I (23f) have ADHD, I am medicated for my ADHD-
When I first got prescribed I did not realise that Ritalin can greatly affect stomach acidity in certain sensitive individuals, especially if you don’t eat before taking doses.
I learnt that the hard way when I first started- in the beginning I was told not to take it with food, as it helps more of the dose absorb- however some peoples stomachs just don’t tolerate that well… turns out I’m one of them…
The feeling of intense chest pain when I just started a stimulant was obviously incredibly concerning- My doctor ran various heart health tests before finally realising that it wasn’t heart pain- it was acid reflux.
I have dealt with acid reflux on and off over my life but it was never this bad until I started a medication that triggers it that I’m meant to take basically every single day…
It’s such a shitty roadblock anytime it comes up because:
High acidity effects how the dose is absorbed, less is absorbed leading me to feel under medicated
You can’t take antacids on ADHD meds because stomach acidity being more alkaline causes TOO MUCH to be absorbed leading to feelings of over medication
My ADHD makes me highly distracted by physical sensations, the feeling of the stomach ‘gnawing’ the chest burning, the faux ‘hunger’ than makes me question if I am actually hungry or not- always greatly distracts me and makes it harder to focus
It feels so frustrating that something as small as a flare up of acid reflux can fuck me over so badly because I rely on ADHD meds, which are strongly effected by stomach acidity, and strongly effect stomach acidity.
Since the first few months of being on Ritalin it really hasn’t been that big of a problem- Doctor told me to start eating before doses, and sure enough that’s all I had to do, I stopped getting horrid acid reflux.
Ritalin affects appetite however- and sometimes I start slipping and don’t eat enough before a dose a few times.. Just a day or two of barely eating / not eating before a dose can trigger an episode of acid reflux to rear its ugly head.
I feel so fucking stupid every time- it’s really no one’s fault but mine, I was too lazy to shove some toast down my throat now I’m paying the price.
It hasn’t happened in so long, I feel so stupid for slipping back into an episode when I have so much I need to get done right now- I really can’t afford to be off my game right now but that’s where I am.
It’s been so long now I dont even remember what I usually do to get out of an episode… I think in the past I’ve stopped taking my Ritalin a few days and stuck to basic non-acidic foods and tums to quell the fire and ‘reset’ my stomach acidity…?
But right now I literally just cannot stop taking my meds I have SO MUCH assessment work to be done- even if I feel less medicated I am still significantly more functional than I am unmedicated.
I’m just so tired I feel so stupid- I’ve been struggling to eat lately, but I really need to, this is what happens when I am too lazy to just make myself a bowl of cereal. My chest hurtsss and I’m so unfocused.