C
cookji
Student
- Mar 24, 2026
- 113
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"Do you also have severe gastrointestinal problems?I wonder too
I don't know if mine are severe. Doctors haven't helped me, so I'm unsure of status. and I guess I didn't quite see a GI Dr yet. I feel I should now that I'm reminded. Sometimes for sure, severe. And I need be careful, so things don't peak. Eating is so complicated, I don't know even who or how to ask to resolve, because there doesn't seem a specialty covering some of the aspects for me, such as physical needs of eating like crunch, that are different from medical or nutritional. Maybe it's considered psychological but I know psychological workers aren't right for it, and other people who also experience physical needs with eating didn't have help"Do you also have severe gastrointestinal problems?
I don't even have the courage to jump, and this feels like the only option left. I don't know what I should do
Thank you for the long reply."Gastrointestinal problems" is a pretty big umbrella. But I'll try to answer this question as best as I can being a GERD/LPR sufferer myself.
SN is my choice of method and I have thought about this question for a while myself and from what I have read and understood, I have come to the conclusion that a person having a condition such as acid reflux is not necessarily predisposed to failure with this method any more than a person with average health.
Having said that, when someone has an active GERD/LPR flare up, the tissues in the throat/ chest oesophagal area get inflamed. The stomach acid moves up the oesophagus and burns tissue in the throat/chest overnight (due to night time reflux) after consumption of trigger foods like spicy foods or alcohol etc...which loosen the lower oesophagal sphincter. This causes the initial flare up.
On top of this if acidic (low pH) foods, fodmap foods, aggravating foods like dairy are taken, they activate an enzyme called pepsin (responsible for protein digestion), which gets deposited to the inflamed tissue and mistakenly starts digesting the protein in the tissue.
So if this thing has been going on for a while, the tissue inside is actually being burnt/digested by pepsin activation because of consumption of the wrong foods and starts looking pinkish or reddish in colour and basically becomes a big fat wound.
Now SN is a salt. The question we have to ask ourselves is - what would happen if salt is poured over an open wound? The obvious answer is that it would burn. So wherever the SN comes into contact with the inflamed tissue inside, it is likely to cause a burning sensation. People with normal health have reported burning symptoms with SN, one can imagine how it might feel for someone having an active flare up.
Also SN, on interaction with stomach acid, releases gases like NO which are toxic and can cause mild chemical burns inside based on the amount of gas released. The more the stomach acid, the more the production of NO, the more presumably the burns - which is why, I believe, the protocol used to recommend taking a PPI to shut the acid production off so that less NO is released.
Incidentally, the root cause of acid reflux is usually low stomach acid. So theoretically, a person with acid reflux issues (due to low stomach acid) should experience lesser painful symptoms due to low NO production as a result of SN and stomach acid interaction, unless one has an active flare up or inflamed tissue which could still burn because SN is a salt as mentioned earlier. One can determine if one has low stomach acid at home by taking the baking soda test that can be found/searched online.
If there are other issues like ulcers and so on, they are further open wounds that one would presume, will cause sufficient pain and distress as the SN will settle on them in the stomach, burning it directly, as also with the NO production and generally making the stomach more acidic. At least with inflamed tissue in the throat or the chest, the SN would be only a passing contact, although still some of the salt is likely to stick to the inflamed tissue and cause prolonged burning.
Having access to the supplementary medication like AEs and benzos is crucial here as the AEs would help increase chances of retaining as much SN as possible and the benzos should help speed up LOC, thereby helping to shorten the time period where the symptoms are experienced.
The most crucial point for someone having acid reflux going through the SN route would be to make sure that the stomach is completely empty at the time of taking the SN. Typical timeline for a solution of say 50 ml to pass from the stomach to the small intestine is say 10 minutes. Once the SN solution gets into the small intestine it should be easily absorbed by the body from there. But if one has an active flare up, ulcers, other wounds, that would mean burning/pain/distress till such time that the SN passes into the small intestine. This could be like 12 to 13 minutes with the standard dosage or longer if it's a lower/non standard dosage. In the absence of benzos, time to LOC could be that much longer prolonging the distress.
As for the other issues like slow digestion, absorption, gastroparesis, I don't think they are relevant here as SN in water is a solution and not like food that has to be digested and moved along. If there a tendency to diarrhoea, it might mean there might be a possibility of a mess being created later to which one solution might be to wear an adult diaper. I am planning to wear one anyway, just in case..
