Can GERD change into LPR

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minnietoty
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Date Joined Dec 2010
Total Posts : 2797
   Posted 1/2/2014 8:32 PM (GMT -6)   
I'm a Crohn's patient and a GERD sufferer for 15 years. I've always suffered from the normal symptoms of GERD: reflux, heartburn, vomiting, nausea and excessive saliva. I had h.pylori two times throughout the 15 years. Seven years ago I was diagnosed w Crohn's which added to me gastritis, duodenitis and lately gastroduodenitis. I think these were caused mainly by steroids. However, lately, exactly 2 months ago, I started to have episodes of throat soreness which I thought mistakenly to be colds. These include nasal drip, sore throat, asthma like symptoms and hoarse voice. It's ongoing. I also had two episodes of chocking; as if somebody is strangling me and these are cleared by throwing up. Two days ago, I had severe sore throat, greenish nasal discharge and developed fever (38.3 C). I keep clearing my throat and feel I'm chocking.
My Crohn's is already giving me hard times and I'm in the middle of a flare up. I kept reading for diseases matching my symptoms and found that LPR is the most appropriate one as I need to try to try things first before I rush to my GI (I have been either calling or rushing to see my GI every week in the last 3 weeks). I took Gaviscon and it calmed down a bit the feeling of chocking.
So far, I have had 5 upper endoscopies and two barium X-rays and all showed reflux. However, my LES is normal. My GI told me that this is called NERD and requires I take Nexium 40 mg double dose and still my symptoms are not controlled. Every now and then I take Zantac 300 mg twice/day, Gaviscon 4 times, caralfate and Zofran im injections are a necessity for me.
I don't think I'm eligible for fundoplication as the sphincter is normal. What other treatments are out there?
Any replies are highly appreciated.
GERD, gastroduodenitis, ileocolitis, chronic proctitis and persistent mouth ulcers and fissures
Current meds: Pentasa sachets 4g, Entocort 4.5 mg, Nexium 40 x2, Ensure, Calcium and magnesium supplements, Imuran 150mg, Zantac 300mg (not any more), Gaviscon 1x4
Pred 40 mg from Oct. 2010 till Jan.2012
Failed:Azathioprine, Methotrexate

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 1/2/2014 8:52 PM (GMT -6)   
minnietoty

It definitely can, well actually you end up with both basically.

Just because the barium swallows didn't show anything doesn't mean surgery isn't an option. You really should have a PH study with the dual probe, and a manometry. These will show if it's acid or bile and what the pressure in your esophagus actually are.

There many people who have had normal barium swallows, but still show issues with these other tests and have had the surgery.

Take care,
Bill devil
opnwhl4
Moderator: GERD/Heartburn, Kidney disease

Nissen 6/06 and 5/09
#3 8/24/11

minnietoty
Veteran Member


Date Joined Dec 2010
Total Posts : 2797
   Posted 1/2/2014 9:12 PM (GMT -6)   
Bill, thank you very much. Well, tbh, I'm freaking out the ph study and the idea of having the probe inserted through the nostrils. A friend told me it was very painful. Still, all symptoms match w LPR or if I'm lucky as usual this might be Crohn's in throat. Have to see GI and tell him about these annoying symptoms as I have been only complaining of my intestinal problems lately.
Take care :)
GERD, gastroduodenitis, ileocolitis, chronic proctitis and persistent mouth ulcers and fissures
Current meds: Pentasa sachets 4g, Entocort 4.5 mg, Nexium 40 x2, Ensure, Calcium and magnesium supplements, Imuran 150mg, Zantac 300mg (not any more), Gaviscon 1x4
Pred 40 mg from Oct. 2010 till Jan.2012
Failed:Azathioprine, Methotrexate
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