throat clearing

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New Member

Date Joined Jun 2009
Total Posts : 10
   Posted 2/17/2010 4:58 PM (GMT -6)   
Does anyone else have to clear their throat regularly becausee it feels like you have something stuck back there.  I often cough up clear mucus.  It seems to be worse when I take a PPI and in the mornings.  Any suggestions on how to stop, its driving me mad and I am embarrassed that I have to do it constantly at work.  I am in an open plan office.

Elite Member

Date Joined Jul 2009
Total Posts : 14475
   Posted 2/17/2010 6:15 PM (GMT -6)   
Welcome to HW,

The throat clearing issue is probably from "silent" GERD. I had the same issue. Acid is bubbling up into the upper part of your throat. Usually it's due to a weak LES.
I decided to have the surgery and am doing fine now.


New Member

Date Joined Jun 2009
Total Posts : 10
   Posted 2/20/2010 3:23 PM (GMT -6)   

Hi Joy,  Can you eat what you want?  Any special things you have to do after surgery?  What exactly did you have done?







Elite Member

Date Joined Jul 2009
Total Posts : 14475
   Posted 2/20/2010 3:36 PM (GMT -6)   
Can you eat what you want?

I get to eat whatever I want now that I'm two months out.

Any special things you have to do after surgery?

There was lifting restrictions and eating restrictions for a few weeks.

What exactly did you have done?

I had the Hill Procedure. (270 degree wrap) It's not a very tight wrap like the Nissen. Food passes through very easy. I can burp. I've stopped all GERD medication.


New Member

Date Joined Jun 2009
Total Posts : 10
   Posted 2/22/2010 12:56 PM (GMT -6)   
Hi Joy,  What was the criteria for your Doc to order the surgery?  In other words how bad was your GERD?  Mine seems cyclic.  I think its connected to peri menopause.

Regular Member

Date Joined Mar 2006
Total Posts : 495
   Posted 2/22/2010 1:37 PM (GMT -6)   

You may be correct in saying it may be connected to your perimenopause. Both my obgyn and my stomach doctor said that women in perimenopause through the first couple of years post menopause often see a worsening of GERD symptoms.

Elite Member

Date Joined Jul 2009
Total Posts : 14475
   Posted 2/22/2010 1:58 PM (GMT -6)   
Mine was constant. I coughed constantly with throat clearing for almost four years. It was after I took some antibiotics for a bladder infection. I started coughing constantly when I was hungry or had a full stomach. I thought it was related to my infection and didn't worry right away. I had mild GERD for five years before I started coughing constantly. I had three doctors who scratched their heads during those years before they determined my GERD had gotten worse.
I got so aggrevated with the constant coughing and went through the surgery. I'm glad I did.


New Member

Date Joined Jun 2009
Total Posts : 10
   Posted 2/22/2010 8:57 PM (GMT -6)   
Hi Guys, thanks for your ever willingness to help. I too had infrequent acid reflux for a couple of years prior to this which is now with me most of the month. It does seem to get worse though when I am towards the end of my cycle and definately during a period, which is anyone's guess when it will appear these days. Prilosec does help and I am slowly getting to the point where I am just going to stay on it instead of trying to do without it. I have recently started a course of Amberin to see if I can reduce the peri menopause symptoms. I had this wild hope that if I could reduce those symtoms the GERD would magically disappear. Jury is out on that one I'll let you know when I am far enough into the course to confirm or dismiss it as useful...I don't think I am ready for surgery having not really exhausted all other options. My diet is very different from what it was two years ago which is a good thing, and I am always hopful that each thing I investigate and try is the one which will work...

New Member

Date Joined Mar 2010
Total Posts : 4
   Posted 3/2/2010 6:22 AM (GMT -6)   
I have a cough quite often with the reflux and it is due in part to more mucus being made to protect the lining on the throat.  I also get a stuffy nose which is a real pain.

