  • keef66
    keef66 Posts: 13,123
    Yes.

    I am very averse to being in a position to take a pill every day.

    I do not want that. At all.

    I was the same in my younger years, but I'm getting on a bit now.

    I have to remember to take 5 different things daily. Reluctantly, but unfortunately I do need them all.
  • fat daddy
    fat daddy Posts: 2,605
    I used to suffer from this greatly ..... and exercise, ie cycling, weights made it worse.

    Effectively I lost weight, that was the biggest contributing factore if I stay under 80kg I am mostly fine, above 80kg .. BOOM acid reflux

    going on this site though most people are far from fat, so that probably doesn't help

    I get it slightly now if I have been drinking alcohol in any pleasurable amount, coke, chewing gum, or just eating a sensible amount of food

    If I try to stay hungry it stays completely away
  • rick_chasey
    rick_chasey Posts: 75,660
    My body fat % is on the border of being too low according to my health check up (I'm 55-56 kilos) so I doubt it's excess weight!
  • fat daddy
    fat daddy Posts: 2,605
    yeah I would lose anymore weight .... 55kg .... man you must climb like a scalded rabbit !
  • meesterbond
    meesterbond Posts: 1,240
    Worth getting it checked out properly...
    I suffer from something similar, albeit only very occasionally and spoke to the doc about it earlier in the week (was in for a medical so thought I'd take the opportunity). She suggested if it happens regularly, get referred for an endoscopy so the can check the oesophagus out, particularly the valve at the bottom which doesn't always function correctly. This can effective leak acid back up into the oesophagus causing that acid reflux.
    Mine is really irregular so I'll probably leave it until it happens again but if it's occurring regularly it's got to be worth the discomfort of a tube down your throat.
    Btw - definitely seems hereditary... my Mum suffers, her mum did too and if you leave it that acid can do nasty things to the cells in the oesophagus.
  • What they said!

    I have a hiatus hearnia which is apparently hereditary. I take one tablet of Omepeazole a day to control the reflux it causes, have done since I was about 20. I was diagnosed via a gastroscopy after my older brother who ignored his symptoms was told he had Barrett's Oesophagus. Basically because he'd ignored the reflux for so long the stomach acid had damaged the cells in his oesophagus and caused them to become pre-cancerous.

    Just get it checked, maybe enjoy the pleasures of having a camera rammed down your throat and then take a PPI tablet once a day and suffer non more.
  • twotoebenny
    twotoebenny Posts: 1,542
    I've a number of stomach related auto immune conditions, one of the other things found via biopsy etc was eosinophilic esophagitis. Similar symptoms but omeprazole etc doesn't work... it's the least of my worries but I think that milk products don't help me personally.
  • briantrumpet
    briantrumpet Posts: 20,594
    Dan Walton wrote:
    I have a hiatus hearnia which is apparently hereditary. I take one tablet of Omepeazole a day to control the reflux it causes, have done since I was about 20. I was diagnosed via a gastroscopy after my older brother who ignored his symptoms was told he had Barrett's Oesophagus. Basically because he'd ignored the reflux for so long the stomach acid had damaged the cells in his oesophagus and caused them to become pre-cancerous.

    Just get it checked, maybe enjoy the pleasures of having a camera rammed down your throat and then take a PPI tablet once a day and suffer non more.
    I've been on Omeprazole for about 10 years because of Barrett's whatsit, and several endoscopies later it's still negligible. When I started, the figures were that they thought that something like 1 in 20 developed into cancer, now they think it's more like one on 10,000, as they think far more people have the condition but who never get diagnosed.
  • pastryboy
    pastryboy Posts: 1,385
    Give some apple cider vinegar a try. Whilst I don't know if it will help with your specific problem it was a revelation for me in terms of settling the stomach and is recommended as a possible cure for acid reflux. Tastes foul but it's cheap so can't hurt to try. Couple of tablespoons in a glass of water does the job.
  • oldbazza
    oldbazza Posts: 646
    Dan Walton wrote:
    I have a hiatus hearnia which is apparently hereditary. I take one tablet of Omepeazole a day to control the reflux it causes, have done since I was about 20. I was diagnosed via a gastroscopy after my older brother who ignored his symptoms was told he had Barrett's Oesophagus. Basically because he'd ignored the reflux for so long the stomach acid had damaged the cells in his oesophagus and caused them to become pre-cancerous.

