Ammonia burning feeling in nose and throat

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About 7 on the ago I had my gallbladder taken out due to some small stones.  I have been taking omeperzole for over 3 years since being diagnosed with a mild hiatia hernia. Pains under my ribs have come and gone. Mostly gone now.  Have had scopes barium X-rays and every thing comes back within normal limits. I just had the ph study and do have reflux with and without acid.  But the thing is I doing feel like I have reflux. It feels like gas in my throat and nose now.  I take probiotics and all types of vitamins along with mild antidepressants to curb IBS.  I now am on 40 mg omeperzole twice a day plus a suppression drug to bind acid. Trying to eat a a mild diet.  I don't drink and don't smoke.  Still having issues. I am over weight by about 40 lbs. and 52 years old.  Could this still be reflux issues?  Does anyone know of anything else to ask the doctors or experience this feeling.   It seems every time I go to my GP or GI Doctor they say there really is nothing really wrong.  But this does not feel right.   

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  • Posted

    Hi Valerie

    Has anyone spoken to you about the type of food/drink that you consume? I personally have found over the last few years that I can control most of my symptoms by being careful about what I eat and drink, I do not drink alcohol and try and avoid the obvious spicy food although not to the extent that my diet is too boring. Making meal time interesting is part of it all and can even be fun (sometimes) as they say we are what we eat. Don't get me wrong I am not fanatical about this just mindful and careful, I certainly think I feel much more in control now.

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    • Posted

      Thank you. I have been keeping a log. But now it doesn't matter what I have i have a constant burning now.  It was intermittent but now it appears to be constant.  I don't drink or have sodas.  No smoking either. This whole thing is annoying.  I was going to try ph water that is 8.8 or more next.   I am currently going through all types of grass and food allergy test now.  Still tying to rule things out.  
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  • Posted

    Hello Valerie,

    Since you do have reflux with and without the acid, it could well be that this is the main cause of your throat and nose issues, for even non-acidid reflux can be damaging to eospohageal tissues. And iron vitamin pils can irritate the stomachs of some people. PPI medicines can also have side-effects, so read their leaflets just so you are aware of them and the possibiliity of them.

    As robtheprint says, and I find the same is true through my dietary measures for gastritis and its associated relfux, what and how you eat can make a difference to the degree of trouble and the progress of improvement. Maybe some of what I do may help you even a little bit in time, and you can read other people's advice, and that at the Down With Acid website, which the Patient poster Barretts is involved with. Best wishes.

    Several small/medium meals per day (I have seven, one every two hours or so), rather than fewer bigger ones, so you don't overfill your stomach and aggravate the issues. Eat relaxed, chew well. Be sat upright for and after meals, not bent or reclining, so you don't squash your stomach and press its contents upwards.

    You might find some foods are ok or bad with you compared to other people, so it's a matter of experimentation, but fried foods, high-fat foods, high-salt foods, tomatoes, carbonated drinks, caffeine, alcohol and chocolate can all impact on stomach and reflux troubles. Spicy and hot foods can also hurt some people. Minty foods relax the lower eosophageal muscle which can let acid up easier, so they are bad. I use a fruity toothpaste.

    Wholewheat bread, cereals, bananas, hardboiled eggs are a few of the foods that suit me, but there are pulses, rice, various beans (not kidney beans apparently) and many other things to try. Chicken is one of the best meats due to its lower fat content, though even that can hit me and is not eaten lately.

    Stress and excercise that pressure and squeeze the stomach are also to be avoided. Be as calm and stress-free as you can.

    Having your last meal a few hours before bed can prevent or lessen reflux at night, but I found that waiting to be too empty caused hunger discomfort and kept me awake. Because of this I lie-down about an hour and a half to two hours after last meal, and this is much better. I lie raised a bit on three pillows, on my right side, which is best for me, though the left side is usually recommended.

    Another thing that helps me greatly is to not burp after ten minutes after eating, as this can bring acid up and cause heartburn.

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    • Posted

      Thanks Paul. I have seen your post on other peoples posts. You have a lot of good information. I have done a lot to change my eating already but can't seem to shake is burning in my nose and throat.  Funny thing is it does not feel like heartburn. It is more like a gas or fumes that I am feeling           I am going back to the GI Doctor in about a month   Perhaps sooner if I can get this feeling under control. 
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  • Posted

    Hi Valerie, if the reflux, even the non-acidic, was reaching beyond your upper eosophageal muscle, that might account for the trouble, or at least partly. But maybe the allergy tests will show that something you eat is causing irritation, like I found oats, haricot and kidney beans to be a while back. As you say, it's a matter of trying to rule things out, and of thinking of what you used to eat or do, or not eat or do, before things got worse and so on. But it's a horrible business when it takes so long in such discomfort. I hope you have some progress soon.

    I came off lansoprazole when it made my throat and mouth intolerably dry, and some of the potential side effects of your PPI is sore throat, runny or congested nose, but I expect the doctor's considered that and ruled it out. Another thing which comes to mind, though it is only a wild suggestion due to my own allergies to certain things, is if you were breathing in an irritating house air-freshener or pot-pourri? The chemicals in such things can play havoc with me and other people within minutes. Same with scented washing powders and scented deoderants, all of which are now avoided entirely. I even had nasal polyps surgery as a result of years of allergic reaction and nose-runniness, not that your nose is runny. But still, it's just an idea worth mentioning.