New Member

Date Joined Mar 2010
Total Posts : 6
   Posted 3/18/2010 4:49 AM (GMT -6)   
Does anyone know any additional info about the link between perimenopause and the worsening of GERD symptoms? That would explain a lot. I was diagnosed in 2004 with a barium test but didnt have any major flare ups until recently which is also when my perimenopausal symptoms also worsened. Does this seem possible to anyone ..that maybe they are related?

Veteran Member

Date Joined Oct 2009
Total Posts : 5029
   Posted 3/18/2010 10:09 AM (GMT -6)   
Hi newbies
You are in the right place.  Just don't be rushed into surgery or think that is the cure.  While a lot of us have had very good results with surgery, we've also tried everything else in the book first and suffered for years before going with this last resort.  Many people still need acid reducers even after surgery.  I lived quite well for 25 years with just acid reducers.
First you need to see a really good GI specialist and get tested (many of you already have) to see if you really do have GERD, and how bad it is, have the complications checked out.
Since acid reducers do not cure reflux, only reduce the acid which causes the damage to the esophagus, you need to figure out if you have triggers while upright or only leaking of acid while you are lying down.  Do you have symptoms of stomach doing the cha-cha in the daytime?  That's the reflux I'm talking about.
A very good way to find if you have specific triggers, which will probably not be mentioned by your GI doc, is to keep a food log/journal, with your symptoms an hour and two hours after you eat.  If you identify certain meals you should then break down the components and do a "challenge test."  That's easy too:  Just eat a bite or a swallow of the possible offending food (like a bite of bread or a sip of milk), wait 20 minutes.  If you have symptoms write them down.  If not try 2 bites, wait 20 minutes.  You go up by doubling 1,2,4,8,and finally 16 bites.
Once you have your list you can try to figure out if they have something in common.  My list was really weird, or so I thought:

Bagels, commercial Bread

Bottled Juices – especially containing grape, lemon or lime juice

Brown Sugar, White Beet Sugar (all brands not labeled cane)   


Canned Soup, except Progresso Light Chicken Noodle or Beef

Catsup, Mustard

Cereals, boxed

Cheese, especially hard cheeses


Chocolate, especially dark

cookies, especially chocolate chip

Corn Starch (fillers in gravy, pie filling, some medications)

Corn Syrup, dextrose, maltodextrin

Dried Fruits – except prunes

Eggs, if more than 1

French Fries, packaged mashed potatoes – no reflux with fresh potatoes


Ice cream, Sherbet


Jams and Jellies (pectin) – no reflux with the raw fruits

            Maple Syrup

            Milk, powdered – used as filler in “all milk” yogurt and some skim milk

Mixed Spices, especially with pepper

            Packaged, Cooked Meats

            Peanut Butter


Pizza (crust, cheese, sauce, toppings)

            Pork, Sausage

            Puddings, Pumpkin Pie

Sodas (more than 1 cup)

Tea and Herbal Tea (few brands)

Tomato Sauce

            Tuna, some brands, canned – containing soy

            Yogurt (more than 1 cup) especially low fat varieties (powdered milk added)

            Wine, Beer

I was able to search them and found they all have SULFITE in common.  Other people have different triggers.


By eliminating, for the most part, my triggers, I also eliminated most of my reflux.  My GI doc probably still doesn't believe it, but I have read quite a number of scientific papers because my reflux also triggered tachycardia - a syndrome called cardio-esophageal reflex (not reflux).


I had to have surgery because an accident caused my stomach to be pushed up into my chest.  Since I had a really bad LES I got "the wrap" and now don't have to take acid reducers.  But I'm not recommending surgery unless you can't control your GERD any other way.



Good Days
Regular Member

Date Joined Oct 2008
Total Posts : 146
   Posted 3/18/2010 3:17 PM (GMT -6)   

Yes, your symptoms sound a lot like reflux.  A cough is often had to find the cause.

Mine was caused by really bad reflux and also allergies.  Had a loose Nissen and still had coughing but not nearly like it was.  So off to allergy tests and sure enough that also.  Now the cough is almost gone.


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