LPR - High Acid or Low Acid?

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Wheezee
New Member


Date Joined Jan 2013
Total Posts : 3
   Posted 1/16/2013 10:17 AM (GMT -6)   
Hi All - My first (long) post... :-)
 
I have had what I thought was 'seasonal allergies' for the past few years - sneezing and almost constant post-nasal drip which caused intense throat-clearing in the morning and sometimes during the day...
 
Afer starting thyroid meds last Spring (Hashimoto's hypothyroid) my 'seasonal allergies' became full time and I experienced a few episodes of heartburn, which I never had before.
 
This past October 2012 I started wheezing and coughing in addition to the constant drip in the back of my throat. Noticed shortness of breath several times per day. After a couple of really bad asthma-type attacks - gasping for breath - I saw an allergist who found through testing that I am 'not allergic to anything' and do not have asthma. A chest xray was clear. He asked me if I had heartburn - which I had rarely. He thought it might be a reflux problem.
 
He gave me Xopenex inhaler, which I now need to use morning and night for extreme shortness of breath. It helps.
 
Reading online, my symptoms all point to LPR. I wake up in the morning coughing, wheezing and hacking phlegm. Cough/wheeze off and on all day. Post-nasal drip 24/7. When I lay down, I hear light gurgling noises and wheezing coming from my throat. No burping or heartburn or feeling of acid reflux. I do have constant bloated stomach feeling, and occasional right-side pain.
 
My diet is very close to Paleo, but no dairy for the past 6 years. No sugar, low gluten (negative Celiac), no coffee, alcohol, junk food...
 
Taking probiotics, multi-vits plus D3, Mag, Selenium, Co-Q10, Krill Oil, DGL, and Slippery Elm lozenges.
 
I am thinking of trying a 14-day omeprazole to see if it helps before going to see a GI doc, which I know will trigger a flurry of tests and prescriptions... :-)
 
I did the water/baking soda test and did not burp until the 5-minute mark. Tried Now Brand HCL/Pepsin as directed and had heavy burping for 2 hours after and a feeling of heartburn. Felt worse the next day - and had a sore and itchy feeling in the back of my throat. I had hopes for the HCL/Pepsin after reading so much about it on the web including Kessler. Was my reaction normal or does it indicate that I do indeed have excess acid?
 

Post Edited (Wheezee) : 1/16/2013 8:29:06 AM (GMT-7)


Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 5013
   Posted 1/16/2013 2:23 PM (GMT -6)   
Welcome to the forum Wheezee.

I have no idea about the tests you performed on yourself. I also have never tried to go "paleo." I do usually believe in my doctors and try to follow their directions and do their tests, since they aren't just getting them off the net but have spent many years in school and practice.

I treated my GERD with Tums for a few years, then needed ranitidine (Zantac) and finally a PPI. At that time I was followed by my family doctor.

I am currently using a steroid inhaler, from my allergist, prescribed because I had lingering breathing trouble after getting a flu. A bunch of other people on this forum have had asthma symptoms cured after surgery for their reflux. The post-nasal drip could be caused by the reflux, or as in my case, it could be from a chronic sinus infection. My ENT has me on a budesonide (steroid) sinus wash for that because I just get it back when I treat it with antibiotics. Treating for mold didn't help at all. Steroids help with the symptoms but aren't cures.

I would go back to the allergist and also see a good gastroenterologist. It worked for me.

sunbeam48
Veteran Member


Date Joined Jun 2011
Total Posts : 795
   Posted 1/16/2013 3:16 PM (GMT -6)   
The Paleo diet you are on can be effective in relieving heartburn. It is also good you tried the HCL approach. What the doc will recommend will likely be meds which will reduce the acidity of your stomach liquids so they do not burn your throat (heartburn). Your stomach is always acidic, and your throat was not made to tolerate this acidity. What's not working is the valve between your stomach and throat, called the lower esophageal sphincter (LES). Many sources make it sound like we have developed too much stomach acid but that is not really true.

Post Edited (sunbeam48) : 1/16/2013 1:20:07 PM (GMT-7)


Wheezee
New Member


Date Joined Jan 2013
Total Posts : 3
   Posted 1/16/2013 3:26 PM (GMT -6)   
Thanks so much for your reply! I guess my hope is to fix this problem myself if possible... :-)
 
My allergist has no more info for me - but my GI doc is next on the list, if things don't improve soon... steroids just about kill me but the Xopenex inhaler does well for a short bit of relief. The ProAir inhaler he tried first made me shakey and get palpitations - and a bad headache.
 
If you Google 'Baking Soda Test for Hypochloridia' you'll see the formula... notes that it isn't perfect... tongue   Taking HCL/Betaine caused more trouble for me, unlike hundreds on the web who have reported great success with fixing GERD/LPR. But you have to know if you have low stomach acid first...
 
Since I had such a reaction to HCL my thought is that my problem is excess acid - but can't be sure without a trip to GI doc.

sunbeam48
Veteran Member


Date Joined Jun 2011
Total Posts : 795
   Posted 1/16/2013 4:28 PM (GMT -6)   
I believe many of the GI docs just test for how high the acid goes up your esophagus, make sure you clarify the type of testing being done.  Also, LPR symptoms can be caused by small amounts of acid, so test results can be misleading when you have that diagnosis.  I haven't had a lot of testing done, just an upper endoscopy, maybe someone else can clarify this.  There is a paleo-type diet called Fast Tract, developed for heartburn.  There is a thread here on it, and there is a book available through Amazon.  It is low carb, and also low fiber.

Wheezee
New Member


Date Joined Jan 2013
Total Posts : 3
   Posted 1/16/2013 9:51 PM (GMT -6)   
Thanks!
 
I am concerned about the amount of shortness of breath I'm having off and on during the day and sometimes when waking up in the middle of the night - it seems odd that this would be an ongoing problem when I don't feel any heartburn or reflux...
 
Right now my chest feels tight and having to take small shallow breaths - going for the inhaler... :-)
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