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BrokenWingedBird
Regular

Reged: 11/30/04
Posts: 113
Loc: United Kingdom.
oily fatty foods causing BAD indigestion
      #240117 - 06/24/08 09:26 AM

Anyone got any ideas?

I've been suffering terrible stomach pains, indigestion, after eating anything with even the smallest amount of fat or oil in it.

Yesterday I had an endoscopy. Immediately afterwards the specialist who performed the examination (basically looking around in your stomach and duodenum with a tiny camera) said he could find nothing wrong! Ulcers I had years ago have healed up and weren't visible. My stomach lining was not red in colour, so he said I don't have helicobacter pylori (which causes serious indigestion). He said I'm just getting older and people often produce too much acid as they get older. In other words, he said you are more prone to indigestion as you age. I told him I am on anti-retroviral therapy but he didn't seem to think that is the cause. He told me to just keep taking the "proton pump" tablets (omeprazole) before meals to reduce the acid in my stomach.

But after I left the hospital I remembered that I only get the pain after I've eaten something with a bit of oil or fat in it. For example, if I eat cornflakes muesli and milk three times a day I will definitely not experience any pain at all.

So what's up? Any ideas?

I'm trying to brainstorm on this one before I go back to my local doctor to discuss the results of the endoscopy. I'm having difficulty accepting that I should just accept this pain because I am getting older and that acidity comes with age.

Thanks.



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Florida69
Veteran

Reged: 02/19/07
Posts: 541
Re: oily fatty foods causing BAD indigestion new
      #240149 - 06/25/08 11:34 AM

Maybe it is time to eliminate those bad oils and fats from your diet. I use olive oil for cooking (I no longer use vegetable oils and I grew up on animal oils like lard) . Since I have made sure to broil everything and eat fresh vegetables I have not had any issue with heart burn or indigestion (I was having serious problems before the diet change). Now I do take fish oil as a supplement, and vitamin E for my skin. Those are good oils, but if you are cooking use olive oil or peanut oil and try to go the natural route. I hope that helps. D

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BrokenWingedBird
Regular

Reged: 11/30/04
Posts: 113
Loc: United Kingdom.
Re: oily fatty foods causing BAD indigestion new
      #240152 - 06/25/08 01:47 PM

Thanks, Florida. ANY oils at all KILL me. But thanks for the suggestion. It's been suggested I ask my doctor to check me out for:
low level pancreatitis,
some form of malabsorption syndrome,
gall bladder disease,
gluten enteropathy.

Hopefully one of these is it.


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MissouriMammal
New User

Reged: 06/15/05
Posts: 19
Loc: SW Missouri
Re: oily fatty foods causing BAD indigestion new
      #240343 - 06/30/08 02:28 PM

You may want to have your gall bladder checked out, like you said. I know many people on HIV therapy, myself included, who've come down with a non-specific gall bladder disease and have had them removed. On top of the greasy stuff, I can no longer tolerate spicey things or raw vegetables. I'm not trying to say this is a result of treatment, though it could be. I've always had a lousy diet, so am probably paying the price now. Good Luck!

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BrokenWingedBird
Regular

Reged: 11/30/04
Posts: 113
Loc: United Kingdom.
Re: oily fatty foods causing BAD indigestion new
      #240404 - 07/02/08 06:29 AM

Thanks, Mammal. Went to the doctor yesterday, in a nearby sleepy little English village, and thankfully she's arranging an ultrasound examination of my gall-bladder and pancreas. It'll probably be about six weeks before it happens. I hope they find something. She's also arranging for me to pick up a helicobacter pylori breath test (DIY at home!), and to have a blood test for malabsorption problems.

I am intrigued that you you say you had "non-specific gall bladder disease" and had it removed, and even after this you can still not eat greasy food, spicy things, or raw veg. So have there been no benefits for you in having the gall-bladder taken out? (I'm thinking, why bother.)

Thanks.

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Without a dream, life is a broken-winged bird that cannot fly. Keep hold of your dreams.

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BrokenWingedBird
Regular

Reged: 11/30/04
Posts: 113
Loc: United Kingdom.
Re: oily fatty foods causing BAD indigestion new
      #241433 - 08/16/08 07:38 AM

To update this, in case anyone with a similar problem follows it:

The ultrasound revealed comet-like structures in my gall-bladder and these may indicate a clogging up of the folds in my gall-bladder with cholesterol crystals. This occurs in people with a median age of 53, my exact age! In most people it goes unnoticed. In others it can hinder the secretion of bile to the stomach, which breaks down fats.

My next step is to wait to see a surgeon in a month's time. He will decide whether to arrange another kind of scan to examine further, or whether to simply fish the entire gall-bladder out. I understand that means I will then have to take "bile tablets" before all fatty meals in future. Hmmm. Why not just take the "bile tablets" now?

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BrokenWingedBird
Regular

Reged: 11/30/04
Posts: 113
Loc: United Kingdom.
Re: oily fatty foods causing BAD indigestion new
      #243362 - 11/26/08 05:31 AM

A further update:

My doctor arranged for me to see a surgeon. The surgeon looked at my ultrasound pictures and said there was only a 50:50 chance that removing my gall-bladder would relieve me of pain after eating fatty and oily foods. Being HIV+ I didn't want to go into hospital (where there's some chance of infection from superbugs), under anaesthetic, and possibly cause stress to my system, all for no result. So I considered other causes for my pain. I considered whether the problem might be that my bile and digestive enzymes are either not produced in great enough amounts or that perhaps they are not of good enough quality. I did some googling and located two bottles of supplements which are available from many Health Food suppliers. My research told me that I needed to experiment with a bile supplement and a supplement of digestive enzymes - particularly lipase. Unfortunately here in the UK, it is not possible to buy pure bile tablets: they come only with digestive enzymes. However, they don't come with the most important digestive enzyme, lipase. So I ordered two bottles as follows:

1.
ox bile powdered extract 130mg
pancreatin powdered extract 130mg
aspergillus oryzae diastase 65mg
betaine HCI 65mg
papain 32mg
pepsin extract 30mg
powdered peppermint leaf 25mg

2.
lipase 26mg

I take the two tablets just after starting any meal with fat or oil content in it and I no longer experience any pain. I have even tested the power of these tablets by deliberately eating a very fatty meal, consisting of roast potatoes, sausages, gravy, and pastry! No pain.

My doctor is amazed. Possibly sceptical too. However, I know it is working, and I have saved myself the risky business of having that operation. The only negative to this treatment is that every 100 days I will have to fork out for another supply and they're not cheap.

But at least I am no longer suffering every night after the main meal.


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