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Home > Archive > Heartburn Support > August 2006 > need some help here...
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need some help here...
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| Mr. Potato Head 2006-07-30, 8:23 am |
| I'm going through thyroid therapy right now because I'm hypothyriod.
I've been on meds for that for the past two months. I complained to
the doctor about the lump that I feel in my throat. She examined me and
assured me that my thyroid was not swollen as I'd thought. She says
that based on my symptoms, it may be acid reflux. She prescribed me
Aciphex and wished me good luck.
Here are my symptoms so far that have persisted since I started taking
thyroid meds.
- lump in my throat, like I have a golf ball stuck in my neck around
the thyroid.
- dry cough that does not produce mucus.
- mucus in the back of my throat.
- esophageal irritatation.
- slight burning pain in the back and slightly to the right of my
throat.
- throat are is slightly itchy.
- warm drinks and food seem to relieve it temporarily.
- ocasional feeling of a sour stomach and sometimes get a metallic
taste.
- sometimes food will get stuck in the back of my throat that I can
wash down with water.
About 10 years ago, I used to get excruciating upper abdominal pain and
taste acid. I would try to vomit and could not. For some strange
reason, it happened mostly at the beginning of summer. I went to the ER
for the pain and I got Mylanta. That worked and they I got the pain the
year after at the start of summer again.
Questions:
How do i get rid of this globus sensation?
Will Aciphex work?
How long does this type of indigestion last?
Thanks,
-Alex
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| Howard McCollister 2006-07-30, 8:23 am |
|
"Mr. Potato Head" <alex.cordero@gmail.com> wrote in message
news:1154251531.529547.78740@75g2000cwc.googlegroups.com...
> I'm going through thyroid therapy right now because I'm hypothyriod.
> I've been on meds for that for the past two months. I complained to
> the doctor about the lump that I feel in my throat. She examined me and
> assured me that my thyroid was not swollen as I'd thought. She says
> that based on my symptoms, it may be acid reflux. She prescribed me
> Aciphex and wished me good luck.
>
> Here are my symptoms so far that have persisted since I started taking
> thyroid meds.
>
> - lump in my throat, like I have a golf ball stuck in my neck around
> the thyroid.
> - dry cough that does not produce mucus.
> - mucus in the back of my throat.
> - esophageal irritatation.
> - slight burning pain in the back and slightly to the right of my
> throat.
> - throat are is slightly itchy.
> - warm drinks and food seem to relieve it temporarily.
> - ocasional feeling of a sour stomach and sometimes get a metallic
> taste.
> - sometimes food will get stuck in the back of my throat that I can
> wash down with water.
>
> About 10 years ago, I used to get excruciating upper abdominal pain and
> taste acid. I would try to vomit and could not. For some strange
> reason, it happened mostly at the beginning of summer. I went to the ER
> for the pain and I got Mylanta. That worked and they I got the pain the
> year after at the start of summer again.
>
> Questions:
>
> How do i get rid of this globus sensation?
> Will Aciphex work?
> How long does this type of indigestion last?
>
Globus sensation is a common symptom of GERD, but note that as much as 40%
of reflux is non-acid reflux, and those patients will continue to have
reflux despite therapeutic doses of PPI's like Aciphex. Such meds do not
necessarily stop reflux, they may only change the nature of the refluxate.
GERD is not a disease of too much acid in the stomach, it is a defect in the
function of the lower esphageal sphincter. Stop the acid with PPI, and they
can still reflux alkaline secretions from the upper digestive tract.
Impedance testing of the esophagus is the only method of detecting non-acid
reflux and is clearly applicable in patients who continue to have symptoms
even while on PPI therapy. Many physicians, primary care AND
gastroenterolgists (who should know better) continue to labor under the
incorrect assumption that patients who continue to have reflux symptoms
while on PPI's must not have GERD.
