Posted 10/21/2009 11:23 AM (GMT -6)
I have been reading old threads and am amazed at how many different symptoms can be caused by GERD! So now I am wondering...
I mentioned in my first thread that my GERD started earlier this year when I was on antibiotics for acne, but it did not go away when I quit the antibiotics and took probiotics. I never had heartburn; my main symptoms were nausea, a sensation like my last meal was trying to come back up (ew...) which usually happened at night, and eventually a lump in the back of my throat.
I finally asked my doctor about it and he had me try a double dose of Prilosec OTC a few weeks ago, which he said was equivalent to the Rx. I didn't realize you were supposed to wait a while before eating so I took them immediately before breakfast and saw no improvement.
I quit Prilosec and went about a week before trying a new Rx (Nexium). During that week without meds, I had chest pain (a feeling of pressure) nearly every day! But I'm almost positive the pain was GERD, because it always happened a few hours after eating, and sometimes I could actually feel the pressure rising up my chest, and sometimes when I drank a glass of water I could feel it go back down. It went away when I ate a meal. Weird...
Then I started Nexium (and waited before breakfast!) and that pressure definitely improved, though I still get a little bit sometimes. I've had no nausea while on Nexium either, but it has only been a week. The lump in the throat comes and goes.
However, I have additional sensations in my chest that I wonder about .... while I was on those antibiotics, I went to the ER twice for heart palpitations and was diagnosed with PVC's (they caught one on the Holter monitor!) My mom and brother also get PVC's and my doctor assurred me I had nothing to worry about. I also had several EKG's and a heart ultrasound which showed no problems. I never considered PVC's might be related to GERD and/or antibiotics....
I also recently had an abdominal ultrasound and everything looked normal. But I have had no GERD tests -- my doctor's waiting to see if I respond to meds first.
Lately (this started before trying Prilosec and hasn't changed with meds) I've also been getting mild, random chest pains in various places. They can occur on either side of my chest, upper or lower chest (just above or just below each breast). They usually last less than a minute but sometimes longer. The last few days I've been getting some other pains/pressure that are just to the side of my breastbone, can occur on left or right side, and last longer (a few minutes to an hour). None are severe but I notice them for sure.... Could all these things be GERD?
I will of course ask my doctor at my next follow-up in two weeks, but I'm just wondering.... all my symptoms seem mild, and my doctor insists I'm healthy. Should I consider a referral to a GI or take my doctor's word that I'm fine? Sometimes I think the internet makes me a hypochondriac ;) I definitely gave myself a few anxiety attacks before the tests ruled out serious conditions! (Plus I've already missed enough work for doctor appointments....)
Also if it matters, my symptoms seem very random and I have yet to tie them to any food. I'll go days and feel fine even if I eat total junk or lots of acidic foods; other times I'll have symptoms several days in a row. I don't exercise but have a high metabolism so I've always been thin (yeah, I know I should exercise anyway but I don't have weight loss to motivate me ;)). I've been cooking a lot healthier at home (trying to limit simple carbs, sodium, bad fats, caffeine; eat more healthy fats, whole grains, fruits/veggies, lean protein) but I'll admit I still eat out more than I should ;) Everything looked fine at my last physical, except for low levels of vitamin D so I added a supplement. Oh, and I'm only 28.
And if you made it through that rambling post, thanks! :)