Silent reflux or something else
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Hello, I have a few health problems and am suffering a lot of pain with osteo arthritis at the moment and am on that forum. I also suffer from anxiety.
To cut a long story short my gp thinks I have reflux, I also have asthma, well controlled. My symptoms are continual retching and coughing trying to clear mucus from throat with only short lets up although it never really goes. Last night a got about 2 hours sleep combination of arthritis pain and the retching. I have tried everything from saline nose spray, head over bowl of hot water with oil of obus, salt water gargle and using asthma reliever (which I hardly ever have to do). My gp has given me omeprazole 20mg once a day. I have taken these in the past but as a stomach protector when taking ibuprofen (can't take these now because of side effects). The retching and coughing in worse after eating and can go on for hours until it lessens. I don't have any burning or heartburn just a little burping and sometimes the feeling food is stuck. These are nothing compared to the continous mucus. I am so tired this morning as I type this. Can anyone tell me how long before the omeprazole starts to work
and is there anything else I can try. I wasstarting to get back on track after a month of pain with knee now all this. Please can anyone offer any help. Thanks ps I also have IBS ok at the moment.
4 likes, 65 replies
libralady13
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Pats121 libralady13
Posted
libralady13 Pats121
Posted
Pats121 libralady13
Posted
libralady13 Pats121
Posted
thanks.
libralady13
Posted
Pats121 libralady13
Posted
libralady13 Pats121
Posted
Thanks
Pats121 libralady13
Posted
Reflux disease may be caused due to conditions like ‘Hiatal hernia; Zollinger-Ellison syndrome (in which there is increased gastric acid secretion); H pylori infection’. You need to do investigations to identify the reason. Please let me know if you have done gastroscopy. If it is not performed, please consult your GP for it. This is a very useful diagnostic procedure and it helps to identify the underlying cause.
libralady13 Pats121
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Pats121 libralady13
Posted
In addition to performing a visual examination of the upper gastrointestinal tract with the endoscope, the doctor can insert instruments through the endoscope to obtain tissue samples for a biopsy, remove foreign objects, stop bleeding, or perform endoscopic surgery, laser therapy. So this is a better procedure than barium swallow. It will help to identify if you have a hiatus hernia.
Oral thrush is an infection of the mouth caused by the Candida fungus. It may be caused by certain medicines such as corticosteroids. Corticosteroids are used to treat asthma. That might be a reason of your frequent oral thrush.
libralady13 Pats121
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libralady13 Pats121
Posted
I don't have heartburn just ocassional belching and feeling like food has not gone down properly. Why I ask this is that although on the diet I notice that the moment I stop eating I then start producing loads more throat mucous and start retching and hacking to try and get it up sometimes this will go on for around 2 hours after eating. In between it is better but still there. Anyway one day this week after having a egg and cress sandwich, salad and a peach I was ok afterwards. The next day after eating a chicken salad sandwich and peach the mucous started again. So apart from the obvious like spicy, greasy or citrus.
I don't quite know what affects it, also why does it act so fast. The only good thing about all this is that I have lost 1/2 stone (I need to lose a lot more). Do you think it might be something else added to the silent reflux. I am going to ask gp about swapping BP tablets as I know the ones I am on do have a side effect although rare of rhinitis and I do have trouble with nose congestion
donclaudio libralady13
Posted
Trying to respond to your questions is difficult because for one thing..you have many things going on, some most likely overlaping, some could be a cascade being initiated by one condition.
You have Reflux....when food you've eaten comes up...thats a refluxation. So you could have GERD,
GE, and LPR without heartburn and or Gastritis.
Generally two conditions affect a reponse to food...
1. food
2. stomach condition
1. Some food may immediately cause an immune response..an example...high acidic food or liquidwith a high PH touches inflammed tissues, the immune response is mucus, stomach contractions
and reflux .
2. Food left behind from a previous meal or snack is yet in the stomach....could be in chime process,and when "any" new food is introduced and mixes......the response is...bloating, pain, and reflux.
Taking your example of foods...what I see identical is peach...the other two can be quite different in PH.
And of course...perhaps with egg, the stomach was empty...perhaps not so with the chicken.
(you didn't mentioned pre meal medications, therefore assume whatever, the same would have been
for both meals).
Because you have the responses that you do plus a nasal conditon, I'd suggest quickly a referral to a skilled ENT. If you've already seen one, without results, get a 2nd opinion...
