If you have LPR you ABSOLUTELY NEED to Read this

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Jacket923
Regular Member


Date Joined Jun 2011
Total Posts : 27
   Posted 8/10/2011 8:38 PM (GMT -6)   

NOTE: If you experience frequent heartburn then the following post will most likely be irrelevant to you.


Hey there guys...

For those of you who aren't familiar with me, I have had LPR for 3 years and was strongly considering getting the Nissen done. Well now, thanks to a visit to the doctor's office.......I don't have LPR anymore. You read that correctly.



I went to a GI Doctor at a university who my ENT referred me to to get the Nissen. I walked in and he asked me my symptoms and what drugs I had been on. He then proceeded to tell me that it was basically impossible for a fit, healthy 20 year old male to still have significant reflux after I had tried all 4 PPI's and made lifestyle changes. I got so angry I almost walked out of the room but my father calmed me down a bit.
He then went on to say that the GI community is in a kind of tussle with the ENT community in that whenever people come in to ENT appointments with Globus, Burning, and Post-Nasal Drip they automatically diagnose them with LPR and send them on their way. He said that he has seen hundreds of LPR patients go through with the Nissen and for a significant portion of those patients the surgery helps only about 20%. He said that the GI community believes there is a disorder with a large percentage of LPR patients of some nerves that have been damaged from some event (virus, particularly sudden onset cases) in which they become "hypersensitized." He went on to say that he has seen great success with about 50% of LPR patients who take an anti-depressant called Elavil that "balances" out the nerve.




I am going to interrupt my story to add some information I have garnered in the past week on my research from this "hypersensitivity." :

When damage happens to your throat, or anywhere on the body, your nerves become hypersensitized so it becomes painful. For example, your knee would hurt unbelievably if you tore your ACL, so you wouldn't attempt to run (common sense). 99.99% of the time, the nerves heal from this "hypersensitized" state once the physical damage is fully healed. In a large amount of these LPR patients, the physical damage (from a virus, infection, screaming like hell etc) heals normally but the nerve does NOT. It stays in this hypersensitized state, thus being irritated horribly by normal, incredibly tiny amounts of acid. An ENT research paper I came across compared it to getting a 3rd degree burn on your arm, healing perfectly, but still having incredible pain to the touch after it heals.
This research made immediate sense to me because I only really had super-intense burning and a lump on ONE side of my throat. Now if abnormal and damaging amounts of acid were actually coming up, wouldn't you think it would irritate both sides? Also, if any damage was actually happening to my larynx, then why was I able to sing and use my voice perfectly on stage.....but be hoarse off of it? Because NO ACTUAL DAMAGE had happened from LPR, but my nerve cells put me in so much pain all of the time that I thought I was hoarse unless I absolutely had to use my voice......are you following me?



So anyways, I have been on Elavil (25 mg) for 6 days and 90% of my burping and reflux is gone and my throat is healing at an amazing rate and I am probably a couple of months from being 100% normal again.




I know this post is all over the place and disorganized so let me get some quick thoughts in I missed:

1. If you have never had an incident of throat reflux while asleep, and always had your throat feel good after awaking, this post is probably particularly important to you. Because if your sphincters were actually bad, then you would most likely have frequent horrible nighttime reflux.

2. To Clarify: I was experiencing Acid Reflux and that IS what was doing the damage. But I do not believe I have abnormal amounts of acid, it just felt like I did. The PPIs DID help, they just only helped 60%.


3. If you want to research this yourself, search "Laryngeal Sensory Neuropathy" or "irritable Larynx syndrome" or "laryngeal hypersensitivity"

4. LPR specialist Jamie Koufman is reportedly increasingly treating SOME of her patients with Elavil and other nervous system drugs.

TO CLARIFY: LPR is a legitimate diagnosis for a good amount of patients, but some have this "hypersensitivity" and do not have abnormal LPR.