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  • Posted

    Hi Valerie

    I have been reading your article and am particularly interested in it as my 82nd yr old mum is suffering terribly at the moment with gas. By that, she says that it feels like the gas is constantly coming up her throat or  down her nose and sometimes it even feels as if it is burning her eyes. She says that sometimes she feels that if she lit a match it would ignite, that's how bad it is for her. She has had a camera down her throat, so hiatus hernia has been ruled out, shes had her breathing checked out and thats ok, she;s had a barium drink but we just can't seem to get to the bottom of it. Everyone says it must be wind, but mum is adamant it's not wind as she doesn't belch or do the other end either. I was wondering if you are any further resolving your health problem and whether you have any advice that may help my mum. Many thanks

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    • Posted

      No one has figured it out yet. I ende up going to the Ears Nose and Throat (ENT) doctor and they just did a CT scan of my sinuses. I don't have the results yet. Also went to a pulmonary doctor who said I am allergic to dust mites and horse dander. Which might account for the infilmation in my throat going down and interacting with my stomach fluids. Frankly no one knows. I am suppose to now go to a GI specialist for a second opinion. That's next week. In the meantime I started to eat fermented foods like Kimchee and kemfir milk and sour craut and essential oil. Peppermint in my water. Oh and sailine netti pot nose washes. It's is all helping. But still frustrated no one can figure it out. Hope this helps.
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    • Posted

      Hopefully my other post gets posted. Not sure why it has to go thru the moderator.  Anyway. You might try the saline nedi nasal washes. It will help with the burning.  I also started to eat fermented foods to help the gut.  They have not as yet figures out what is causing the amonnia smell. I am seeing a pulmonary doctor and and ENT Doctor. Just had a CT scan on my sinuses. Don't know the results yet.  
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  • Posted

    Hi Valerie

    Are you any further forward in finding out what is causing the ammonia problem?

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    • Posted

      Hi there.  I still have it. Going to have another endoscopy and colonoscopy next Wednesday. Then back to e GI doctors on 9/1.  I hope to know more then. The pulmonary Doctor does not believe it is in my lungs so I am now back to the GI Doctor.  The CT scan on my sinuses came back with nor thing but a crooked and small nasal passages. They said that is really common and no concern.  Going for a mri now on my head to see if there is anything with the nerve receptors. But ENT Doctor doesn't think that will be anything either.  I wish I knew what is causing it. I still have it. Gets worse when there is post nasal drip.  

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    • Posted

      No news.  They did a MRI on my head and nothing there either.  I am having pains again in my chest and still have the burning feeling in my throats and nose.  I go back to the GI doctor on Monday.    I am getting so tired of the whole program.  Thanks for checking on me.  
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  • Posted

    Hi Valerie,

    My name is Shelly and I am 48 and I have the same issues after my adrenal glands were removed in October. I have been on Omperazole (PPI) for almost 5 years. I have a cancer that produces too much stomach acid (gastrinoma). I have never had trouble with my Omperazole before, but after my adrenal glands were removed, I had to increase my dose to 80 mg per day instead of 40 mg due to this minty burning sensation in my throat. I do have a small hiatal hernia as well. I feel a minty, burning sensation (like VICKS medicine) in my throat only. It did get worse today after I ate spicy food, I have some luck chewing sugar free gum after small meals to keep the stomach acid down. LIke you, all of my tests come back normal. I am not sure if our stomach acid is creating a gas that is irritating the throat? My tissues are all normal/non irritated. It is driving me nuts because no one knows what it is and I go to the MAYO CLINIC in Rochester, MN. It makes it hard to eat or enjoy life when you constantly have a minty-burning sensation in your throat. I am wondering, after all the tests you have been through, if you ever got any definite answer as the what is causing this? LIke I said, I had no problems until my adrenal glands were removed, so wondering if some of this is hormonal? I have also noticed that during my menstrual cycle my symptoms are less. Let me know if you found anything out...thanks so much! Shelly form MN, U.S.A.

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    • Posted

      Omg Shelly. That is exactly what I have   It really started after my gallbladder was removed.  I too have a small hiatal hernia.  I just saw the UC Davis Doctor today. He is thinking the pain and gas may be still coming from my stomach. He said that there are studies in the U.K. About the Vargas nerve and that they have found that over time salient reflux damages the nerves and that might be causing the pain that is high in my abdomen under my ribs too. They thing over active nerves are to blame. Oh and I have fibromyalgia too. Talking baclfan and 40 mg omeperzole morning and night and also carafate.    Now adding elivile which has been known to work well on the GI track. It a antidepressants. I don't like taking that stuff but will give it a try.    Does your nose also feel like you have postnaisal drip?  The smell makes my nose run too and then goes into the stomach and cause more issues.  I would love to talk with you in person about your issues.  Are you on fb I can try to find you I am in California . 

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