Lump in throat from IBS??

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friendlygal
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   Posted 3/30/2007 12:45 PM (GMT -7)   
I have had this debilitating lump in my throat for about 7 months now.  Someone in the GERd forum said that a lump in the throat could actually be from IBS??  I have recently been diagnosed with IBS, a twisted colon, and a slight bacterial overgrowth in the colon.
 
Can this lump be from Ibs??  Also, can it over go away????? I am sooooooo tired of it!!

Post Edited (friendlygal) : 3/30/2007 1:50:16 PM (GMT-6)


NH66
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   Posted 3/30/2007 1:17 PM (GMT -7)   
friendlygal,

Sorry i can't help with that. You have had a lump for 7 months? Did you talk to your doctor about it? I have had that feeling alot, but i always thought it was the GERD and it never lasted more than a couple of days. Plese, have it checked out.

Good luck and best wishes
 WRINKLES ONLY GO WHERE SMILES HAVE BEEN


friendlygal
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   Posted 3/30/2007 2:05 PM (GMT -7)   
NH66, the doctors do nothing to get rid of this lump.  So I have no idea how to get it checked out.  You're so lucky that yours didn't last long.

Canyonbabe711
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   Posted 3/30/2007 3:43 PM (GMT -7)   
It is constant? If it is you should see an ear, nose throat doctor and they can take a look. If it isn't my guess would be backup of acid and gas. Have you tried taking Maalax Max. I find when I get the lump feeling that is one of the few things that helps but I have never had it continuously for that long, just hours at a time. See and ENT Dr. and have them scope it in office.

friendlygal
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   Posted 3/30/2007 5:07 PM (GMT -7)   

Canyonbabe711, I did already go to an ENT.  He didn't do much.  And he said that my issues are GI related so, even though I have throat symptoms as well, he wouldn't be the one to treat it.

I have recently been told that I have a bacterial overgrowth in the colon (slightly).  I have been given antibiotics.  I hope that this has something to do with the lump and that this will take care of it.  I am sooooo tired of the lump. 

I'm not sure if I've tried Maalox yet or not..


Canyonbabe711
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   Posted 3/30/2007 9:55 PM (GMT -7)   
I find it helps the throat thing for me. It seems that my problems are from acid reflux and mucous forms for some reason. I dont' know worth a try. Didn't the ENT look down your throat at your vocal chords,etc with the scoper.

LondonGirl22
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   Posted 4/1/2007 4:54 AM (GMT -7)   
I suffer with anxiety and sometimes I have the feeling of a lump in my throat and this is a symptom of anxiety.

You may not suffer with anxiety yourself, but just thought Id post and say it could be an issue.

Victoria x

Moderator ~ Depression and Anxiety Forum

Xx Sometimes we all have to go a little crazy just to stay sane xX


Keriamon
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   Posted 4/2/2007 9:53 AM (GMT -7)   
Have you had your thyroid examined? Sarita recently found out that hers was swollen and over-active and that thyroid problems can cause a lot of GI problems.

Also, have you been tested for allergies? If you have a food allergy, that could be causing both the GI problems and the throat swelling (assuming that's what's making you feel like there's a lump back there). And sometimes regular allergies can cause that sort of problem too, so you may want to try some Claritin or something similar for a few weeks to see if that helps. 'Tis the season for pollen allergies. You can also develop allergies for no reason, so while you used to not be allergic to the cat/dog/bird/rabbit in your house, you now are and don't realize it.

Make sure you get some yogurt or probiotic pills to take while on the antibiotics and for about 3 weeks afterwards to help re-populate the good bactiera in your guts. If your lump is somehow connected to the bad bacterial overgrowth, putting good stuff in there will only help.

friendlygal
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   Posted 4/8/2007 5:19 PM (GMT -7)   
Keriamon, thanks so much for your advice.  They did a blood test for a thyroid problem before and it came back negative.  So, yes, I have already had the thyroid checked.  I was also checked for celiac and that also came back negative.
 
I am taking flora-Q probiotic along with the antibiotics.  It does not need refrigeration so I hope it's still good.  I'm also drinking a probiotic called Kefir.
 
I am soooooo sick of my symptoms.  They better go away!  I am so sad when I read that people have been suffering for so many years.  I don't want this to happen to me!!