While the stomach is Gastroentrology the throat and nose is ENT...google Dr. Ja Kaufman, she's the ENT doc that coined "silent reflux"..she is referenced in many medical abstracts dealing with reflux, acid, pepsin, bile, bacteria, and other stuff's.
I mentioned to Ines that I have a copy in pdf format of the "international symposium" held in the UK back in 2010 that
pretty much clarifies "almost" all of your conditions. It's really lengthy and has technicals but you can manage...
"Review article: reflux and its consequences – the laryngeal,
pulmonary and oesophageal manifestations
Conference held in conjunction with the 9th International Symposium
on Human Pepsin (ISHP) Kingston-upon-Hull, UK, 21–23 April 2010"
claudio
Trying to respond to your questions is difficult because for one thing..you have many things going
on, some most likely overlaping, some could be a cascade being initiated by one condition.
You have Reflux....when food you've eaten comes up...thats a refluxation. So you could have GERD,
GE, and LPR without heartburn and or Gastritis.
Generally two conditions affect a reponse to food...
1. food
2. stomach condition
1. Some food may immediately cause an immunte response..an example...high acidic food or liquid
with a high PH touches inflammed tissues, the immune response is mucus, stomach contractions
and reflux .
2. Food left behind from a previous meal or snack is yet in the stomach....could be in chime process,
and when "any" new food is introduced and mixes......the response is...bloating, pain, and reflux.
Taking your example of foods...what I see identical is peach...the other two can be quite different in PH.
And of course...perhaps with egg, the stomach was empty...perhaps not so with the chicken.
(you didn't mentioned pre meal medications, therefore assume whatever, the same would have been
for both meals).
Because you have the responses that you do plus a nasal conditon, I'd suggest quickly a referral to a
skilled ENT. If you've already seen one, without results, get a 2nd opinion...
While the stomach is Gastroentrologist, the throat and nose is ENT...google Dr. Ja
Kaufman, she's the ENT doc that coined "silent reflux"..she is referenced in many medical abstracts dealing
with reflux, acid, pepsin, bile, bacteria, and other stuff's.
I mentioned to Ines that I have a copy in pdf format of the "international symposium" held in the UK back in 2010 that
pretty much clarifies "almost" all of your conditions. It's really lengthy and has technicals but you can manage...
"Review article: reflux and its consequences – the laryngeal,
pulmonary and oesophageal manifestations
Conference held in conjunction with the 9th International Symposium
on Human Pepsin (ISHP) Kingston-upon-Hull, UK, 21–23 April 2010"
claudio
libralady13 donclaudio
Posted
the trouble to reply, and thanks to everyone else who has also posted on this subject.
Carol
donclaudio libralady13
Posted
Pats121 libralady13
Posted
Throat mucus is not common in gastro-oesophageal reflux disease, but it may be seen in another condition ‘Laryngopharyngeal reflux’. In this condition, there is a retrograde flow of gastric contents to the upper aero-digestive tract. The patient may have hoarseness of voice, indigestion, cough, postnasal drip, sore throat, and asthma.
As you have felt like food has not gone down properly, there may be a possibility of hiatus hernia. Gastroscopy will help to confirm the diagnosis. For Laryngopharyngeal reflux’ laryngoscopy is useful. Please consult a GP for these investigations. Proper diagnosis will help you to take the right treatment.
libralady13 Pats121
Posted
Ishould have said that she also gave me beconase nasal spray, but it seems to make the throat mucus worse. Last night after I took it was 2 hours before I could go to bed and be able to lie down. I am glad that I found this forum because I have been given advice and support, but sometimes wish I hadn't because there does not seem to be a cure for this condition. Tried camomile and redbush tea but found them horrible will stick with apple and pear green tea and one cup of ordinary each day plus water. I think I mentioned I have lost 1/2 stone which is great as I need to but not the way I wanted to diet. My mum had an hiatus hernia so maybe I have one as well. Sorry to moan on and flit from one thing to another but I am not coping very well with all this.
libralady13 Pats121
Posted
I did have something similar to this around 7 years ago. It started funnily enough around the same time of year with tight chest and horrible sore mouth antibiotics made not difference was ill for weeks. Was just retiring from work at the time. It left me with some mucous but quite manageable I put it down to blood pressure medication. I had thought about changing it but at the moment have left it as have all this to contend. This started one Saturday night when I went to make a cup of tea and whilst in the kitchen ate just 2 square of fruit and nut chocolate. Chocolate had neve bothered me before it was instant and I swallowed the chocolate the mucous started.
Pats121 libralady13
Posted