Esophageal Hypersensitivity or just GERD/LPR

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Regular Member

Date Joined Jun 2014
Total Posts : 29
   Posted 7/6/2014 3:45 AM (GMT -6)   
Hi all,
Just wondering if anyone can help me if they have similar symptoms & similar diagnoses with mine.

My symptoms started with a very bad case of heartburn after just normal dinner in August 2013.
The next day, I had belching & bloating. Since I had gastroparesis in 2010 and the symptoms were similar, I immediately went back to my gastroparesis diet which included low fibre & low fat diet (but not low acid diet).

Since then, my symptoms progressively getting worse and changed to sour/acidic mouth, cold burning throat & upper chest, postnasal drip and occasional bloating/belching.

I went to see my specialist and at first he prescribed me with zantac 150 mg but it didn't help much.
Since 2 weeks ago, I've been having Nexium 20 mg 2x/day and then since 10 days ago amitriptyline aiming for 30 mg but starting dosage is 2.5mg.
My specialist believes that I have a sensitive gut, but the only test I did was the motility test to rule out gastroparesis (the result was negative). I haven't done any endoscopy, ph test or esophageal pressure test, etc. My specialist said that whatever the results are from those tests, the treatments are the same.

Since with nexium & amitriptyline, I could say there's a bit of improvement.
However, what confuses me is that even with a very strict diet, my symptoms seem to be up and down even with a very strict diet. A little change such as mixing my white rice with 1-2 tbs of red rice,or a snack of 1 portabello mushroom can cause me to have more symptoms. I'm really confused :(

I've bought her book Dropping Acid and tried to follow her diet to a T.
But it seems that many of her food listed there (induction diet), causes me to have symptoms even though other LPR sufferers don't, e.g. bananas, vit d capsule (it's just 1000IU), red rice, whole meal bread, skim milk.
It's like everything all over the place and I have a really hard time to know my trigger food or at least a staple diet that I could stick to.
I don't have problem with gluten as it seems white bread is ok.

My questions:
- If any of you on ppis, which means lowering our stomach acid, have you had any prob digesting high fiber food such as whole meal bread, brown/red rice etc?

- Has anyone been diagnosed with hypersensitivity? My symptoms are related after having food.

Please if anyone has same symptoms (sour/acid mouth, burning throat & chest, post nasal drip, belching) and was diagnosed with hypersensitivity and was prescribed with amitriptyline (or similar drugs) and managed to get through this, please please share your experience.

I'm really scared and depressed :( Feeling really sorry to my husband & kids :(

Thank you in advance guys!

Veteran Member

Date Joined Oct 2009
Total Posts : 5029
   Posted 7/6/2014 8:09 AM (GMT -6)   
Welcome to the forum, Vicky.

Yes, lots of us have hypersensitivity, often from food intolerances. There are many posts on keeping a good food journal and doing challenge testing. Hours of reading! You might find newer posts on the allergy forum. My particular intolerance, fortunately not the level of an allergy, is to sulfites. Don't worry about a particular diet. Find out what works for you. I keep my log/diary right on the kitchen counter.

The Nexium you are taking is only half the prescription strength. That's what happens when these things go OTC. Taking it properly is also something to learn. You have to take it first thing in the morning before eating, and then you have to eat a half hour later or it won't work properly. It takes 45 minutes for most drugs that have to be metabolized to start working. Then the acid pumps have to be triggered by food for the drug to shut them down.

New Member

Date Joined Jul 2014
Total Posts : 17
   Posted 7/7/2014 12:29 PM (GMT -6)   
You can try some tests to see what's going on down there. If you have stomach pains, you may have Gastritis. (I've had it myself and it's very painful)

There is also a test that measures how much stomach acid you are producing. It could be too little, or too much.

Make sure to dis-continue the following (if you do any of them): alcohol, smoking, coffee, fried foods.

You can also try DGL and GastroVen, I've had good success with these. They both help repair stomach linnings and decrease inflammation.

Not all diets work for everything, it takes some experimenting.

I personally don't recommend the drugs, I was given those when my problems started and discontinued them after a week. My Reflux/LPR is about 95% gone.

Regular Member

Date Joined Jan 2014
Total Posts : 97
   Posted 7/7/2014 3:23 PM (GMT -6)   

It depends where you have visceral hypersensitivity, in the stomach or osophagus or in bowls. I had visceral hypersensitivity in the stomach. I could not eat anything but boiled chicken and rice and i jean nothing. I was so bad that even one table spoon of lactose free, far free milt would floor me with pain and reflux. I have had two endoscopy done and both negative for gastritis so its visceral pain, but the pain was like i had gastritis all the time and my stomach reacted the same as gastritis. Amytryptalyne is not helped much but has made slight improvement, i am on 30mg soon to up to 50mg and possibly 70mg. If i don't see much success i will try other visceral drugs.

good luck.

good luck,

Regular Member

Date Joined Jun 2014
Total Posts : 29
   Posted 7/7/2014 6:37 PM (GMT -6)   
Thank you so much guys for your replies!
I don't think I have any allergies to fructose, glucose or gluten. I had done the tests and all came back negative. I also had a helicobacter blood test and it came back negative.

I've never done alcohol, smoking even coffee. It all came all of a sudden after eating 1 persimmon that caused me to have sharp stomach pain. The sharp pain's gone after about 1 hour. Doc ran a helicobacter blood test and it's negative and he said the dull pain left was probably just muscle pain considered I just had my laparoscopic appendectomy 6 weeks prior. The next day I had mild heartburn after little bit of choc ice cream which stupidly I ignored because I was busy with a baby. The day after after dinner I had a bad bad heartburn! And that was all started!
But I can confirm that I don't have the stomach pain at all.
The pain is burning in the upper chest, sour taste, cold/burning throat pain sometimes all the way to my ears, (at night) blocked nose.

I'm now on amitriptyline for 5 mg but I don't think it helps much- but again I just started 12 days ago?
The nexium 20mg 2x/day also helps only a bit I think, and it's been 3 weeks. Not sure whether the dosage is too low or 3 weeks too early to tell?

I actually mentioned to my doc that I'd like to have endoscopy and/or any other tests because I want to know what's going on inside. But he believes that my acid is actually normal and I just have the hypersensitivity because of the stress - hence the amitriptyline.
He said that whatever the results from those tests, the treatments would be the same anyway and knowing the results would just add on to my anxiety.
But now it's really making me anxious because I saw improvement a bit last week and then went down again few days ago.... after I just mixed my white rice with 2 tbs of red rice for a day!

Thank you all for your advice! I really appreciate your time, that means a lot to me, especially when feeling so down like this.....:)
I will call my doc & see what he'd say if I ask for tests to be done.....
The scary part would be if I have to get off all the meds for the tests.....
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