The answer to your question is that without impedance testing of your
esophagus (MII), no one can know whether continued use of Aciphex will
ultimately work for you or not, although it may be suspected given enough
time (couple of weeks) without relief.
http://gut.bmjjournals.com/cgi/cont...t.2005.087668v1
HMc
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| Mr. Potato Head 2006-07-30, 4:23 pm |
| my biggest concern is that my internist may be missing something.
She's told me that there is no relationship that she's familiar with
between the thyroid medications and this globus sensation, mucus and
slight pain. Ok, so why did this start about the same time that I
started those meds? I'm not getting any heartburn, except for one day
and Tums fixed it. I believe her, she's a doctor, I'm not--I have to
believe her.
But I've read so many stories where doctors have made mistakes because
they're only looking at typical signs and symptoms.
But what if she's wrong?
( I don't mistrust my doctor, but I do think I need a second opnion )
-Alex
> The answer to your question is that without impedance testing of your
> esophagus (MII), no one can know whether continued use of Aciphex will
> ultimately work for you or not, although it may be suspected given enough
> time (couple of weeks) without relief.
>
> http://gut.bmjjournals.com/cgi/cont...t.2005.087668v1
>
> HMc
| |
|
| Have a look at the side-effects of your medication at www.drugs.com and
www.rxlist.com
These data bases between them are generally pretty good, but I have found
that I still might have to supplement the information from elsewhere, for
example www.medscape.com or PubMed.
Vanny
"Mr. Potato Head" <alex.cordero@gmail.com> schrieb im Newsbeitrag
news:1154279989.926250.301300@b28g2000cwb.googlegroups.com...
my biggest concern is that my internist may be missing something.
She's told me that there is no relationship that she's familiar with
between the thyroid medications and this globus sensation, mucus and
slight pain. Ok, so why did this start about the same time that I
started those meds? I'm not getting any heartburn, except for one day
and Tums fixed it. I believe her, she's a doctor, I'm not--I have to
believe her.
But I've read so many stories where doctors have made mistakes because
they're only looking at typical signs and symptoms.
But what if she's wrong?
( I don't mistrust my doctor, but I do think I need a second opnion )
-Alex
> The answer to your question is that without impedance testing of your
> esophagus (MII), no one can know whether continued use of Aciphex will
> ultimately work for you or not, although it may be suspected given enough
> time (couple of weeks) without relief.
>
> http://gut.bmjjournals.com/cgi/cont...t.2005.087668v1
>
> HMc
| |
| Howard McCollister 2006-07-30, 4:23 pm |
|
"Mr. Potato Head" <alex.cordero@gmail.com> wrote in message
news:1154279989.926250.301300@b28g2000cwb.googlegroups.com...
> my biggest concern is that my internist may be missing something.
> She's told me that there is no relationship that she's familiar with
> between the thyroid medications and this globus sensation, mucus and
> slight pain. Ok, so why did this start about the same time that I
> started those meds? I'm not getting any heartburn, except for one day
> and Tums fixed it. I believe her, she's a doctor, I'm not--I have to
> believe her.
>
> But I've read so many stories where doctors have made mistakes because
> they're only looking at typical signs and symptoms.
>
> But what if she's wrong?
> ( I don't mistrust my doctor, but I do think I need a second opnion )
>
You should get a second opinion. It's apparent you don't trust your doctor.
Or perhaps it's more accurate to say you'll trust her more if you get
independant confirmation.
As to heartburn - only about 40% of GERD patients have heartburn.
HMc
| |
| Mr. Potato Head 2006-07-30, 4:23 pm |
| yes, I think I'm going to have to get a second opinion because there is
no change in what I feel. thank you.
-Alex
> You should get a second opinion. It's apparent you don't trust your doctor.
> Or perhaps it's more accurate to say you'll trust her more if you get
> independant confirmation.
>
> As to heartburn - only about 40% of GERD patients have heartburn.
>
> HMc
| |
|
| I don't get heartburn - sore throat, difficulty swallowing, laryngitis,
nausea, acid in mouth - wake up in the middle of the night because of it,
stomach pains...