Sarita
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   Posted 4/8/2007 6:33 PM (GMT -7)   

Friendly, have you ever had an EGD (upper scope) of your esophagus, stomach, and first part of the small intestine?  Did you ever go on any proton pump inhibitors (PPIs) like Protonix, Prevacid, etc. for at least two weeks straight?  The lump-in-the-throat feeling is usually caused by acid reflux, so you might find that a PPI would work for you - even something over-the-counter, as long as it's a long-acting drug. 

Has anyone physically palpated your neck?  Keri was right to ask about thyroid issues; and though it's pretty unlikely that you'd have any thyroid abnormality if your bloodwork was normal, your PCP should make sure that your thyroid is of normal size on palpation...a goiter (enlarged thyroid) can cause a feeling of a lump in the throat.  Hyperthyroidism can a myriad of other issues as well: rapid heart rate, diarrhea, weight loss, insomnia, etc. 

I had my thyroid levels checked three times over the course of my two-year-long illness and only six weeks or so ago was my bloodwork askew.  And it was VERY askew.  So if it's been longer than 6-8 months since you've had your thyroid checked, you might want to get it checked again: you'd need a TSH, T4, and T3 counts at the very least.


friendlygal
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   Posted 4/8/2007 8:09 PM (GMT -7)   

Hi, Sarita (That's a nice name, bye the way! :)),

Yes, I had two endoscopies.  One in September, and one just recently because I needed to get an EGD before the doctor could put in the bravo capsule to do PH testing.  My esophagus looks normal.  But I tested positive for bacterial overgrowth and a colonoscopy revealed that I have a twisted/spastic colon.  So I assume that the IBS is what is calling the lump in the throat feeling since I've just heard that IBS can cause regurgitation and chest pain for some.

I have tried prevacid for months and months (2 a day) and the lump in the throat will still not go away.

My barium swallow test showed "rigorous reflux."  But since the endoscopies came out normal, it is likely that I do not have acid reflux after all, but that I am refluxing food due to the digestive disorder, IBS.  I will wait for the PH-study results to come in to see if I have acid reflux.  The Ph-study test is the most definitive way to see if a patient has acid reflux.

I had my thyroid checked only with blood work.  What is the other way to get it checked?  I am not sure what you meant...


Canyonbabe711
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   Posted 4/8/2007 11:06 PM (GMT -7)   
Unless they feel something blood work is the way to check Thyroid. I think I asked this before but do you have this all the time. I get it but only when I have acid problems or a lot of gas. Burping releases the pressure but it comes back again. I don't know about the lump in throat being IBS. Never heard that. It sounds as if you doctor is checking every thing they can. I think you said you have seen a ENT doctor also. I bet eventually they will find the cause. Have you had a barium swallow? Just a possibility.

Sarita
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   Posted 4/8/2007 11:48 PM (GMT -7)   
Has anyone ever mentioned the possibility of gastroparesis?  This is delayed emptying of the stomach.  It can cause heartburn, nausea, vomiting...a bunch of upper GI distress.  To check for this, a GI doc would perform a gastric emptying scan...you eat something that contains a small amount of radioactive tracer and they can see how long it takes your stomach to empty.  I've never had this done but it seems pretty innocuous.  When do you get the results of your pH test?
 
Do you take any antacids that contain aluminum hydroxide, by any chance?
 
Yes, most thyroid studies are blood tests; usually just a TSH is done if a thyroid disorder is suspected.  This blood test is ultrasensitive, so if it comes back within normal limits the thyroid is probably A-OK. 

friendlygal
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   Posted 4/9/2007 7:40 AM (GMT -7)   

Canyonbabe711, I haven't found ENTs to be helpful at all.  They check me and if they see any inflammation, they just say that I have to go to a GI doctor.

Sarita, I've already been checked for gastroparesis so I know what it is.  I ate radioactive eggs (I brought in two eggs for them to cook).  It came back negative.  I do have a motility problem in the colon, but not in the stomach.

I guess that only for a small portion of people IBS causes GERD-like symptoms and since I have food coming up, it must be keeping the lump their constantly.

I had a barium swallow and the results said "rigorous reflux."  But since the GIs who scoped me saw nothing wrong with my esophagus, they don't think I have acid reflux.  That's why I did the PH testing.  That is done when you're not sure what is going on.