If someone has an active flare up, I think it would be prudent to resolve symptoms first before going for this method as it would likely make it a far less painful experience. I don't think it would necessarily lead to failure as SN is still a lethal substance, but it is likely to cause intense distress/pain based on the degree and placement of the inflamed tissue inside.
The way to get rid of symptoms if one has an active flare up is to follow an elimination/restricted diet consisting of alkaline, non inflammatory, non fodmap, high motility (easily digestible) foods untill all symptoms are resolved.
I took an elimination diet consisting of long bananas, boiled chayote (7-8 chayotes cooked in 1 tbsp. Of extra virgin olive oil and water), steamed white rice, egg white protein powder for over 16 months and feel like am within touching distance of full resolution of all my symptoms. The extra virgin olive oil is important for bile release preventing gallstone formation and is the only source of fat in this diet.
I take 1 scoop of egg white protein powder mixed in 350 ml of water first thing in the morning, then followed by plain/alkaline water (600 ml) - in small manageable portions altogether over 1.5 hours. I then wait for 40 mins for acid levels/digestion to return to normal after water consumption. I generally take 3 long bananas. Then wait for 1 hour. Then take another 3 long bananas. An hour later, I take my meals - 1 cup steamed white rice+2 cups of boiled chayote. I take 2 more such meals spaced about 2 hr 45 mins from each other.
It's vitally important to chew the food down completely before swallowing as it helps reduce volume in stomach and also speeds up digestion. It has to get to a pureed consistency before it is swallowed. I use a lap timer and take at least 1 min for each spoonful of food. Takes a total of 20 minutes for about 18 spoonfuls. This aspect is so crucial - I kid you not - in avoiding reflux and it helps reduce food volume in the stomach and also speeds up digestion significantly.
I weigh about 53 kg and have been able to sustain my weight with this diet. Hopefully once the symptoms are resolved, I can put some of it back on again..
The reason it takes so long for recovery from symptoms is due to the restricted blood flow inside so it takes time for the tissue to heal and for the body to regenerate lost tissue. Only thing one has to do is not take any aggravating/pepsin activating foods and allow the body to heal by itself. Taking dinner about 4 to 4.5 hours before going to bed and using a wedge pillow is recommended to avoid nighttime reflux.
I also took RDA values of all essential vitamins and minerals as this diet lacks in some of them especially like calcium, B12, Vitamin A, Vitamin D, molybdenum, iron, chromium and so on. So I took RDA values of all essential vitamins and minerals except selenium, potassium as there's plenty of it in this diet. I also took a blood test every 3 to 4 months to make sure I wasn't developing a deficiency in any of them.
Some further resources for acid reflux recovery
The complete acid reflux diet plan - Nour Zibdeh
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My Food Data - Free Nutrition Tools to Understand What You Eat
Live a healthier life. My Food Data is a place to track and understand the foods you eat to create better meals.www.myfooddata.com
For finding nutritional information about individual foods/whole diet, one can use the "nutrition facts search" and "recipe nutrition calculator" tools in the tools section.
Another word of caution is to watch volume of water in between meals as that can cause non acid reflux symptoms (not as damaging as pepsin based acid reflux but still painful) due to distension of stomach volume. I drink 1 litre of water first thing in the morning, then take one supplement pill with one gulp of water every half an hour throughout the day.
Who knows, if all symptoms are resolved, life may still hold something for the person involved. If they still choose to CTB and go the SN route, at the very least it is likely to be far less painful..
The danger really comes from the intensity of pain experienced which might be proportionate to the degree or severity, placement of the inflammation inside and the possible panic response to that..Then if someone has severe inflammation or really bad reflux and tried it, they could end up vomiting a lot, right? Wouldn't there also be a possibility of failing and not dying because of that?
Yeah that's an obvious given, but as I said earlier, I don't think the acid reflux condition necessarily makes someone who does not have a current flare up or other issues like stomach ulcers to vomit more or anything like that.I heard that some vomiting can happen during an SN attempt anyway, but…
Meto is probably the best bet among the AEs IMO..The reason why it is preferred is that it supposedly acts in the chemoreceptor trigger zone (CTZ) area of the brain, disabling the vomiting reflex. At least this what it is supposed to do in theory.I also feel like anti-nausea medication probably wouldn't work for me.,
Is it possible that if someone vomits a lot, they might not die and it could fail?The danger really comes from the intensity of pain experienced which might be proportionate to the degree or severity, placement of the inflammation inside and the possible panic response to that..