5. If someone wants to sticky this after a while if this ends up helping people, then please feel free to do so.

Post Edited (Jacket923) : 10/6/2011 7:53:39 PM (GMT-6)


Raj2011
Regular Member


Date Joined Mar 2011
Total Posts : 64
   Posted 8/11/2011 4:51 PM (GMT -6)   
Hi Jack,

Great to hear your success story and thanks for sharing on the board. Did they ever do any of the GERD diagonsotic tests on your - bravo, weak les ? Also, looks like you never had any depression, right ?

Raj

Jacket923
Regular Member


Date Joined Jun 2011
Total Posts : 27
   Posted 8/11/2011 6:10 PM (GMT -6)   
I was about to go through the tests but he wanted me to try the medication first since the Doctor had said he had seen success in a good amount of patients. I have never in my life had any health problems besides this, no anxiety or depression or anything like that. The Elavil supposedly "calms" the nerve down and allows it to heal. Its been exactly a week now and I haven't experienced any reflux or a feeling that vaporized gastric contents are coming up into my throat. I literally feel 95% normal after I eat, I only get a tiny bit of that acid feeling on the right side of my throat, which supposedly will go away more and more after the nerve heals.

Obviously, a lot of you do have abnormal LPR levels, I would have sworn I did before I went on this medication. But if you are considering surgery, how much trouble is it for you to try a week of this medication before you go on with it? You could be one of these patients, you never know.

sk55
Regular Member


Date Joined Jun 2011
Total Posts : 208
   Posted 8/12/2011 1:11 PM (GMT -6)   
Hi Jacket,

thanks for the information. I will ask my ENT about it next time i see him.


-Jesse.

chaoticme
Regular Member


Date Joined Aug 2011
Total Posts : 137
   Posted 8/12/2011 2:26 PM (GMT -6)   
This information is terribly confusing to me. I've been on 20 mg Elavil (tricyclic) for almost 30 years and I have terrible GERD/AR. At the moment my throat is on fire, especially on the left side.

I researched the meds I'm on and Elavil is suppose to be one that can cause or increase the severity of GERD/AR. I plan on discussing this with my primary card physician Monday.

Day before yesterday I started cutting back on my Elavil dosage 1/4 by splitting a 10 mg pill. I'll try this for a couple of weeks before cutting more. If my depression slaps me upside the head, I'll be back on my full dose immediately!

I absolutely don't know what to say, pro or con but I do know Elavil has not helped me and I can't know for sure if it causes or contributes to my GERD/AR.

I pray it helps those of you who try it.

God bless,
Cme
Specific (cancer) phobia, depression, GAD, fibro, hypertension, GERD

Jacket923
Regular Member


Date Joined Jun 2011
Total Posts : 27
   Posted 8/12/2011 3:40 PM (GMT -6)   
Chaoticme - If you actually have high levels of abnormal GERD, then yes Elavil might exacerbate your symptoms. But in SOME people who have been diagnosed with "LPR", they are hypersensitive to normal amounts of reflux, so the benefits of stabilizing the nerves outweigh the minimal increase in already normal amounts of reflux.

efit
Regular Member


Date Joined May 2011
Total Posts : 127
   Posted 8/13/2011 9:45 PM (GMT -6)   
Hi Jacket,

I read your post and I will be asking my gastro doc about the possibility of taking Elavil experimentally. My symptoms don't make a lot of sense and the doc has kind of made me feel like it's "all in my head". I started out with a bad case of gastritis, which was present for 4 days. On the morning of the fifth day, I awoke with horrible reflux. Until that day I had had heartburn MAYBE TWICE in my whole life (I'm 29). I took Prilosec for 8 weeks and most all symptoms went away except for the left-sided throat burn, acid vapor feeling, cough, and mucus / post-nasal drip. Since the end of the 8 weeks on PPI's, I have had these symptoms intermittently. Strangely, they'll disappear for 2 weeks, then reappear insidiously for 2 weeks WITHOUT the addition of any trigger foods or any new foods for that matter. I, like you, do NOT reflux at night. It's only during the day. That's why the doc told me to see an ENT but I just KNOW my issues aren't ent-type issues. My sensations are mainly on the left side of my throat, which has never made sense to me and doctor has been unable to issue any explanations for this. He did say that the nerve endings on the larynx are very sensitive and take longer to heal. He recommended a MINIMUM of 3 months on Nexium to calm the nerves down but it sounds like this may or may not work. Do you have the links to this Elavil research? If so, please post it. I'm very glad to hear you have received such great relief of symptoms with this approach. I am interested to hear how it works out for you long term. Another odd thing for me is peppermint, chocolate, onions, garlic, spicy food, and green tea do NOT cause symptoms for me and these are supposed to be triggers for GERD.

