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From: jean on 15 Apr 2006 12:13
I've had persistent coughing and throat clearing for more than two
years now. (It all started with a very bad cold.) I DO have GERD
(Bravo proved that) but my GERD is not severe and my esophagus is not
eroded. This leads me to believe that there is something else going on
besides GERD. I'm on Nexium twice a day and a strong antacid at
bedtime, but the symptoms persist. It DOES get worse without the
Nexium. Some days, I feel strongly that there is a small bit of food
lodged in the esophagus. Other days, I can more easily believe the
irritation is reflux.

To add insult to injury, I've recently become extremely constipated. I
wondered if the antacids are changing my body chemistry in some way. I
had extreme discomfort for a while until I realized I was lactose
intolerant. I thought I had the answer to the constipation, but as it
turned out, I did not. The constipation persists and is almost total
unless I take a laxative. A colonoscopy was entirely clear...not even
a polyp.

I'm 53 years old and sometimes I feel like I'm 83. Any ideas?

From: Howard McCollister on 15 Apr 2006 12:58

"jean" <jretkwa(a)aol.com> wrote in message
news:1145117617.598754.231200(a)v46g2000cwv.googlegroups.com...
> I've had persistent coughing and throat clearing for more than two
> years now. (It all started with a very bad cold.) I DO have GERD
> (Bravo proved that) but my GERD is not severe and my esophagus is not
> eroded. This leads me to believe that there is something else going on
> besides GERD. I'm on Nexium twice a day and a strong antacid at
> bedtime, but the symptoms persist. It DOES get worse without the
> Nexium. Some days, I feel strongly that there is a small bit of food
> lodged in the esophagus. Other days, I can more easily believe the
> irritation is reflux.
>
> To add insult to injury, I've recently become extremely constipated. I
> wondered if the antacids are changing my body chemistry in some way. I
> had extreme discomfort for a while until I realized I was lactose
> intolerant. I thought I had the answer to the constipation, but as it
> turned out, I did not. The constipation persists and is almost total
> unless I take a laxative. A colonoscopy was entirely clear...not even
> a polyp.
>
> I'm 53 years old and sometimes I feel like I'm 83. Any ideas?
>


You have GERD diagnosed by ambulatory pH testing and you provide an
almost-textbook description of laryngoesophageal reflux (LPR), right down to
the 'lump-in-throat' sensation. If you had reported occasional hoarseness,
it would be perfect. That sounds like *severe* GERD to me.

Constipation is a common side effect of antacids.

HMc



From: jean on 15 Apr 2006 13:22
Occasional hoarseness, yes, definitely. And it certainly feels
"severe" but how can it be "severe GERD" if my esophagus is not eroded?
It feels like it should be practically raw by now!

Thanks for the response. I'll research laryngoesophageal reflux now.
I've been to three gastroenterologists and that word has never been
mentioned.

Jean

From: Howard McCollister on 15 Apr 2006 13:41

"jean" <jretkwa(a)aol.com> wrote in message
news:1145121720.349056.222660(a)i39g2000cwa.googlegroups.com...
> Occasional hoarseness, yes, definitely. And it certainly feels
> "severe" but how can it be "severe GERD" if my esophagus is not eroded?
> It feels like it should be practically raw by now!
>
> Thanks for the response. I'll research laryngoesophageal reflux now.
> I've been to three gastroenterologists and that word has never been
> mentioned.
>
> Jean


GERD manifests itself in several ways. One doesn't have to have ALL of the
manifestations for it to be severe.

I despair of the ignorance of GERD manifested by the majority of
gastroenterologists. Their cluelessness is the reason why my surgeon
partners and I put together our own esophageal lab.

HMc





From: jean on 15 Apr 2006 13:56
Thanks again. I've looked up laryngoesophageal reflux but I've also
found LPR as Laryngopharyngeal Reflux...same thing?

If this IS what I have, are there any remedies other than the ones I
know about for GERD? Should I see my ENT about this?

Jean

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