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Managing Side Effects of HIV TreatmentManaging Side Effects of HIV Treatment
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Jan 17, 2007

I was diagnosed with HIV in August of 2005 and started HAART on November 25, 2006. My treatment includes Kaletra, Zidovudine (AZT), and Truvada, after my resistance tests showed a number of mutations.

I was nauseous for the first few days but that subsided. Right now my only issue seems to be a very acidic stomach. I eat pretty well and regularly but my stomach is still off most of the time. Are there any foods that might help ease or abate my acidic stomach? I've already given up coffee, cola, and reduced my alcohol intake. I don't know why but just the thought of some foods that I used to love just turns my stomach.

Response from Dr. Henry

You can generally take a range of acid lowering medications with your current HIV regimen. Many upper GI problems are related to H pylori infection if you haven't been checked for that. Lactose intolerance and chronic reflux esophagitis can cause chronic gut/heartburn problems that often warrant further evaluation (such as endoscopy) and specific treatment. If is often difficult to pin down the problem to specific foods. Kaletra can make the gut sensitive to a variety of foods so often best if taken with food. KH

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