Take care,
Liz

Jacket923
Regular Member


Date Joined Jun 2011
Total Posts : 27
   Posted 8/13/2011 9:59 PM (GMT -6)   
Liz -

http://www.fauquierent.net/cough.htm
http://www.cityallergy.com/500-teaching-case-7-hypersensitive-larynx/
http://www.gastroendonews.com/ViewArticle.aspx?d_id=187&a_id=8798


I would recommend reading those three.....they were the most relevant ones I could find, I don't think there is much to offer on the internet.

fyi: Amitriptyline is Elavil.


Also, when I told my GI of the "vapor" feeling, he said....: "the LES opens up every 20 minutes or so in every person, so tiny amounts of aerosolized acid happen in everyone, maybe you just feel it."

Jacket923
Regular Member


Date Joined Jun 2011
Total Posts : 27
   Posted 8/13/2011 10:46 PM (GMT -6)   
And let me just reiterate: If you experience frequent heartburn then this is probably completely irrelevant to you because that is evidence that you actually have high abnormal amounts of reflux. But in people with LPR who never (or rarely), experience heartburn, then I believe this MAY be able to help you.

jasmine8
Regular Member


Date Joined Jan 2011
Total Posts : 69
   Posted 8/14/2011 2:25 PM (GMT -6)   
Very interested. I actually read about this before but for the doendum in the stomach. My bro. Had problems with that and the elavil helped. There's An interesting book that takes a out it called (can't remember the exact title but this is close enough) the" stomach your second brain". Thanks for the info. I'm glad you are feeling better! Ps I just found your stretta post and wrote you back

Addy125
New Member


Date Joined Aug 2011
Total Posts : 4
   Posted 8/15/2011 10:22 AM (GMT -6)   
Hi Jacket,

I've been having acid reflux for almost 4 months, when I research in the internet, I came across information about GERD most frequently, this is the first time I saw information about LPR, and it's similar to my symptom!

I started with frequent heartburn since May, I've visited 2 GP and taken medicine for about 2 months, my heartburn is gone but I still have tight throat and regurgitation intermittently, one of my doc thinks it's my emotion (I'm having some mild depression), she wants to prescribe tranquilizer to me but I request her to refer me to a gastro doc as I want to do an endoscopy.

I went for the endoscopy in Jul, the result is fine, I follow the medication from the gastro doc for another 2 weeks but I'm still having the symptom intermittently. Sadly the doc just gave me a bagful of medicine and tell me not to make the next appointment.

I don't have night time reflux for almost 3 month, just regurgitation and it happens on and off, one a while it'll turn quite bad I'll feel nausea or burning near my duodenum

Sometimes right after eating, I can feel the food sticking on my throat, and feel like my saliva is going up to my nose, water is my remedy, I'll have to drink a lot of it, and it will 'wash' down the food, then I'll start burping and the food start going down. I don't have the burning feel in my throat, just feeling tight and dry throat sometime, and funny feeling behind my nose.