Judy M.
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   Posted 4/20/2007 4:19 PM (GMT -7)   
I have IBS and also take Prevacid. But when I had a lump-in-the-throat feeling, it turned out that I had a Zenker's diverticulum. I first had a problem swallowing large pills and eventually constantly felt that I had a lump in my throat. A (noninvastive) esophagram told the story. The only solution is surgery, which can usually be accomplished endoscopically.
 
Just a thought . . .

dbab
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   Posted 4/20/2007 4:51 PM (GMT -7)   
It looks like its possible to be many different things. When I get a lump in my throat, I immediately think that I am getting an infection or the flu. My advice is to definitely get it checked out so you can get to the bottom of it.
"Des"
Co-Moderator ~ IBS Forum
Dx: IBS 1989, Diverticulosis 2004, Idiopathic Acute Colitis 2006, UCTD 2007
Meds: Plaquenil 400mg, Chlorzoxazone 500mg, Lyrica 50mg, Protonix 40mg, Naproxen 1000mg, Xanax XR 2mg, Miralax 17g, Supplements


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Canyonbabe711
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   Posted 4/20/2007 5:55 PM (GMT -7)   
Let us know afater the PH test. My guess is that it is reflux. If you have food coming up I don't know what else it could be unless you have a very bad hiatal hernia. They are very common and people aren't usually bothered but those that are that have big ones it can be a real problem. If the ENT cleared you and told you to see the gastro then you don't have an anomaly of the throat and that is good. I am sure they looked down it with their little lighted thing and made you say EEEEEEEE(I hate that) and everything was OK. Keep us up to date. I had never heard of Zenkers Diverticulum and now realize that is what my Dad had in is old age and now wonder if I have something like that as I seem to have all the symptoms but not daily. I would guess that that would have shown on your barium swallow though.

Post Edited (Canyonbabe711) : 4/20/2007 6:59:31 PM (GMT-6)


Judy M.
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   Posted 4/20/2007 6:10 PM (GMT -7)   
Canyonbabe711 said...
I had never heard of Zenkers Diverticulum and now realize that is what my Dad had in is old age and now wonder if I have something like that as I seem to have all the symptoms but not daily. I would guess that that would have shown on your barium swallow though.
At first my symptoms were not daily. Occasionally one of my large pills would get "stuck" in my throat. When I took a vitamin before dinner one night (instead of my usual after dinner) and I felt it until one hour after dinner, I went to the doctor and had my first esophagram. Interestingly, the gastro's first comment was that if food wasn't getting caught, it was probably "nothing." Surprise, surprise -- it was a Zenker's diverticulum. At that point I simply stopped taking large pills and substituted chewables. Eventually, however, I had the lump-in-the-throat feeling, gurgling, etc., . . . and the rest is history. sad

I agree that it does seem as though it would have shown up on the barium swallow. Depending on when that was done, it might be worth a "repeat performance." When I had an endoscopy after the first esophagram, I was told the Zenker's was "small." Since then I've read that the scope tends to "flatten out" (my term) the Zenker's and make it look smaller.

Post Edited (Judy M.) : 4/20/2007 7:13:37 PM (GMT-6)


Canyonbabe711
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   Posted 4/20/2007 9:48 PM (GMT -7)   
My Dad really had a problem swallowing pills and it wasn't always that way as I remember him taking a lot of aspirin as he used to have severe headaches when he was younger. It got to the point that sometimes he just couldn't swallow food correctly and but would choke on it and have to go to bathroom and get rid of it. I bet he had Zenker's. Both my parents lived long lives into their 90's inspite of the worst medical care I have ever seen. Once they got into their 80's the attitude was just terrible of Doctors and the tests that I suggested they get were just ignored but they were the lucky ones that didn't have bad problems until near the end. I am going to ask my Dr. about Zenker's at my next endo which is coming up. I think hiatals can cause food to regurgitate also. Thanks for the info.

