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Thank you for your replyes and consideration i wonder if my primary doc has ignored this because he thought it was just connected to my SDB.

I will start on prilosec i guess, OTC,
I simply don't have the money for endoscopy ect.
I spent all of it on Bipap and sleep study.

Does acid reflux cause burping when you go from horizontal to vertical position?
Im really just burping when i stand up and involuntarily hiccup (even if i force myself not to) and get the presssure in my stomach again.

Go see a ENT. There is more than standard Gerd or acid reflux. I was told I had Gerd. Was in meds for a month and couldn't really talk. Went to ENT and was told I have LPR. Scary to read about but a simple scrip can help a ton.

That's just what went in with me.

Ruinednose wrote:Thank you for your replyes and consideration i wonder if my primary doc has ignored this because he thought it was just connected to my SDB.

I will start on prilosec i guess, OTC,
I simply don't have the money for endoscopy ect.
I spent all of it on Bipap and sleep study.

Does acid reflux cause burping when you go from horizontal to vertical position?
Im really just burping when i stand up and involuntarily hiccup (even if i force myself not to) and get the presssure in my stomach again.

Reply,

Yes, you do burp when you change to vertical position. But in GERD the burp has a burning feel inside the top of the stomach where the reflux goes from the stomach into the esophagus. In some sufferers the reflux reaches the top of the esophagus (by the Adam's apple in the throat) and then the burning feeling is over there.

I am surprised that the poster above my post sends you to an ENT b/c they don't deal below the throat (pharynx). See more on GERD here:

http://www.mayoclinic.com/health/gerd/DS00967

You posted this: "Im really just burping when i stand up and involuntarily hiccup (even if i force myself not to) and get the presssure in my stomach again"

Someone need to verify if you have a GERD or just a traditional respond to staring treatment on a CPAP, whereby you get ingested air into your stomach. Someone with GERD, usually has it before CPAPing. Of course, you could have it both at the same time. GERD and Ingested air. In my experience, I treated the ingested air from the CPAP with Pepto-Bismol (it colors the stools black).Of course it causes extra belching, farting, etc. After about a year the ingested air did not bother me any more. But the GERD continued to bother me. So I had the expensive procedure of the Upper Endoscopy for which Medicare paid (a lot, the physician there try to charge separately, but they had to stop asking for money, by Medicare).

If it's GERD then, imo, it should be treated promptly. If you can't pay for testing then I think that you should be ably to stop at an emergency Dept. in a State, or a City hospital (not a private hospital). The physicians there are experts in the fields of digestion and sleep disorders. Ask them to check you!

Elevating the head of the bed, avoiding acidic foods, and stuff like chocolate and alcohol have never worked for me. What worked very well the first time around was a low carb diet. Dairy is a trigger for me, I'm sad to say.

There's a good explanation of why cutting carbs worked in the book "Fast Track Digestion: Heartburn" by Norman Robillard. His theory is that it is caused by small intestinal bacterial overgrowth (SIBO) and certain foods with a high "fermentation potential" (mostly grains and higher carb foods) tend to exacerbate it.

You do need to take this seriously, Barrett's esophagus is a very real danger. But there's also a theory that the problem with GERD isn't too much acid, it's too little, and once you start down the road to PPI's it's very hard to ever get off them again--and they are not as benign as once thought. So it's worth trying other options.

CPAP itself has almost completely eliminated my GERD, if I fall asleep without it I will have reflux within the first 10 minutes. There's a theory that when we are apnic, the struggle to breathe causes a negative pressure in the esophagus, causing GERD--that's why it seems to really help me. Some people have the opposite response and the aerophagia causes them to have GERD. So you'll have to see how it works for you.