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Home > Archive > Heartburn Support > October 2005 > Symptons?
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| tdonline 2005-10-07, 9:17 pm |
| I will see my ENT in a couple of weeks to look over my 'sinus
infection', but meanwhile I would like to gather info on possibly
having GERD. I'm currently on Augmentin for the sinus infection. My
post-nasal drip has decreased considerably, but I'm still very fatigued
and have the most awful breath. Even after I brush, I have this weird
taste in my mouth. I mentioned this to a friend and she suggested that
I may have acid reflux rather than a sinus infection.
Possible symptons:
I'm burping constantly, even after drinking water only. Sometimes I can
taste the burp. My overnight PND has virtually disappeared, but my
morning breath is still very strong with a tart taste on my tongue.
Every night when I go to bed, I hear my stomache bubbling though I feel
very little pain. I do drink water before going to bed (for my pills).
I'm not sure if I had these symptons before going on augmentin or not.
So I'm wondering I'm just suffering from the side effects of the
augmentin or if I do in fact am suffering from augmentin.
In May, for a couple of weeks, there was a heavy coating in my throat.
At the time I thought I was having a heavy PND. As far as I know, my
breath wasn't particularly offensive at the time. I do not remember
having any stomache pain, was very regular and did not burp very much.
But now it makes me think if it was acid reflux? My entire throat was
coated throughout the day for over two weeks. I went to the doctor and
she took a look around with a flashlight and prescribed me a steriod
spray.
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| tdonline 2005-10-07, 9:17 pm |
| So I'm wondering I'm just suffering from the side effects of the
augmentin or if I do in fact am suffering from augmentin.
That of course should end with "suffering from GERD."
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| Howard McCollister 2005-10-10, 9:14 am |
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"tdonline" <trinhd90@gmail.com> wrote in message
news:1128695547.266413.230720@g14g2000cwa.googlegroups.com...
> So I'm wondering I'm just suffering from the side effects of the
> augmentin or if I do in fact am suffering from augmentin.
>
> That of course should end with "suffering from GERD."
Yes, it could be GERD. The symptoms you describe are conceivably associated
with acid or alkaline reflux.
HMc
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| tdonline 2005-10-10, 9:14 am |
| After last night, there's no question I have acid reflux right now.
Major heartburn, bubbly stomache, it kept me up for hours so that when
the acid came up to my throat, I was awake and knew it happened. I
drank water with baking soda and that seemed to calm things down. I'll
grab some antacid today. I'm hoping this is temporary. I'm off
Augmentin on Tuesday.
There is such a thing as temporary acid reflux, right?
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| Howard McCollister 2005-10-10, 9:14 am |
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"tdonline" <trinhd90@gmail.com> wrote in message
news:1128784454.038800.275670@g14g2000cwa.googlegroups.com...
> After last night, there's no question I have acid reflux right now.
> Major heartburn, bubbly stomache, it kept me up for hours so that when
> the acid came up to my throat, I was awake and knew it happened. I
> drank water with baking soda and that seemed to calm things down. I'll
> grab some antacid today. I'm hoping this is temporary. I'm off
> Augmentin on Tuesday.
>
> There is such a thing as temporary acid reflux, right?
>
People reflux when intragastric pressure exceeds the pressure of the lower
esophageal sphincter. This can occur with either a fundamental "looseness"
of the LES (which is chronic) or due to transient inappropriate relaxation
of the sphincter (which can be chronic, chronic-recurrent, sub-acute, or
acute). Things that can contribute to that transient relaxation can be
caffiene, alcohol, nicotine, and many spices (especially tomato-based
spices). While this effect on the LES can also be caused by certain
medications, it is not typical of antibiotics, Augmentin in particular.
Augmentin CAN cause gastrointestinal side effects, including inflammation of
the stomach. This can lead to nausea or even mid-epigastric pain, but you
are describing gastroesophageal reflux symptoms. Bottom line - your
antibiotic is unlikely to be the source of the symptoms you describe.
Can GERD be temporary? Sure, but usually not. It might be an acute
exacerbation of an underlying tendency toward GERD, however.
HMc
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| tdonline 2005-10-24, 1:31 am |
| According to my ct scan my sinuses are not the problem. ENT's new
verdict is LPR (though she does want me to get allergy tested). Though
I agree that I have all the classic symptoms, I'm still rather
sceptical...she made the diagnosis without using an endoscope. She did
a scope during my initial visit and apparently didn't see any signs of
acid staining. She also didn't want to discuss my constant bad breath
along with the intermittent release of truly foul malodor. Is this not
a common occurence of LPR? But the ENT wouldn't comment and seemed to
not know what I was talking about.
Was given 3 months of nexium and if there is no improvement, she would
refer me to get tested for reflux. Why is it not the other way around,
where you get tested and then take drugs? I'm not happy with this
prescribed medicine first approach after taking antibiotics for a
"sinus infection" and all the attending side effects.
Should I go to a gastro doc instead?
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| Howard McCollister 2005-10-24, 1:31 am |
|
"tdonline" <trinhd90@gmail.com> wrote in message
news:1129911955.540605.106170@g43g2000cwa.googlegroups.com...
> According to my ct scan my sinuses are not the problem. ENT's new
> verdict is LPR (though she does want me to get allergy tested). Though
> I agree that I have all the classic symptoms, I'm still rather
> sceptical...she made the diagnosis without using an endoscope. She did
> a scope during my initial visit and apparently didn't see any signs of
> acid staining. She also didn't want to discuss my constant bad breath
> along with the intermittent release of truly foul malodor. Is this not
> a common occurence of LPR? But the ENT wouldn't comment and seemed to
> not know what I was talking about.
>
> Was given 3 months of nexium and if there is no improvement, she would
> refer me to get tested for reflux. Why is it not the other way around,
> where you get tested and then take drugs? I'm not happy with this
> prescribed medicine first approach after taking antibiotics for a
> "sinus infection" and all the attending side effects.
>
> Should I go to a gastro doc instead?
If the symptoms are suggestive of reflux (yours are), it's cheaper and
simpler to treat it empirically with PPI's than it is to do an EGD and
ambulatory pH testing.
HMc
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