Yeah that's an obvious given, but as I said earlier, I don't think the acid reflux condition necessarily makes someone who does not have a current flare up or other issues like stomach ulcers to vomit more or anything like that.
GERD/LPR from what I've read is a lifelong condition. But the symptoms are completely resolvable. Once resolved one will need to make certain lifestyle changes like avoiding triggers foods especially at night to keep away from flare ups.
I have wondered if the LES remains loose all the time for people with GERD/LPR...Would the SN just pop out because the valve never closes fully and is always slightly open? I haven't come across any evidence that that is uniformly the case.
There are degrees of variation among people with acid reflux. There are and can be cases where the LES remains slightly open and never closes fully. The only way to find out if this is the case is through an endoscopy.
If this is the case, people might feel the stomach acid flow into their mouths, at any point of time, even if they lie down several hours after taking their meals..
IMO the vomiting reflex from SN happens due to the increasingly acidic nature of the stomach prompted by the release of toxic gases like NO and the interaction of SN and stomach acid. I don't think that just because a person has a normal LES, that's somehow gonna magically contain the vomiting and keep the contents inside.. Could it prevent more SN from getting outside - Possibly..I don't think anyone can really answer these questions accurately enough.
The last time I had a flare up, I was able to resolve my symptoms and go back to lying down flat on my back at night or even on my belly and wake up without having any issues the next day as long as my last meal of the day was alkaline and reasonably early and low volume. That made me come to the conclusion that I most probably don't have a major LES issue and that it was basically just sensitive to trigger foods..and hence my choice to go with SN.
The way I understand it is that in the average person with acid reflux, the LES gets loose only in response to trigger foods like spicy foods or alcohol. My understanding is that it goes back to its normal state in like maybe 4 or 5 hours.
From my personal observation if I go to bed about 3.5 hours after dinner, I can experience reflux symptoms in my mouth when I wake up in the morning even with the wedge pillow. But if I go to bed about 4.5 hours later, I have no symptoms. The only conclusion I can draw from that is that the reflux happens if I go to bed with partially digested food in my stomach.
If it's an alkaline meal, it only causes non acid reflux which is not as harmful as pepsin based acid reflux. But if it's like an extra spicy meal too close to bed time, the stomach acid gets extra acidic that ends up creating a flare up and tissue burns in the morning..
Meto is probably the best bet among the AEs IMO..The reason why it is preferred is that it supposedly acts in the chemoreceptor trigger zone (CTZ) area of the brain, disabling the vomiting reflex. At least this what it is supposed to do in theory.
I am also a bit puzzled and confused when I see reports stating that the SN caused vomiting also in people who took the meto. Not sure how or why this could happen. Did it not work in those cases? Not sure if there could have been any extraneous factors that could have caused it in those cases..like inadequate fasting with partially digested food in the stomach? or maybe too much fasting making the stomach too acidic? Just don't know..
It is also supposed to help with gastric emptying. So as long as bets go, I'd say that would be the best bet..
The fatal dose of SN has been reported to be as little as 2g in some cases. The standard dosage as per the PPeH is 25g. If there is vomiting, I am inclined to believe that there will still be enough of it retained to do the job.Is it possible that if someone vomits a lot, they might not die and it could fail?
And if someone has a gastrointestinal condition, could it take longer for them to lose consciousness compared to a healthy person?
I also have SIBO. Could it affect absorption?The fatal dose of SN has been reported to be as little as 2g in some cases. The standard dosage as per the PPeH is 25g. If there is vomiting, I am inclined to believe that there will still be enough of it retained to do the job.
It depends really on how soon the vomiting takes place. I've read cases where the person has vomited it out immediately. If my memory serves me right, there is one such case mentioned in the successful and unsuccessful cases thread and this person also took meto and it ended up in a failed attempt.
I think the longer it takes to vomit, the greater are the chances that enough SN would be absorbed by the body by the time the vomiting happens. If it happens right away, say within the first 5 mins, then one should be in a position to take the 2nd (backup) cup.
Of course one can question as to what state one might be at this point and if one would be capable of downing a 2nd cup if one has just thrown up the previous one. But I guess if one wants to increase one's chances, well that is what will be needed to be done insofar as one feels that it is possible to do so..
The longer it takes for the vomiting to take place from the 5 - 10 min mark, the chances of it being successful increases exponentially IMO.
This is really a subjective question..If the person has inflamed tissue, they are bound to experience some pain..And generally if one experiences pain, time seems to go by much more slowly..But in an objective sense, I don't think it would make any difference in terms of time in comparison to a person of average health.