    Just get it checked, maybe enjoy the pleasures of having a camera rammed down your throat and then take a PPI tablet once a day and suffer non more.
    I've been on Omeprazole for about 10 years because of Barrett's whatsit, and several endoscopies later it's still negligible. When I started, the figures were that they thought that something like 1 in 20 developed into cancer, now they think it's more like one on 10,000, as they think far more people have the condition but who never get diagnosed.


    Same here;found that some of the powders and tabs for water can set it off(indigestion that is)so have been just using water or a very weak mix;have to be careful eating too so take my time when I need a snack on the bike.
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  • keef66
    keef66 Posts: 13,123
    I had a self inflicted bout yesterday. Spent the morning grouting kitchen tiles which seemed to involve a lot of leaning over the worktop / under the wall cupboards, then had a bacon and egg bap for lunch (god, it was tasty!) and some of the Christmas shortbread with the inevitable mug of tea. Agony all afternoon..
  • FatTed
    FatTed Posts: 1,205
    You could talk to your Doctor and ask about a Laparoscopic Fundoplication, assuming your gastroscopy shows you have a functional Hiatus Hernia with reflux.
  • FatTed wrote:
    You could talk to your Doctor and ask about a Laparoscopic Fundoplication, assuming your gastroscopy shows you have a functional Hiatus Hernia with reflux.

    Ah yes, I remember being offered this... I think the doc said you can't eat solids after the surgery, but that usually improves and you won't be able to vomit... umm, I don't mind not vomiting but I am a fan of solid food, so I'll just take the tablets thanks!
  • zefs
    zefs Posts: 484
    Have you tried food supplements that aid digestion? Try slippery elm, 2 caps before or after each meal and you will notice the difference right away.
  • briantrumpet
    briantrumpet Posts: 20,594
    FatTed wrote:
    You could talk to your Doctor and ask about a Laparoscopic Fundoplication, assuming your gastroscopy shows you have a functional Hiatus Hernia with reflux.
    Was your doctor Professor Stanley Unwin?
  • FatTed
    FatTed Posts: 1,205
    FatTed wrote:
    You could talk to your Doctor and ask about a Laparoscopic Fundoplication, assuming your gastroscopy shows you have a functional Hiatus Hernia with reflux.
    Was your doctor Professor Stanley Unwin?

    Had to look him up, still none the wiser.
  • keef66
    keef66 Posts: 13,123
    FatTed wrote:
    FatTed wrote:
    You could talk to your Doctor and ask about a Laparoscopic Fundoplication, assuming your gastroscopy shows you have a functional Hiatus Hernia with reflux.
    Was your doctor Professor Stanley Unwin?

    Had to look him up, still none the wiser.

    If you listen to him the relevance of the post will become apparent.
  • I get the same problems to varying degrees, I take bisodol, or your favourite anti acid and take them as required, can be a pain fishing them out of a pocket, sometimes i pop them up a sleeve by my wrist or in the bottom of the legs in my shorts, better than suffering
  • mamil314
    mamil314 Posts: 1,103
    Actually, being able to vomit is way more important as it's organism's defensive mechanism against poisoning.
    Tea is acidic beverage, most folks suffering from reflux would do well to switch to something else.
    While apple vinegar is acidic, it has alkalising effect after metabolising, so could reduce acidity issues. Reducing stomach acid levels has dangers in itself as it can compromise digestion process. If compared to many other animals, humans have weak stomach acid and short bowel tract.

    While me stomach issues mostly went away after I stopped using milk, this sounds like a different problem from OP's. None of us here are specialists and a proper doctor's test would be advisable.
  • rick_chasey
    rick_chasey Posts: 75,660
    mamil314 wrote:
    While apple vinegar is acidic, it has alkalising effect after metabolising, so could reduce acidity issues.

    This sounds like it's straight out of the clean eating BS book.
  • mamil314
    mamil314 Posts: 1,103
    This is basic chemistry.
  • rick_chasey
    rick_chasey Posts: 75,660
    No.

    Basic chemistry is - add acid to something already acidic = acidic.
  • rick_chasey
    rick_chasey Posts: 75,660
    Suffice to say, I shan't be necking bottles of vinegar to calm my indigestion.
  • keef66
    keef66 Posts: 13,123
    mamil314 wrote:
    Tea is acidic beverage, most folks suffering from reflux would do well to switch to something else.

    You any idea of the pH of a cup of tea? And the pH of the contents of a human stomach?

    I drink tea to help calm my reflux down...

    Cider vinegar, not so much.