This seemed to take care of the withdrawal symptoms but new health problems began. I began having IBS, acid reflux, and GURD. No amount of medicine my Doctor tried had any effect at all. I explained everything to my gastro doc and I told him that I was probably getting too much nicotine. That was the only thing that made cents. So i diluted the nic juice to about 18mg for 2 weeks and all the gastro ulcer and GURD are gone.
Hey Kevin;
I hear you loud and clear about the GERD(had an esophageal tear in 2000- which left me with GERD which was eventually stopped altogether with PPI's(proton pump inibitors) mainly Prevacid - It totally went away-even without meds- eventually, for years, UNTIL I started vaping). I couldn't figure this out, it didn't make sense when I did the math and figured out what I was vaping compared to what I was smoking, the overall daily nicotine amount was actually lower now that I'm vaping. It's not too much nicotine, well not exactly. I'm a pharmacist myself and I went to my family doctor and, together, we eventually came to a conclusion after a good deal of thought. Vaping, although similar, is not exactly the same as smoking. When you smoke, all the nicotine remains in the combustion gases and, therefore, the only route into your body is through your pulmonary alvoeli(lungs). However, Vaping produces a vapor(which is technically not a gas-smoke) it is a microparticulate liquid phase suspended in the air. The nicotine is dissolved within this suspension and, therefore, deposits not only in ur lungs, but also along your entire upper respiratory tract(mouth, gums, tongue, larynx, pharynx-you get the picture). As with saliva and mucous, you end up SWALLOWING this deposited nicotine(which is something that would not happen when smoking). So it's not the level of nicotine, but the fact that, when you swallow, it it making direct topical contact on the cells of your lower esophageal sphincter, causing the smooth muscle of the sphincter to relax, which is what is actually, directly, causing the heartburn. One thing I did notice that confirmed this, at least in my opinion, was when I would get an accidental mouthful of eliquid from a flooded atty. A good portion of this(no matter how much I tried to spit out) was swallowed, and would almost immediately cause GERDlike discomfort.
What to do about this?
#1 Stop vaping and go back to smoking(Not an option for me)
#2 Try your best to avoid any situation where you directly taste eliquid in your mouth(flooded atty's, etc...) along with
#3 Go back on whatever GERD therapy worked for you in the past. Whether that be dietary measures or drug therapy. For me one 20mg omeprazole(prilosec) tablet daily totally stopped the GERD symptoms. For you it seems you may want to get a bit more aggressive with the pharmacological/dietary therapy. Talk with doctor and explain the situation with him. He/she may be able to come up with a viable alternative now that you think you may have pinned down the cause. Good Luck.