Went to the ENT today.....I have a few questions

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

tnfilmgal
Regular Member


Date Joined Mar 2014
Total Posts : 22
   Posted 4/3/2014 9:49 PM (GMT -6)   
I saw the ENT today, a little Doogie Houser ..but seemed very knowledgeable...He used the scope up my nose and confirmed I have LPR. He said I had a great deal of swelling and inflammation from reflux...he swithced me from Prilosec to Prevacid and put me on an antibiotic because I also have a horrific sinus infection...he believes I have had LPR for awhile but was not aware because I did not have heartburn type symptoms..the chest burning, reluxstuff started once I started taking PPI..questions

How long should I expect to be on the Prevacid?
Should I consider having an GI work?
How longs will it takea for this lump in my throat to disappear?

Thank you very much

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 5029
   Posted 4/4/2014 10:03 AM (GMT -6)   
Welcome to the forum, tnfilmgal.

You may have to be on PPIs a very long time, depending on the cause of the reflux. To find out what's going on I would see a gastroenterologist and get a workup.

stkitt
Elite Member


Date Joined Apr 2007
Total Posts : 32602
   Posted 4/4/2014 10:09 AM (GMT -6)   

Although silent reflux is harder to diagnose than GERD, a doctor can diagnose it through a combination of a medical history, physical exam, and one or more tests. Tests may include:

An endoscopic exam, an office procedure that involves viewing the throat and vocal cords with a flexible or rigid viewing instrument

pH monitoring, which involves placing a small catheter through the nose and into the throat and esophagus; here, sensors detect acid, and a small computer worn at the waist records findings during a 24-hour period.

 

You have been dx by an ENT using the endoscopic exam, however, if surgery should ever come into question I would push for the pH monitoring.

You asked, How long should I expect to be on the Prevacid? Should I consider having an GI work? How longs will it take a for this lump in my throat to disappear?

The answer to this question is different for everyone and is often a matter of patient preference. It often takes a number of months for injury to the throat and voice box to heal once acid has been suppressed. In many cases, increasing the dosage or frequency of the medication for an extended period of time may be necessary for a person to get relief: Many people with LPR require treatment indefinitely to control symptoms. Some people require treatment intermittently. That is, a person may recover completely for months or years and not require medications, then they may have a relapse and recurrence of symptoms.

In severe cases, aggressive, prolonged treatment of the reflux with medications and routine monitoring of the throat is recommended. Further testing to determine whether a patient needs "anti-reflux" surgery (called fundoplication) may also be necessary to restore a new and better stomach valve. Reference:Northeast ENT

Hope this helps you.  I am sure you may be hearing from the group of members that will share experiences of treating their LPR using alternative treatments and it is good to look at all the ways that may be helpful for you.

Kindly,

Kitt


~~Kitt~~
Moderator: Anxiety/Panic
and Heart/Cardiovascular Disease.



"She Stood in the Storm & When the Wind Did Not Blow Her Away, She Adjusted Her Sails."

tnfilmgal
Regular Member


Date Joined Mar 2014
Total Posts : 22
   Posted 4/4/2014 5:52 PM (GMT -6)   
Thanks so much....this is such a process...

CAGU
Regular Member


Date Joined Apr 2014
Total Posts : 315
   Posted 4/4/2014 7:25 PM (GMT -6)   
PPI's only treat symptoms, they do not fix what is causing the reflux. PPI's have long term serious side effects. The drug companies that manufacture these drugs advise not to be on them for longer than two weeks. Unfortunately, doctors are writing prescriptions for much longer than this and are not looking further to find out what is causing the reflux. Also, after you are on a PPI for 2 weeks or longer, it is extremely difficult to get off the medication due to acid rebound. Once you stop taking the medication, the stomach no longer knows how much acid to produce, so it over produces. This is called acid rebound. Many people on PPIs are having trouble getting off the medication. Google acid rebound and you will find a lot of testimonies from people who are struggling trying to get off the medication.

tnfilmgal
Regular Member


Date Joined Mar 2014
Total Posts : 22
   Posted 4/5/2014 7:15 AM (GMT -6)   
Cagu, so what does a person do?

CAGU
Regular Member


Date Joined Apr 2014
Total Posts : 315
   Posted 4/5/2014 9:01 AM (GMT -6)   
I would first avoid the common triggers of acid reflux: These foods would include: alcohol, caffeine, spicy food, mint, citric acid and fried foods. Many of your drinks have citric acid or caffeine in them.

If you do not get any relief from avoiding these common trigger foods, then I would have your allergist test you for food intolerances. Some people are sensitive to certain foods which can cause reflux. For example: Wheat (gluten), soy, dairy, MSG, etc...

If you do not have any food sensitivities, than I would consider being tested for delayed gastric emptying. This is where food is staying in the stomach too long, and it is not being broken down quickly enough. The Mayo Clinic website list reflux as one of the symptoms of delayed gastric emptying. You could also try the diet for delayed gastric emptying to see if you get any relief first.

The diet for delayed gastric emptying involves eating smaller meals more frequently, instead of eating three big meals. It also involves more liquids and soft foods. You would also limit your fiber intake, since fiber tends to stay in the stomach longer. You can google the diet for delayed gastric emptying to get more details.

CAGU
Regular Member


Date Joined Apr 2014
Total Posts : 315
   Posted 4/5/2014 9:23 AM (GMT -6)   
There are some people who get relief from their reflux symptoms by using the apple cider vinegar sold at the health food stores. It is sort of a mystery as to why it works, but I believe it helps the stomach break down the food quicker which helps to avoid the reflux. I did try this myself for seven days and my reflux was gone. However, I had to quit using it because it was extremely hard on my stomach. I am now on the diet for delayed gastric emptying.

tnfilmgal
Regular Member


Date Joined Mar 2014
Total Posts : 22
   Posted 4/5/2014 12:06 PM (GMT -6)   
THANKS CAGU..this entire thing is making me insane...until I took Prilosec two weeks ago for gastritis, I did not have heart burn..almost never..even on the prevacid I have burning in my stomach...again, I had NONE of this til I took the prilosec. ? But I assume I do hwve issues because the doctor says I clearly have LPR..any idea.....??

CAGU
Regular Member


Date Joined Apr 2014
Total Posts : 315
   Posted 4/5/2014 2:41 PM (GMT -6)   
It's difficult to give you advise when I don't know what symptoms you were taking the medicine for or how long you were on the medicine, but I will share my own story with you.

I was taking the generic Prilosec (omeprazole 20mg). I was taking if for reflux. After I had taken it for eleven days something scary happened.. I started experiencing abdominal fullness when I would try to eat along with constant burping. I also developed silent reflux (sore throat, lump in throat, excessive mucus in throat) which I did not have before I started the omeprazole 20mg. Now, I cannot eat a bowl of cereal or a plain baked potato without experiencing extreme reflux problems.

What I did not realize was PPIs can cause delayed gastric emptying. There are several articles/studies on the the internet that link PPIs with delayed gastric empting. The medicine has made my problem ten times worse.
New Topic Post Reply Printable Version
Forum Information
Currently it is Monday, September 24, 2018 6:56 PM (GMT -6)
There are a total of 3,006,240 posts in 329,318 threads.
View Active Threads


Who's Online
This forum has 161825 registered members. Please welcome our newest member, TheRayf.
320 Guest(s), 12 Registered Member(s) are currently online.  Details
SoMuchFun, paul_t, Serenity Now, Admin, Cashed Out, InTheShop, Envsciguy, Anna7ella, Aurora2013, kittytalk371, rpgdancer, BOB 46