I'm not sure whether I'm having GERD or LPR, but thanks for your info, I'll read more on LPR and Elavil

This is my first post, I'm so glad to find this forum, knowing that there are ppl out there who can understand my suffering!

jasmine8
Regular Member


Date Joined Jan 2011
Total Posts : 69
   Posted 8/15/2011 6:15 PM (GMT -6)   
Welcome Addy,

This forum is great because it helps us find what is out there and what we can do. There are so many knowledgeable people too. Food sticks in my throat and I choke all the time too. At first the doctor thought i was having panic attacks but of course the tranquilizers didn't help. I had LPR and I'm still trying to get it figured out.
I'm happy for you that your EGD is good that means that you can try out some natural remedies before you go gung-ho on all the medications.
here are some popular LPR remedies: Digestive enzyme pills without HCI in it, DGL licorice tablets, Capra mineral whey, and raw honey. Maybe this will be enough to get your stomach working better. Good luck

Nickles
Regular Member


Date Joined May 2011
Total Posts : 296
   Posted 8/15/2011 9:45 PM (GMT -6)   
Jacket,

I actually took Amytrpline for months, I dont have major heartburn, I am on the low end. Actually my gastro dr. a few years back prescribe this for my heartburn/gerd( I call it LPR or GERD the same for me, i dont get heartburn that much, just sore throat.... but it didnt really help. I remember taking this small blue pill. I took it at night and never really helped. I think my gastro intentions and medicines were good but he was never able to help me.

But it might work for you, which is good but it is a treatment I suppose since I tried it for my LPR

Addy125
New Member


Date Joined Aug 2011
Total Posts : 4
   Posted 8/16/2011 8:40 AM (GMT -6)   
Hi Jasmine :)

Thanks for recommending the remedies, they're new to me. Have you tried all of them? Do you feel better after taking it?

jasmine8
Regular Member


Date Joined Jan 2011
Total Posts : 69
   Posted 8/19/2011 3:43 PM (GMT -6)   
Yes I've tried all of them and more. Yes they do help. I have the EGDs to prove it. A marked difference from what I eat. I eat very clean. Nothing processed lots of raw green vegetables with EVERY meal and sleep elevated. I'm not cured I have a hiatal hernia so my les will not close, but it is amazing how eating clean effects the severity of the acid burn. It's worth it. Oh yes, probiotics help a lo too. Good luck

camelly11
New Member


Date Joined Sep 2011
Total Posts : 4
   Posted 9/25/2011 12:38 PM (GMT -6)   
Hi Jacket, I was amazed at your post and think I may be a person who might respond to this type of treatment. I am very new to this problem, if you had asked me 6 weeks ago about LPR, I wouldn't have even known it existed. Now, unfortunately I do. Perhaps I can give you a little of my history :
about 6 weeks ago, life was perfectly normal..eating was perfectly normal. I am a person who has always eaten healthily, kept fit, lots of fruit and veggies and watched my diet. Alcohol was the odd glass of red wine, if I had chocolate, it was dark and I'd eat a few squares. You can imagine that I've been lucky, I've never had an incidence of heartburn at all. I am not overweight. Then one day, I was swallowing a multivitamin pill and it was quite difficult to get down..I think it may have left my eosophagus a little swollen. Worse was, either the following day or the day after I choked on a piece of toast at lunchtime. I remember the shock of it sticking and then it going down my oesophagus - not very pleasant. However, I carried on eating normally and thought I was fine. A couple of days after this, I thought that I was developing a throat infection as my throat was beginning to feel very sore. Then I had awful muscular pain in my neck, I felt as if someone had tried to strangle me. It hurt for ages and I had no idea what was wrong. So now, fast forward - 5 weeks passed, went on holiday, carried on feeling dreadful and the throat didn't get better, got the lump in throat symptoms, feeling that something was caught etc etc. In fact all the classic signs of reflux. And mucus, which seems to appear immediately after eating. So here I am, after a couple of visits to the doctor, prescribed omeprazole 20mg a day, for "eosophagal spasm". Like you I have no cough and to be honest I don't feel that the omeprazole is doing much at all. I have been strictly adhering to the reflux diet since starting the PPI's. It has been hard going, like everyone who posts on here and wonders if they are going to be stuck with this for the rest of their lives.