Judy M.
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   Posted 4/21/2007 5:53 AM (GMT -7)   
Canyonbabe711 said...
I am going to ask my Dr. about Zenker's at my next endo which is coming up. I think hiatals can cause food to regurgitate also. Thanks for the info.
I posted my original message because I had never heard of a Zenker's until I was diagnosed. Many people seem to have problems with pills and/or food, and I can't help but wonder how many have Zenker's and don't know it! OTOH, a Zenker's is only one possibility. It certainly can't hurt to ask a doctor!

friendlygal
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   Posted 4/21/2007 12:21 PM (GMT -7)   
JudyM, How did you find out that you had Zenker's?

Judy M.
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   Posted 4/21/2007 12:36 PM (GMT -7)   
friendlygal said...
JudyM, How did you find out that you had Zenker's?

The first "sign" was that I had the sensation that big pills were getting stuck in my throat. When I went to the doctor, he said, "It's probably nothing" because food wasn't getting caught. However, the esophagram showed the Zenker's. At that point I started taking chewable pills instead of any large supplements I was taking (e.g., vitamins, calcium, fiber). about six months later, I felt like I had a lump in my throat. First I went to my internist, thinking maybe it was my thyroid. Finally, I returned to my gastroenterologist (for some reason I thought I should go to him rather than my ENT), he implied that it was stress-related (after all, I also have IBS -- and I'm a woman!!) but ordered another esophagram. When he saw the results -- that the Zenker's had enlarged --  he sent me back to my ENT who sent me to the doctor who invented the endoscopic stapling procedure. Because I'm so crowded, he had to use sutures instead of staples, but I'm all fixed now!


friendlygal
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   Posted 4/21/2007 5:18 PM (GMT -7)   

JudyM., I HATE when doctors try to blame stress when it's not the only cause for some of us! 

So your first esophagram was normal??  I wonder why!  Was the detection with a barium swallow or an endoscope?

Are the scars from the surgery visible? 

Sorry for all these questions, I'm just really curious now if I have zenker's too, and if I have to have the same procedure...but I was scoped twice so I  probably don't have it...


Judy M.
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   Posted 4/21/2007 5:26 PM (GMT -7)   
friendlygal said...

JudyM., I HATE when doctors try to blame stress when it's not the only cause for some of us! 

So your first esophagram was normal??  I wonder why!  Was the detection with a barium swallow or an endoscope?

Are the scars from the surgery visible? 

Sorry for all these questions, I'm just really curious now if I have zenker's too, and if I have to have the same procedure...but I was scoped twice so I  probably don't have it.

1. I hate that too. He should have kept his mouth shut and simply ordered the esophagram.

2. No, the first esophagram showed a Zenker's. The gastro then did an endoscopy and claimed that the Zenker's was "small." However, I've since read that the endoscope tends to "flatten out" (my term) the Zenker's, so it might not have been as small as he thought. The barium swallow was actually a better test from what I understand.

3. Okay. The surgery. My situation was extremely unusual. There should have been no scars since the surgery was done endoscopically. Unfortunately, I experienced severe shoulder pain afterward. That could have been for any number of reasons (anesthesia; my CPAP machine, which they put me on right after the surgery . . . or a leak). Because there was a possibility of a leak, the surgeon went in through my neck, so I have a scar that I shouldn't have. BTW, there was no leak, but the surgeon couldn't take that chance.

Even though you "probably" don't have it, it's worth asking about. The worst that can happen is that you'll learn . . . that you don't have it. :-)


friendlygal
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   Posted 4/21/2007 5:35 PM (GMT -7)   

Thanks, JudyM.  But other than the scars you are fine now??  HOpe so...

I had asked a doctor a while back if I had it and he said no.  I am 34, but they still need to take my conditions seriously.  I know that older people are also having issues with doctors being mean and not being thorough, but I think that if you look young then some doctors are even more dismissive and they laugh at you and practicallly tell you that you're crazy.

At least I finally have a female GI doctor.  She is much better.  She did a colonoscopy and found that my colon is "tortuous" with twists, turns, and spasms all over the place.  The other doctors I went to didn't even think to give me a colonoscopy!!  They just thought I was crazy.

I have post nasal drip, a lump in my throat, frequent burping, cramps in abdominal area, and bloating.  I used to have major constipation (couldn't go for a week), but now I go! :))  Hope that'll last.

I was the epitome of health until a death happened and other things that caused me to not eat.  Having been so healthy, I am far from a hypochondriac and a good doctor would know that I know my body and know that I am sick!!

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