V.
"Mr. Potato Head" <alex.cordero@gmail.com> schrieb im Newsbeitrag
news:1154288538.457768.37280@b28g2000cwb.googlegroups.com...
yes, I think I'm going to have to get a second opinion because there is
no change in what I feel. thank you.
-Alex
> You should get a second opinion. It's apparent you don't trust your
> doctor.
> Or perhaps it's more accurate to say you'll trust her more if you get
> independant confirmation.
>
> As to heartburn - only about 40% of GERD patients have heartburn.
>
> HMc
| |
| Mr. Potato Head 2006-07-31, 4:25 pm |
| V. I don't get woken up in the middle of the night. I have before
though but it's been a really long time.
All I have right now is that globus sensation, mucus and a sore
throat--all day long now for about a month since I started hypothyroid
treatment. But it all feels much better after a long night of sleep.
After a few hours awake, those symptoms all return.
-Alex
Vanny wrote:
> I don't get heartburn - sore throat, difficulty swallowing, laryngitis,
> nausea, acid in mouth - wake up in the middle of the night because of it,
> stomach pains...
>
> V.
| |
|
| I was recently diagnosed with GERD, and my symptoms are almost
identical to yours - lump in throat, dry cough, mucus in back of
throat, feel like food doesn't get washed all the way down. I saw an
ENT, and was initially skeptical when he said it was reflux because I
rarely have heartburn. But after awhile, I began to notice that the
symptoms would appear 3-4 hours after a meal, or in the morning if I
would eat right before going to bed. After alot of medications,
testing, and spending alot of money, I found the ENT's initial
diagnosis was correct. For more info:
http://www.medicinenet.com/gastroes...erd/article.htm
Mr. Potato Head wrote:[vbcol=seagreen]
> V. I don't get woken up in the middle of the night. I have before
> though but it's been a really long time.
>
> All I have right now is that globus sensation, mucus and a sore
> throat--all day long now for about a month since I started hypothyroid
> treatment. But it all feels much better after a long night of sleep.
> After a few hours awake, those symptoms all return.
>
> -Alex
>
> Vanny wrote:
| |
| Mr. Potato Head 2006-08-01, 4:36 pm |
| Hi Tj,
I think I'm starting feel better--it feels like most of the symptoms
are subsiding. My throat and brochus still feels a little irritated
but it does not bother as it did before. I haven't officially been
diagnosed as a GERD patient but my doctor suspects it. I heven't done
any of the tests. She prescribed Aciphex as a trial to see what it
does. Swallowing food still feels strange but it felt worse so I'm
hoping for the best. Sometimes I feel the lump in my throat, sometimes
I don't. Still going to watch this closely.
I have noticed though that this mostly happens when I'm under a lot of
stress and living irresponsibly (junk food, alcohol, no exercise). As
soon as I change all that, I rarely have abdominal problems. The other
weird thing is that this seems to hapen mostly at the beginning of
summer--I don't understand why and no doctor has been able to explain
it. This is going to sound weird too but believe it or not, Yoga seems
to help. I did this at my wife's suggestion and as usual, she was right
( I hate that ).
I'm back in the gym, on a strict diet, absolutely no booze and I'm not
even hungry for junk food anymore.
-Alex
tj1 wrote:
> I was recently diagnosed with GERD, and my symptoms are almost
> identical to yours - lump in throat, dry cough, mucus in back of
> throat, feel like food doesn't get washed all the way down. I saw an
> ENT, and was initially skeptical when he said it was reflux because I
> rarely have heartburn. But after awhile, I began to notice that the
> symptoms would appear 3-4 hours after a meal, or in the morning if I
> would eat right before going to bed. After alot of medications,
> testing, and spending alot of money, I found the ENT's initial
> diagnosis was correct. For more info:
> http://www.medicinenet.com/gastroes...erd/article.htm
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