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post viral vagal neuropathy and paresis of vocal cords.

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Posted 10/27/2013 1:47 AM (GMT 0)
Hi everyone, been looking over my notes form Dr K and she suspects that my paresis is caused by PVVN. She assumes I had an upper respiratory infection that has caused my LPR and vocal cord issues. Anyways, before I had my nissen I was being treated with gabapentin to calm my nerves down. Going to continue my meds once they go down easier. Also, I noticed in my notes that my upper esophageal sphincter closes prematurely. Not sure the relevance of this, but apparently it's abnormal.

http://www.amjoto.com/article/S0196-0709(01)27665-0/abstract

from the abstract of the article, it states
"Conclusions: Respiratory infection can trigger or cause vocal fold paresis, laryngopharyngeal reflux, and neuropathic pain"
Posted 10/29/2013 7:54 PM (GMT 0)
Heres a quote from one of Jamie Koufmans articles,

"Post-viral vagal neuropathy (PVVN) provides an important clinical and theoretical connection between laryngopharyngeal reflux and vocal fold paresis. PVVN offers a causal link for different manifestations of vagal dysfunction. It makes good common sense although the diagnosis PVVN is difficult to prove. Unfortunately, there is no test that proves a viral infection caused disruption of various vagal branches or that aberrant regeneration after such neuropathy can cause pain."

So basically, it seems like if you have vocal fold paresis, it's probable that you have PVVN.

Heres another quote I found interesting in her article.

" it is likely that PVVN is an important cause of LPR"

http://www.chronic-cough.net/2010/01/10/chronic-cough-by-jamie-a-koufman-m-d-f-a-c-s/

Post Edited (TheSiXness) : 10/29/2013 1:58:07 PM (GMT-6)

Posted 10/30/2013 2:02 AM (GMT 0)
Please let me know how taking the gabapentin works out after having had surgery. My ENT has been trying different doses with me to see if it can help my globus, but so far no luck. I was up to 300 mg once per day before the nissen. Not sure when I can go back on it and try increasing the dosage (assuming the globus doesn't go away on its own eventually).
Posted 11/1/2013 5:57 PM (GMT 0)
I've been testing out the doses for gabapentin. 300mg x twice a day seemed to take a moderate edge off the heartburn and throat irritation, however, it made me tired. I'm going to start up on my nortriptyline again to see if this helps at a higher dosage also. I'm going to start at 25mg and move up 25 mg every week.
Posted 11/1/2013 6:00 PM (GMT 0)
Also, I've been having a lot of throat spasms when laying down... to the point where it wakes me up every 20 mins... Hoping the nortriptyline helps with that. Seems like the neuropathic effects of the drug will come into effect rather quickly, compared to the mood enhancement effects. so less than a week or so for the pain and 2-3 weeks for the mood effects.
Posted 2/21/2014 2:55 PM (GMT 0)
Any update on how gabapentin went for you?

I've been taking incredibly high dosages of it (4000 a day) along with elavil and I still have pain when talking.
Posted 2/22/2014 3:25 AM (GMT 0)
What are your guy's thoughts on Linx for LPR? Do you think there are some people who's LPR goes away when reducing the acid/non-acidic reflux and other who have PVVN?
Posted 12/8/2014 12:40 AM (GMT 0)
Im on 300mg x 3 a day right now. It has help with the pain and anxiety. I notice my breathing less... like taking a hot shower will make breathing hard still. But it does help and the only side affect i jave is a little bit of memory issues.
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