That is why your post rang so true to me! My LPR hasn't even been diagnosed by a doctor yet, but I'm certain that this has been brought on by this traumatic event. I still feel that it hurts in the muscles all around my neck, when I lie down my larynx feels "physically" uncomfortable. Like you I felt the soreness on one side (wondered if this was a scrape but it's subsided a bit now) only. Like you, when I wake in the morning my throat feels at it's best all day. Reading all about LPR, I just couldn't understand why mine had come on so instantly, when I had been so healthy before.

So thankyou for posting. I would love to know how you are progressing on the Elavil. I am hopefully getting an appointment with ENT in the next couple of weeks and I am going to put all this to him/her and see what they say!

sunbeam48
Veteran Member


Date Joined Jun 2011
Total Posts : 784
   Posted 9/25/2011 7:31 PM (GMT -6)   
Jacket, thank you so much for this information. I think there is still a lot to learn about LPR.

camelly11
New Member


Date Joined Sep 2011
Total Posts : 4
   Posted 10/17/2011 5:32 AM (GMT -6)   
Thought that I would just post a couple of thoughts about this again for everyone who has been in a struggle with this awful LPR. Today I had my appt with ENT - a lovely lady who was just brilliant at listening to my long tale of symptoms and problems and was fantastic. (Good old NHS ). To cut a long story short, I am still feeling uncomfy in my throat, especially on the right hand side, and am having difficulty swallowing still. She looked down, not a sign of a mark or scratch or redness. But how is that when I can still feel it there? I asked her that and apparently it is the NERVE ENDINGS. When you have had damage/UR infection etc etc, your nerve endings are still telling your brain that something is wrong and you can get all the symptoms of something being wrong. I have been following a very strict acid reflux diet for the past 2 months since this started - not one jot of difference did it make in making my throat feel better. The ENT lady said, do you suffer from heartburn? No, was my answer, and she said "You are not getting acid reflux in your throat, your nerve endings are picking up on all the minute traces of things in the eosophagus and telling your brain that this is all wrong and that is why you are feeling it". IN FACT while I was on omeprazole, it seemed to MAGNIFY the symptoms hugely. I felt much much worse.

SO, Jacket, you are very correct in your thoughts. Thank you! The ENT lady said that I must try to ignore to my best ability what is going on my throat..with the knowledge that there is nothing in the throat, this might help. However, of course it feels weird coming away from my appointment feeling exactly the same (ie not better yet!). I asked her about carrying on with the acid diet..she said that there wasn't much evidence that it would make much difference at all - for the moment I'm going to be careful and gradually reintroduce things as my throat gets better (hopefully!). So now I will go back to my doctor this week to ask for a drug for relaxing those nerve endings, such as Elavil and let you know the outcome.

So basically, what Jacket has posted is of huge interest to those that have had just LPR but no significant heartburn. In my case PPIs made it WORSE, and you in fact may NOT have acid reflux at all, but your throat has become damaged through either things like throat infection/scratch/ and thus you are having 'acid like' symptoms that are an over reaction from your nerve endings. It can take a long time to get better which is annoying and horrible to suffer through, but you CAN get better. There is hope!

kevinla
Regular Member


Date Joined Dec 2005
Total Posts : 151
   Posted 11/8/2011 3:17 AM (GMT -6)   
I believe this 100% applies to me.

I kissed a woman 5 years ago, and I got a sore throat the next day.

It has never gone away.

Diagnosed with LPR. I did have stomach problems for about 8 months that had ended 3 months before the incident.

However, I can eat the greasiest pepperoni pizza and get zero heartburn. It just does not add up that I am having any sort of reflux.

I need to get on Elavil.


Somebody said...
1. If you have never had an incident of throat reflux while asleep, and always had your throat feel good after awaking, this post is probably particularly important to you. Because if your sphincters were actually bad, then you would most likely have frequent horrible nighttime reflux.


100% me.

Never have a problem at night Morning is my best time. I feel almost 100%. Then the cycle of discomfort begins like clockwork as soon as I get up around 8:00 AM. I am not sure why this is.

