What is wrong with me?

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pharcyder
Regular Member


Date Joined May 2012
Total Posts : 69
   Posted 5/29/2012 8:55 PM (GMT -6)   
Here's a little info:
26 years old
white male
had heartburn since 2008
took prevacid, worked wonders, stopped taking it due to laziness
started taking pepcid AC, not knowing it was different than prevacid. did NOTHING to help.

Went to my doctor and told him heartburn medicine isn't working any more. I got scoped and the GI doctor found a small hiatal hernia with a gaping LES. And moderate esophagitis. No Barrets or Dysplasia.

My GI doctor put me on Dexilant 60mg two months ago. I no longer feel an inferno in my esophagus. However, I feel discomfort.

Two months later, I STILL have a sore esophagus. I avoid food because it irritates my esophagus. Even water is irritating! I ate pizza last thursday and I woke up with a MAJOR sore throat. Also, it was difficult to swallow. The weird thing is: I didn't really feel heartburn. I just felt irritation. How did I get a swollen esophagus and an irritated throat even though I don't think I felt any heartburn?

I'm very worried that acid is cooking away at my esophagus, even though I no longer feel "heartburn."

How long will this irritation take to go away? The discomfort in my esophagus should have been gone by now, right? I have been taking a high dose of the strongest PPI on the market for TWO MONTHS.

Please help!

"EDIT: I have a super clean diet. Small meals only. I elevate my head at night (even though I never really had acid reflux up into my mouth or anything)."

Post Edited (pharcyder) : 5/29/2012 8:07:27 PM (GMT-6)


stkitt
Elite Member


Date Joined Apr 2007
Total Posts : 32602
   Posted 5/30/2012 10:28 AM (GMT -6)   
pharcyder
 

Welcome to the GERD/Heartburn forum. This forum is for questions, discussions and support relating to Gastroesophageal Reflux (GERD - Heartburn) and include Causes, Complications, Diagnosis, Medical Treatments, Surgical Treatments, and Symptoms.

I am sorry to read of your problems but would kindly suggest you perhaps restrict your diet a bit more until you can identify which foods trigger you GERD.  Pizza may be a "no" for you.

I can understand your worries and I feel it would be in your best interest to revisit your GI physician for further evaluation.  

You did not mention if you had the pH probe test as this may be appropriate for you at this time.
 
I hope you keep talking with us. We are here to support you and offer help when we can.
 
Kindly,
Kitt

 



~~Kitt~~
Moderator: Anxiety, Osteoarthritis,
GERD/Heartburn and Heart/Cardiovascular Disease.

www.healingwell.com

"Life is not about waiting for the storms to pass...
It's about learning how to dance in the rain."~ Vivian Greene

drtinsac
Regular Member


Date Joined Apr 2012
Total Posts : 458
   Posted 5/30/2012 11:03 AM (GMT -6)   
Even though stomach acid is being blocked by the meds, your body produces other substances to digest food. If you have a physical barrier problem with your LES, other stuff besides acid (or what they call "weakly acidic" stuff) will get up and irritate you.

A PH test where they measure LPR with a probe in your throat would probably be a good idea.

pharcyder
Regular Member


Date Joined May 2012
Total Posts : 69
   Posted 5/30/2012 1:14 PM (GMT -6)   
Thanks for the responses. I have my appointment set for tomorrow

pharcyder
Regular Member


Date Joined May 2012
Total Posts : 69
   Posted 5/30/2012 1:17 PM (GMT -6)   
Also, what is lpr?

ericapeace2000
Veteran Member


Date Joined Mar 2012
Total Posts : 1110
   Posted 5/30/2012 1:23 PM (GMT -6)   
This was taken from the resource link on this forum
 
Laryngopharyngeal reflux (LPR) is similar to another condition -- GERD -- that results from the contents of the stomach backing up (reflux). But the symptoms of LPR are often different than those typical of gastroesophageal reflux disease (GERD).

With laryngopharyngeal reflux, you may not have the classic symptoms of GERD, such as a burning sensation in your lower chest (heartburn). That's why it can be hard to diagnose and is sometimes called silent reflux.

Causes of Laryngopharyngeal Reflux

At either end of your esophagus is a ring of muscle (sphincter). Normally, these sphincters keep the contents of your stomach where they belong -- in your stomach. But with laryngopharyngeal reflux, the sphincters don't work right. Stomach acid backs up into the back of your throat (pharynx) or voice box (larynx), or even into the back of your nasal airway. It can cause inflammation in areas that are not protected against gastric acid exposure.

Silent reflux is common in infants because their sphincters are undeveloped, they have a shorter esophagus, and they lie down much of the time. The cause in adults may not be known.


pharcyder
Regular Member


Date Joined May 2012
Total Posts : 69
   Posted 6/1/2012 1:54 PM (GMT -6)   
Just a follow up - I went to my doctor yesterday. He said my throat irritation is caused by other juices in my stomach, which is fine. As long as I don't have heartburn I should be OK. He said my throat irritation is most likely caused by stomach juice reflux, and not to worry about it. He said to come back in 5 to 10 years for another checkup, unless symptoms worsen.


Also, does anyone know where I can get a TNE? The EGD what goes through your nose? I want to get one just to make sure my esophagus isn't roasting away.

ericapeace2000
Veteran Member


Date Joined Mar 2012
Total Posts : 1110
   Posted 6/1/2012 1:59 PM (GMT -6)   
You should also see an ENT they can check your throat.
Diagnosed GERD, no other medical conditions (this one is enough)

pharcyder
Regular Member


Date Joined May 2012
Total Posts : 69
   Posted 6/1/2012 2:00 PM (GMT -6)   
My heartburn doc said he already knows what an ENT would say. The ENT would tell me to see my heartburn doc again. Then my heartburn doc would recommend no change in treatment. lol.

ericapeace2000
Veteran Member


Date Joined Mar 2012
Total Posts : 1110
   Posted 6/1/2012 2:16 PM (GMT -6)   
Oh dear, gotta love doctors. If it is stomach digestive juces irritating it (or Pepsin, it is commonly theorized ) I have some advice from what I have read in books and on this forum: pepsin needs acid to activate it, so avoid any foods that are not high in PH . I find that avoiding carbs are helpful for me as well as limiting dairy, anything high fat and all the other GERD/LPR triggers that I am sure you already know. I also only eat organic food as preservatives contain acid. I also sleep on my left side with a wedge pillow which helps stop the night time refluxing. Youl coudl also try Gaviscon after meals which creates a foam barrier so that acid does not get out of your stomach. To relieve some of the pain, garggling with baking soda can be helpful.
Diagnosed GERD, no other medical conditions (this one is enough)
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