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Can someone have LPR and GERD...?

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GERD & Acid Reflux
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Posted 3/31/2014 10:30 PM (GMT 0)
Is that possible? For a person to have both ....I am very confused about symptoms..I have NEVER has relux like I am having until I took Prilosec for five days for mild gastritis and skipped a day...OMG, I was riding in the car and had the worst heart burn ever..thought I was having a heart attack, I regurgitated a large amount of stomach acid when I set me seat up...since then I have had a cough, lump in throat, sore throat,I feel like food is getting stuck ( that comes and goes)..and tons of mucus on just one side. Saw my Dr today and she wants me to increase the prilosec to 40 mg a day...and she toldme that she would think I had LPR but the night time reflux means it is GERD?????? This time last week I had none of this, oh..the occasional heart burn and very frequent belching but nothing like this..

Please give me your opinion...

Much thanks,

MARY LEE
Posted 4/1/2014 1:04 PM (GMT 0)
confused anyone??
Posted 4/1/2014 1:10 PM (GMT 0)
Hi,

Yes you can have both, I started with LPR and have now progressed to GERD as my lower sphincter has got worse, I now suffer with upper and lower dysphagia thanks to reflux!
Posted 4/1/2014 2:50 PM (GMT 0)
Hi tnfilmgal,

Yes, I also have both GERD and LPR. Diagnosed by my ENT after a 24-hour acid test (Restech test). My symptoms are very similar to yours. My doctor told me the same thing yours told you. Jaime Koufman's book Dropping Acid gives a very good explanation of LPR. I've been on the diet suggested in that book and it helped me. Didn't take away the mucus but helped with other symptoms. I'm on the Fast Tract diet now (Norm Robillard/Fast Tract Digestion - Heartburn). Jaime Koufman and Norman Robillard both have websites. I found helpful information on both sites. I'm doing better than I was for sure, but would love to get rid of the mucus.
Posted 4/1/2014 3:29 PM (GMT 0)
Check out the info in our resources thread - here is the link.

https://www.healingwell.com/community/default.aspx?f=45&m=1483795

I also searched for a member who has LPR/GERD - here is the link to this members information:

https://www.healingwell.com/community/default.aspx?f=45&m=2826538

Posted 4/1/2014 6:08 PM (GMT 0)
Thank you all so much
Posted 4/1/2014 6:56 PM (GMT 0)
Hi Mary Lee,
Yes, you can have acid reflux and LPR (silent reflux). When you experience silent reflux, it does not stay in the lower part of the esophagus very long. It shoots straight up to the back of your throat, which is why you do not always feel the burning sensation with silent reflux.
You mentioned that your doctor wants to increase the dosage of your proton pump inhibitor. Unfortunately, this is not the answer to the problem. Increasing the dosage can also create more problems for you. PPI's and H2 blockers only treat symptoms, they do not address what the real problem is.
PPI's can cause delayed gastric emptying which is what happened to me after taking omeprazole 20 mg for 11 days. The doctors do not seem to be aware of this, but there is info on the internet linking PPI's and delayed gastric emptying. I wish I would have only known this sooner. Also if you ever try to quit taking a PPI after being on them for 2 weeks or long, you experience Acid rebound, which is a horrible experience.
Posted 4/1/2014 7:05 PM (GMT 0)
What do you suggest??
Posted 4/1/2014 7:42 PM (GMT 0)
Hi Mary Lee,
Knowing what I know now, I would never take a PPI again. Acid rebound happens when you stop taking your medication. Once you come off the medication the stomach no longer knows how much acid to produce, so it over produces. This is called "Acid Rebound". There are many people who want to get off the medication you are taking but cannot due to acid rebound. Most doctors and pharmacist do not seem to be aware of acid rebound or how bad it is.
If you want to get off the medication, you would slowly wean off the medication by taking an H2 blocker like Zantac or Pepcid AC. If you goggle acid rebound you will find a lot of helpful information. Also, you will hear testimonies from other people who are trying to get off.
I would also consider being tested for food intolerance at your allergist office which can cause reflux. If these test come back negative, I would then see about a gastric emptying test. This test will show if food is staying in your stomach too long, which would also cause reflux.
Remember PPI's do not solve the problem, they only treat symptoms. They have terrible side effects and can actually be the cause of delayed gastric empting, which happened to me.
Posted 4/1/2014 7:43 PM (GMT 0)
Most doctors do not believe that PPI's cause delayed gastric emptying, but there are too many links on the internet suggesting otherwise.
Posted 4/1/2014 10:34 PM (GMT 0)
Years ago i had a barium test and was told my stomach took longer then normal to empty..I never knew the two were related
Posted 4/1/2014 10:53 PM (GMT 0)
If you decide to do the delayed gastric emptying test, make sure test is done when you are not going through acid rebound. Acid rebound could alter the test.
Posted 4/2/2014 2:15 AM (GMT 0)
I forgot to mention if you go to the Mayo Clinic's website... click on gastroparesis (the medical name for delayed gastric emptying). It list acid reflux as on of the symptoms of delayed gastric emptying. In some people the symptoms can be worse where they are experiencing vomiting from food staying in stomach too long.
Posted 4/3/2014 9:22 AM (GMT 0)
this is news to me i on PPI that stop taking them could cause acid rebound does not sound nice at all back to square 1
Posted 4/3/2014 1:37 PM (GMT 0)
Study on acid rebound after PPIS

http://www.refluxmd.com/connect/physician-expert-blogs/2256/rebound-acid-secretion-what-expect-if-you-reduce-your-ppi-use

Posted 4/5/2014 4:32 AM (GMT 0)
been told by my gp i have gerd been on nexium bad burping belching heartburn tried not eating bad acid foods really missing tomatoes now have a sore throat and blocked nose now taste salt in mouth but dont seem to have heartburn still tender under ribs off for ultrasound next week i hope i get some answers and still burping i heard that acid rebound is not nice at all
Posted 4/22/2014 6:47 PM (GMT 0)
Is it possible to progress from GERD to LPR? It started with heartburn and I was on PPI for like 2 months. Then got treated for H pylori. Now I have been off from PPI for a month and my heartburn frequency actually decreases. I have this sensation of hot food/liquid in my throat, globus and sore throat almost everyday but have slight heartburn only when I eat too full or too much caffeine.
My GI recommends me endoscopy but I am thinking if it will see anything if I am having LPR and not GERD.
Posted 4/22/2014 7:11 PM (GMT 0)
An endoscopy procedure can show if there is any damage to the esophagus or stomach, but it does not examine the throat. An ear, nose,and throat doctor is who you would see for LPR. They can do an in office procedure where they examine the throat.
Posted 4/23/2014 5:35 PM (GMT 0)
Could it see if my LES and UES is loose?
Posted 4/23/2014 8:28 PM (GMT 0)
Any time you have acid reflux your lower or upper esophageal sphincter relaxes to let acid or food pass into the esophagus and throat area. There is a reason that it relaxes. You have to find out why.

I do not believe everyone who has acid reflux just wakes up one morning and their esophageal sphincter no longer works. There is a reason the valve relaxes and lets food pass. If your doctor does not understand this, then you need to find a better doctor. Unfortunately, there are to many doctors that put people on PPI's without trying to find out what is really causing the reflux.
Posted 4/28/2014 1:04 PM (GMT 0)
I thought it is a standard protocol for most doctors to treat the symptoms with PPIs. I asked around but rarely found one who suggests anything else to do other than diet change and PPIs. Some osteopaths and chiropractors mention posture and spine problem could also cause GERD like symptoms. Does anyone have experience with that?
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