Post Edited (kevinla) : 11/8/2011 1:42:06 AM (GMT-7)


Ryan D
New Member


Date Joined Nov 2011
Total Posts : 1
   Posted 11/10/2011 8:02 PM (GMT -6)   
Wow, this is somewhat compelling, and ACTUAL RELEVANT information for my situation. I've had the old LPR symptoms ever since a bout with alcohol induced gastritis on my 21st birthday (stupid, right?). Ever since then I've had the lump in throat, mucous throat, burping vapor, and just painful/aching/tight feeling larynx (it almost feels the same as being emotionally choked up)... but I never really any actual REFLUX (except the night I actually vomited). That was 4 years ago.

Before that night I had heartburn maybe 2 or 3 times in my life. So since then I had 2 EGDs which were normal, normal barium swallow, normal Bravo PH test, a CT scan, and some other stuff. Tried the PPI's without much relief. I did take Reglan for a long time, which seemed to help, however I'm not sure if it really did, or if I just adjusted to feeling like hell all the time. Eventually I stopped taking the Reglan, and my symptoms stayed about the same. No better no worse. Kind of sucked, but I got on with my life. I was always careful not to strain my throat -- no crazy yelling or anything like that. After about a year I stopped going to the GI's and ENTs, as they were out of solutions for me anyhow.

Unfortunately, this weekend I ended up with food poisoning and threw up for hours upon hours, just like I did that night this all started. Now my symptoms are horrible again, like they were at the beginning, so it got me online looking again, to see if any new ideas were out there. I'm going to check out a walk in tomorrow and see if they'll let me walk out with a script for Elavil. I never really bought the GERD Diagnosis to begin with.. It always felt like I injured or strained something, from day one.. That, and the absence of reflux previously in my life and all of the normal testing..

Jacket- You haven't been on here for a month. How are you feeling? I'd love to hear more about how the meds are working for you at this point.

somedaysarediamonds
Regular Member


Date Joined Jul 2011
Total Posts : 363
   Posted 11/14/2011 3:54 PM (GMT -6)   
This is very interesting reading and I too would like to hear back from Jacket about how he did/is doing on Elavil. My surgeon actually suggested it and we gave it the good old college try but couldn't handle the stimulant effects of the drug.

Assuming that you can't have LPR and GERD at the same time might be a mistake according to what my surgeon told hubby and me. I have had NF surgery to control/improve GERD and I believe it did what it was supposed to do.

It just appears that I may have had LPR or similar symptoms such as the hypersensitive esophagus even before my surgery when GERD was still so bad.

I'm undergoing a further "surgical" procedure as an out-patient at the hospital this coming Friday to dilate/stretch the surgery site which hopefully will allow some of the other problems I'm experiencing to be put more into perspective but I did want to comment that this approach to controlling the symptoms described above makes some good sense as per my local surgeon.

Someone let me know if they hear from Jacket again.
I'd like to know how he's doing . . .
Lap Nissen Fundoplication August 1, 2011

A slow and most unpleasant but consistent recovery but not a classic one for sure.

somedaysarediamonds
Regular Member


Date Joined Jul 2011
Total Posts : 363
   Posted 11/14/2011 3:54 PM (GMT -6)   
This is very interesting reading and I too would like to hear back from Jacket about how he did/is doing on Elavil. My surgeon actually suggested it and we gave it the good old college try but couldn't handle the stimulant effects of the drug.

Assuming that you can't have LPR and GERD at the same time might be a mistake according to what my surgeon told hubby and me. I have had NF surgery to control/improve GERD and I believe it did what it was supposed to do.

It just appears that I may have had LPR or similar symptoms such as the hypersensitive esophagus even before my surgery when GERD was still so bad.

I'm undergoing a further "surgical" procedure as an out-patient at the hospital this coming Friday to dilate/stretch the surgery site which hopefully will allow some of the other problems I'm experiencing to be put more into perspective but I did want to comment that this approach to controlling the symptoms described above makes some good sense as per my local surgeon.

