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lump in my throat?

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Crohn's Disease
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Posted 8/27/2008 6:16 PM (GMT 0)
Does anyone know what I'm talking about?  I tried searching, but didn't find anything.  It feels like I have a lump in my throat that makes it hard to swallow.  I went to my GP a while ago for it, and all she did was check my thyroid because I have a  nodule, but that's not it.  I have however noticed that it has come back about 3 weeks after my Remicade.  I had my third dose Aug. 2.  It's really annoying and I'm not sure how to explain it to my doctors.  They don't seem to get it.  Any ideas?
Posted 8/27/2008 6:30 PM (GMT 0)
Yep. I have a vague idea that it is Crohn's related, but there are several known causes that may apply as well. I begin to think that there are interrelations between many digestive problems. Have a look at http://en.wikipedia.org/wiki/Esophagitis and see if it rings any bells.
Posted 8/27/2008 6:33 PM (GMT 0)
The only thing that may explain it is the reflux, but I do take 20 mg Aciphex 2x a day for a couple years now for duodenitis and an ulcer. The rest of that I don't think I can relate to. Thanks.
Posted 8/27/2008 6:49 PM (GMT 0)
Well, it is not advertised, but taking PPI's like aciphex is known to promote food allergies - one of the causes of esophagitis. It works like this: the PPI reduces the acidity of the stomach to the point where the digestive enzymes don't work properly (they only work in a certain range of pH). Undigested food passes into the gut where the food proteins can encounter your gut mucosa. If you have Crohn's, you almost certainly have increased gut permeability and the food proteins can pass through the mucous membrane and trigger an immune response. See: http://www.fasebj.org/cgi/content/full/19/6/656
Posted 8/27/2008 6:56 PM (GMT 0)
Thank you. That was vary confusing, but very interesting. I will mention it to my doctor when I go in to complain about it.
Posted 8/27/2008 7:52 PM (GMT 0)
Munchkin81 I had something like that happen to me and it was my Thyroid. Actually they found I was Hyperthyroid. I kept choking on my food, if I didn't chew it really well.
Posted 8/27/2008 8:14 PM (GMT 0)

Keeper said...
Well, it is not advertised, but taking PPI's like aciphex is known to promote food allergies - one of the causes of esophagitis. It works like this: the PPI reduces the acidity of the stomach to the point where the digestive enzymes don't work properly (they only work in a certain range of pH). Undigested food passes into the gut where the food proteins can encounter your gut mucosa. If you have Crohn's, you almost certainly have increased gut permeability and the food proteins can pass through the mucous membrane and trigger an immune response. See: http://www.fasebj.org/cgi/content/full/19/6/656

Keeper, my naturopath suspects I have low stomach acid, which is contributing to my problems.  I'm using betaine to try to get my acid levels up.  I'm supposed to feel a warming feeling in my stomach which will tell me that my acid levels are rising and I can then reduce the betaine.  However, nothing is happening.

Do you know of any other methods to increase stomach acid?

Posted 8/28/2008 3:42 AM (GMT 0)
When I was seeing a naturopath for GERDS, she had me taking apple cider vinegar (2 tbsp in a small glass of water) before each meal. It is a bit strong that way and you may find it choking. I found it to be all right after a while and even refreshing. There is another tablet that you can take, but betaine is probably just fine. For more on stomach acid production see: http://www.diagnose-me.com/glossary/G613.html and scroll down to "Hydrochloric acid deficiency" on the left of the page.
Posted 8/28/2008 9:28 AM (GMT 0)
Munchkin81, I get this sensation frequently. My GI told me it is called Globus Hystericus. (What a name!) Try to google it. There is really not much you can do for it. I was told it can be a combo of GERD anf anxiety, in my case.
Posted 8/28/2008 2:10 PM (GMT 0)
Julie1014, I'm sure it is very possible that it is acid related, but something I read said that there aren't problems swallowing. Anything more solid than pasta takes some effort to go past the spot where I feel the lump. Did you have a problem swallowing?
Posted 8/28/2008 5:42 PM (GMT 0)
I wonder if you have any inflammation from Crohn's in your throat. As they say, from mouth to anus! That's the "fun" thing about Crohn's, it can skip around and attack different areas.

Anyway, just a guess, but I've heard other people say they've had difficulty swallowing when they've had Crohn's in the throat area. Might be worth talking to your doctor about it!
Posted 8/28/2008 6:42 PM (GMT 0)
Thank you all. At least I'm armed with some knowledge. I called my GI to ask about it because I just always figure whatever goes wrong could be related to Crohn's. They want me to see my GP, so I am going to see her tomorrow.
Posted 8/28/2008 8:56 PM (GMT 0)
Munchkin81, even though I have the sensation of a lump in my throat, I have no problems swallowing. The best of luck to you at your doctor's appointment. Let us know how things go. Blessings, Julie
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