Reflux Related To Dry Mouth?

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ljk
Regular Member


Date Joined Sep 2009
Total Posts : 23
   Posted 12/21/2009 2:10 AM (GMT -6)   
I've had reflux issues for about 5 years. I did an endoscopy and Barrow Swallow and both showed reflux. Proton Pump Inhibitors, H2 blockers, tonnes of supplement type things, etc., all didn't work, and I've been dealing with this condition ever since.

I think I found the cause though: I have a deviated septum as well as allergies. Because of this I mouth breath. This leads to dry mouth, and no saliva to keep the reflux down at night while I'm sleeping. When I wake up with a really dry mouth my reflux is bad. I am almost positive my problem isn't a sphincter issue, or even dietary, it's not having any saliva to keep the reflux down.

Is this a common trigger for GERD? Does anyone else have this issue?

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 5028
   Posted 12/21/2009 7:45 AM (GMT -6)   
ljk
I can't imagine how you can reflux without a LES being loose or open. Dry mouth could be a trigger, but something else has to happen for the refluxate to get up into the esophagus. Saliva doesn't keep stomach contents down by itself.
Have you been evaluated with barium swallow? I don't know how endoscopy actually shows reflux happening, although it would definitely show esophageal damage. Was there a hernia or a loose sphincter detected?
Have you been evaluated to have the septum fixed? (I have that too, but can nose-breathe. I just use a lot of saline spray to keep it clear.)
Another cause of dry nose and mouth can be meds and supplements you take. They can also cause the LES to be loose. Food sensitivities are a big cause of reflux. Keep a food and med log the check for that!
Alcie
 
 


stkitt
Elite Member


Date Joined Apr 2007
Total Posts : 32602
   Posted 12/21/2009 12:42 PM (GMT -6)   
Hello ! I am a mouth breather and for me it does not factor into my reflux.............but what I eat and when sure do. Also I take medications that causes dry mouth as a side effect.



You may want to ask your physician re this issue.



Happy Holidays



Kitt

ljk
Regular Member


Date Joined Sep 2009
Total Posts : 23
   Posted 12/21/2009 8:17 PM (GMT -6)   
Alcie said...
ljk
I can't imagine how you can reflux without a LES being loose or open. Dry mouth could be a trigger, but something else has to happen for the refluxate to get up into the esophagus. Saliva doesn't keep stomach contents down by itself.
Have you been evaluated with barium swallow? I don't know how endoscopy actually shows reflux happening, although it would definitely show esophageal damage. Was there a hernia or a loose sphincter detected?
Have you been evaluated to have the septum fixed? (I have that too, but can nose-breathe. I just use a lot of saline spray to keep it clear.)
Another cause of dry nose and mouth can be meds and supplements you take. They can also cause the LES to be loose. Food sensitivities are a big cause of reflux. Keep a food and med log the check for that!


Yeah, I was diagnosed with a Barium Swollow and the endoscopy showed irritation. The doctor didn't tell me anything about a loose sphincter though, so I don't know about that. Maybe I should follow up and ask that question specifically.

All he told me was there was no hiatial hernia, and no h pylori.

I had a couple operations to fix the deviated septum, but they didn't work. Hence the breathing problems i have currently. Could the breathing tube they shoved down my throat damage the LES? I noticed reflux sometime around the time I had the surgery's.

But all i knew is that I only reflux at night, and I have a really dry mouth on the nights when I reflux badly.

I certainly didn't rule out a loose LES. I think it's a combination of things, but a big thing is not having any saliva to keep the reflux down ;)

ljk
Regular Member


Date Joined Sep 2009
Total Posts : 23
   Posted 12/21/2009 8:18 PM (GMT -6)   
stkitt said...
<a target="_blank" href="/community/profile.aspx?f=45&m=1673294&p=89660">ljk</A>

Hello ! I am a mouth breather and for me it does not factor into my reflux.............but what I eat and when sure do. Also I take medications that causes dry mouth as a side effect.



You may want to ask your physician re this issue.



Happy Holidays



Kitt

What have you found that works?

I'm thinking of trying Baclofen to stop LES relaxations, and maybe a medication that increases salivation - as well as allergy medications and nasal spays to keep my nasal passages open.

PPI's, and H2 blockers didn't work for me.

Stormienite
Regular Member


Date Joined Dec 2009
Total Posts : 186
   Posted 12/22/2009 10:23 PM (GMT -6)   
Is the back of your throat irritated by breathing through your mouth?  Like sort of scratchy?
 
Yes, I have the symptoms you're describing.  I also have gerd/lpr, a hiatus hernia and Schatzki ring.  I have issues with acid coming up in my throat when I lay down, even with meds.  Sometimes I wake up choking on it.  Not a pleasant feeling.
 
In Feb I got pneumonia.  Not from an infection.  From aspirating the acid from my stomach.  Since then I've been having shortness of breath.  10 months, 4 hospital in 2 cities and I can't even count how many tests and doctors I've had and still have.  I can't keep track of how many are on my case.  Let me just say that I have been completely miserable being unable to breathe.  It was like the air was stale and I wasn't gettig enough oxygen in.  It was so bad I wrote up a living will.  Yes, I thought I was gonna be put on a respirator.
 
Anyway to make a long story short, the acid coming up laying in my esophagus and the back of my throat has damaged my vocal cords.  In my case I  have Paradoxical vocal fold movement.  Basically anything.. cold, heat, humidity, smells, etc irritates my vocal cords and they close when they're supposed to open.  Basically the cords don't like to touch each other because it's like they're "sunburnt".  So they don't even close right.
 
If you have any questions I'll try to answer them for you, but this is a very LONG story and I'm just trying to cut it to the bare facts. lol
Rapid Cycling Bipolar Disorder (and about a dozen other things)
300mg Lamictal
90mg Pamalor
60mg Prevacid
2mg Niravam (Xanax)

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