GERD Questions

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bumpercar
Regular Member


Date Joined Jun 2011
Total Posts : 33
   Posted 7/1/2011 1:22 PM (GMT -6)   
Hi All!

I am new to HealingWell, have multiple health problems including GERD and asthma or COPD, depending on the doctor. I was on proton inhibitors twice a day for years beginning December 2004 for treatment for reactive gastropathy after having had a colonoscopy and EGD. Eventually my insurance company refused to allow me to get 60 pills a month, but last November I saw an ENT about chronic hoarseness and I am back on proton inhibitors twice a day because my larynx was swollen but showed no sign of disease. The doctor suspected my reflux might be causing the problem.

When I was on the suck in powder spiriva and advair I would become so hoarse that I could not talk. In time several doctors noticed that I wheezed when I breathed out when doing lung functions and when they were plain old listing to my chest and considered that my problem was in my larynx.

Prior to that visit we elevated the head of our bed and started eating dinning at 6pm or earlier. I was thin in 2004 and now am over weight . . . fat. I have have a serious reflux twice since last November but when I am laying down I can still feel liquid traveling up my esophagus and I can hear a rattle in my larynx as I breathe out. In 2004 I was diagnosed with a Hiatal hernia.

When I was at the internist recently I studied the posters of the GI system, but for some reason I have trouble processing what I am seeing and reading. I do not understand anything between the stomach and the mouth.

I was supposed to follow up with the GI doctor months ago but haven't because I had to pick and choose which health problem seems worse and needs attention first because of money.

My hoarseness is worse. I was switched to the Advair puffer when that came out, but continued with the Spiriva until last fall when I was changed to take only the Dulera puffer.

So, where are my questions?

Has anyone here had a swollen layrnx and hoarsness from GERD that has not cleared up. If the problem is not corrected am I looking at more serious problems?

And I get soars in my nose, mouth and where my right tonsil used to be, but was removed with I was 5. I am 61 now. Can these soars be from GERD?

Thank you for your time.

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 7/1/2011 1:44 PM (GMT -6)   
Hi, Bumpercar!
When I saw your post from the other forum I figured you had some GERD problems.
It sounds like you have a type of GERD where the acid rises all the way up into your sinuses and spilling over into your windpipe. It's called LPR (Laryngopharyngeal Reflux) also known as Silent GERD.
I used to suffer from it, but I had it fixed with a surgery called Nissen Fundoplication. They also fixed my Hiatial hernia in the same surgery.
The way to picture how your area from the mouth to the stomach is there is two tubes leaving the mouth one for air and one for food & drink. Over the beginning of the tubes is a small flap of skin that will close when one or the other is being used. At the end of the food tube is the LES (Lower Esophageal Spincter). It stays closed until food or water needs to enter the stomach.
People who suffer from GERD have problems with the LES. Sometimes the problems are may be it malfunctions, is weak, or wide open. This allow stomach acid to come up into the esophagus which is called GERD.
It sounds like from your description the acid is coming all the way up to the back of your throat and is spilling over into your larynx.
Are you trying any antiacids to help you? You can take some PPIs over the counter to help until you can see the doctor. Makes sure it's safe to take them with your other medicines.
Joy

kyheart
Veteran Member


Date Joined Apr 2011
Total Posts : 513
   Posted 7/1/2011 7:18 PM (GMT -6)   
Hello Bumpercar
I could almost have been reading my story when I read yours. I am 62 and I am 13 weeks post op of having the Nissen Fundoplication.. this surgery has been a wonder for me.. it does not work for everyone the way it has worked for me, but I am so thankful I had it.. I too had terrible 'asthma' I had to carry a rescue inhaler always. If I got a slight cold, within a day it would turn into a bad upper respiratory infection. My doctors PA didn't understand how I could get so sick so quickly. Right before I had my surgery (within 6 weeks) I was on steroids because I was wheezing so bad. Since my surgery I no longer carry the inhaler, I don't need it and I seldom cough except to clear my throat. My last couple of months b4 the surgery, I also had sores in my nose, never thought about it until I read your post.I haven't had any problems like that since my Nissen. I also had a hiatal hernia. It had gotten to where it would slide into my chest and when I laid back, it would slide back. An awful feeling.
You and your doctor have to decide which course of treatment is your best choice. I can say though that if the surgery is decided on, this surgery demands an experienced surgeon.. check it all out before you decide.
I wish you the very best and I hope you find out what path will help you the most and very soon for your sake..
Please keep in touch and let us know how you are doing. If you have questions in the search for relief, come to this forum.. everyone will be happy to help you any way they can.. ;-)
Sandi

bumpercar
Regular Member


Date Joined Jun 2011
Total Posts : 33
   Posted 7/1/2011 8:08 PM (GMT -6)   
Thank you Joy and Sandi!

Many years ago when my son was in elementary school I allowed doctors twice to put a probe down my son's throat for an extended period of time in the name of research on asthma and reflux. He thought it was cool the first time. He was sedated when the first probe was inserted. The second time he was not sedated and to this day some 25 years later I still hate myself for allowing it to happen.

Having been widowed at a young age with small children, and not having finished college, I have always found myself making too much money to receive federal or state financial help, and not enough money to take care of all my medical needs.

Today I got a call from the internist office to say I need to go in to discuss some labs that were off. Great, there goes another $35, or is it $30. I guess it does not matter.

After I get my next SSDI check I was planning to see a new rheumatologist, but maybe I should see the ENT instead? From what I have read I think I need to be worrying about possible cancer of the larynx or Esophagus. Right?

Oh and thank you so much Joy for helping me more easily understand how all this works. I worry about my cognition, but it seems some things I get right away and others I do not. Then, some things I just don't remember or recall.

Thanks again!

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 7/2/2011 8:28 PM (GMT -6)   
It takes time to develop the cancer, but you still don't want acid washing over your esophagus all the time. See if it's okay with your doctor for you to take protein pump inhibitors or H2 blockers over the counter.
Joy

bumpercar
Regular Member


Date Joined Jun 2011
Total Posts : 33
   Posted 7/4/2011 8:37 PM (GMT -6)   
Thanks Joy.

It is crazy, right now I am in so much pain from fibromyalgia or whatever it is I have, that I am back to thinking maybe I should focus this month on the RA doc.

It just gets so tiring.

I just took half a Vicodin and hope it numbs me enough to sleep tonight.
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