LPR vs. Asthma/allergies

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elcamino
Veteran Member


Date Joined Sep 2005
Total Posts : 1744
   Posted 11/19/2007 6:10 AM (GMT -7)   
Hi all.  Has anyone here ever gone to an allergist and been diagnosed with LPR (reflux laryngitis) based on a breathing test?  I did--I had allergy testing done (just the pinprick test on the back).  Nothing truly significant, but I do have allergic rhinitis.  Doctor did a breathing test, though, and said it was negative for asthma, but was very abnormal and had a pattern typical for patients with reflux problems.  I'm already being treated for reflux with a PPI, so I don't think there's much else they can do for reflux short of surgery.  I was telling my rheumatologist about it, though, and he said he had never heard of LPR being diagnosed with a breathing test.  And if the nasonex the allergist put me on takes care of the cough, then perhaps I don't have LPR at all.  Frankly, I think I do have LPR.  I've been dx with erosive gastritis/esophagitis for years which is why I'm on PPIs.  Even so, I feel reflux all the way up to my ears at times--the acid is still taken care of by the PPI.  My mother had bad reflux that got progressively worse over the years.  She also had LPR in addition to the esophagitis etc...  I have the same symptoms as her--hoarse voice, unproductive cough, trouble with food sticking in my throat, occassional aspiration at night and with drinks.  Don't know if I should bother following up with a GI or an ENT, though.  There is nothing more they can do. 
 
Elcamino
Current dx: Rheumatoid Arthritis
Suspected dx: UCTD/Early Lupus
Current Meds: Enbrel, Plaquenil, Aciphex, Ultracet, Zyrtec, Allavert-D, Zantac, Tylenol PM
Past Meds: Relafen, Vioxx, Mobic, Voltaren, Sulfasalazine, Entocort, Prednisone, Humira, Reglan


Razzle
Veteran Member


Date Joined Aug 2007
Total Posts : 4392
   Posted 11/19/2007 6:55 AM (GMT -7)   
Acid reflux (or just reflux, without the acid) that does not respond to standard therapies may be caused by inflammation in the stomach and/or esophagus. Eosinophilic Esophagitis (EE) has as it's symptoms many of those you describe (difficulty swallowing, cough, hoarseness, aspiration, etc.), and often co-exists with environmental and/or food allergies (food allergies may or may not show up on standard skin tests, especially if the patient is taking certain anti-allergy medications). For more info about EE, check out http://www.apfed.org/

Take care,
-Razzle
Gluten & Sulfite Sensitivity, Multiple Food & Inhalant & Medication Allergies, Asthma, Gut issues (dysmotility, non-specific inflammation), UCTD (Lupus?), Osteoporosis, Anemia, Very Low Lymphocyte Counts (T-Cells & B-Cells), malabsorption/malnutrition, etc.
Meds:  Pulmicort, Injectable Vitamin B12, Herbs, Nutritional Supplements, Essential Oils, Homeopathy.

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