Someone let me know if they hear from Jacket again.
I'd like to know how he's doing . . .
Lap Nissen Fundoplication August 1, 2011

A slow and most unpleasant but consistent recovery but not a classic one for sure.

sunbeam48
Veteran Member


Date Joined Jun 2011
Total Posts : 784
   Posted 11/14/2011 7:38 PM (GMT -6)   
I don't have heartburn:
my primary said I had GERD and gastritis
the GI doc said I have Barrett's esophagitis
my ENT said I had LPR

so I agree, you CAN have GERD and LPR, I believe I do.

BUT
doesn't it take actual high stomach acid to cause the gastritis and Barrett's?

DOGGBONES
Veteran Member


Date Joined Apr 2012
Total Posts : 693
   Posted 7/14/2012 6:57 AM (GMT -6)   
jacket923
 
I believe this is your post you were looking for.

mztx07
New Member


Date Joined Jul 2012
Total Posts : 4
   Posted 7/26/2012 5:32 PM (GMT -6)   
I have had symptoms of LPR off and on for ten years. I have always been very healthy, exercised, maintained a stable weight and would consider myself somewhat of a health nut. My LPR came on suddenly one night while I was at a Halloween party where it was very noisy and I had to speak very loudly to be heard. I noticed a lot of fatigue in my voice when I got home. (I had three weeks prior been bitten by a dog in the leg and was given an antibiotic and a tetnus shot, so I don't know if this may be somehow related as far as a side affects from these or something that would have affected a nerve) I was also a teacher at the time and had to speak for long periods every day and by the end of the day, my voice was absolutely shot. It was so sore that every day was miserable fo rme to go to work. My voice, however, was never raspy or hoarse, just a sore, overfatigued feeling like a sore muscle or something. I always felt better after a night of rest.

I went to the ENT and he prescribed a PPI. I thought it odd because I have never felt any kind of reflux and have never tasted a thing in my mouth, and the dentist always says my teeth look fine. I took it for a few months but noticed no improvement so I quit taking it. My throat often felt raw, but would feel better each morning that I got up. This went on for about 9 months and slowly improved to the point that as long as I didn't talk too much, I could make it through the day without thinking about it. I had to quit my job as a teacher because my voice could not handle it. I was largely symptom free for about four years after that. Then one day, I swallowed a large vitamin pill that got slightly lodged in my throat. I drank a ton of water to wash it down, but that is when the next bout of this crap started. My throat got irritated from that pill. Symptoms were a bit different and I had more of a raw, irritated feeling in my throat. I never have reflux issues at night and I find the mornings are generally good but the irritation always starts around 10:00 a.m. and will last through the evening starting to feel better around 8:00 at night. This bout lasted about 6 months and improved.

Most recently, I have noticed another bout of this which came on when I drank a very hot cup of coffee on an airplane and burned my throat. This was three weeks ago and now I am back with all of these symptoms again. Throat pain moves from one side of the throat to the other. Sometimes I will feel it in my tonsil area. My voice gets easily fatigued but I always feel good in the morning. The one thing that I have found that helps immensely is if I chew gum. I actually hate chewing gum, but I have found that I can be nearly symptom free the entire day as long as I have a piece of gum in my mouth. I am assuming that it is perhaps the salvia being produced has a slightly different PH that might be keeping my throat from being irritated. Has anybody else noticed such an improvement from just chewing gum? I went from complete misery three days ago to feeling practically normal by chewing gum. I am hoping that if this is being caused by some kind of nerve irritiation, I can calm the nerve down with continued gum chewing for a few weeks and maybe get better. This is a very frustrating thing to have and I have found that no food combintations make any difference. The one thing I do notice is that carbonated drinks are absolutely horribly irritating to my throat tissue, so I avoid them. Vinegar can also be an irritant. Anybody else experience these types of symptoms? The nerve explanation does make some sense after thinking about my symptoms. I really feel for everybody out there with the various symptoms from this condition. It is very anxiety provoking as well wondering what in the heck is going on in your body. I have been a nervous wreck worrying about it at times, which I am sure only makes things worse.
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