To have GERD and LPR?

Most definately, I have both but the GERD is under control right now.

Are constant sore throats and sinus problems signs of LPR?

Hi Blondy. Yeah, I also have GERD and LPR. We've won the lottery on this one. I get the chest pains from the GERD as well as the sore throat from LPR. When I bend over, sit in the wrong position, or twist the wrong way, I can feel the acid come up into my throat and sometimes my nose! As far as I can figure, and I got this from reading - not from the docs in their 5 minute marathon with me - that we have a weak lower sphincter as well as a weak upper sphincter. I believe the acid can get into bronchial tubes causing asthmatic symptoms as well as the nasal passages, check this with your ent. From many of the threads, it seems the only way to get rid of difficult LPR is with double doses of ppis for about 6 months, while regulard GERD can be cleared up on single daily doses. Again, this is the info I've gotten mostly from other sufferers but it is consistent info. HOpe this helps! Jen

Hi there when the acid goes up to your nasal pasages does it feel like its burning and does LPR make the skin around your tonsils look red? i heve these symptoms also get a sore ear and burning feelings with my heartburn what could this be ? im 31 yrs old and have had heartburn for a few years

Miss L

Yes Miss L, the GERD does make my nasal passages burn and my throat lining red. When it is really out of control, I also feel it in my ear (something the docs rarely acknowledge). What meds are you taking? Jen

I have asthma, the sore throat, the acid in my nose feeling, and everytime I see the doctor she says it looks like I have strep throat.

So I'm now pretty sure I have it. Is it worth seeing a ENT over since I'm already maxed out on GI meds?

Hi again im not on any meds only over the counter zantac my symptoms are worse on one side why could this be? i also have nasty looking tonsils and my throat area is so red, i also get some pain in my salivery gland under my chin? any answers would be helpfull im going to my gp on thursday

glad ive found someone to talk to ;o)

Miss L

Miss. L, it might be time to talk to your gi about upping the meds to presecription ppi. Often my symptoms often feel worse on one side ... don't know why.

blondy, can't hurt to see the ent. Even though you are maxed out on gi drugs, it is one more voice in the pot who might have a new idea. If he can't offer anything, it cost you a copay and some time. But if he has a new idea ... how great would that be!

Keep us posted ladies. :)

Thanks for your time will let you know how i get on oh yeah i do have TMJD been diagnosed by oral surgeon can you imagine the state im in at times sore throat sore stiff jaw face hurts i feel like a old lady :O(

anyway i will let you know how i get on at the doctors

Miss L

Hi everyone,

I am so glad that someone has mentioned the stinging nostril thing. I was wondering what it was. I knew it wasn't an allergy as it comes only at certain times but in different places and environments. I suspected it was my LPR but couldn't find any reference to it and my ENT wasn't sure and concluded
perenial rhinusitus. It seems to come when my mouth / throat feels acidic and I suppose it is just the acid refluxing up the nasal passage. I have read that LPR is the number one cause of PND in the absence of sinus infections. I believe that the acid is interfering with the operation of the cillia and therefore creating the blocked nose /PND without necessarily causing any infection or polyps.

As we know excess mucous and throat clearing are symptoms and this could all tie in. I think you are right that the acid does damage the back of the throat and if you look beyond ulvua you may see reddening tissue and a cobbling effect. As regards the tonsils my ENT felt that the reflux had caused them to become cryptic. When you combine this with the mucous and the growth of anaerobic bacteria in throat and back of tongue as a result of the oral balance being now acidic tonsil stones results and you can then have chronically infected tonsils. I had mine removed for this reason. Still got the LPR though.

We all seem to be experiencing similar problems / symptoms or variations thereof so I think it would be best to put all LPR or GERD / LPR postings on one thread but not GERD alone (too big). Perhaps a senior member could instigate this. It is annoying to have to search different threads to get a picture of the problem and other peoples response to it.

Hi all again i forgot to ask does your mouth feel like its burning ever?

Miss L

Hi Miss L et al

My mouth does feel like it's burning on particular occasions which I presume is when the reflux is happening. Hope that PH monitoring will confirm this. During other times it does become quite dry and I have little or no saliva and I seem to be drawing on the mucous at the back of my throat.

Note to mjcm123

I noted on another post that you had been diagnosed with H.Pylori. I have also been told that this is the cause of my symptoms despite the presence of
a sliding hiatus hernia ( ? ). I would be interested to hear how you are doing on the Heliclear (amoxycillan, etc) , what your symptoms of LPR were and if you are getting any relief ? Do you have a history of peptic ulcers or gastritis ? I am 5 days in to a 7 day course (UK standard treatment) and experiencing stomach cramps, the runs and strange taste. Also I am struggling taking these pills everyday.....they really feel like they stick for a little while. Having globus and mucous doesn't help I suppose.

Cheers

Hi Ginger. Sorry, That wasn't me with the h.pylori so I have no infor for you. I'm sorry that you are stuggling with it and hope you feel better soon!

Hi mjcm,

Sorry to have given you an illness you don't have. It was good however to find people with the stinging nostril thing. Do you know for sure that it is caused by the reflux and do you get post nasal drip ?

Hi Ginger. Truthfully, I don't know anything for sure anymore. It is allergy season so my nose is more blocked than usual. All I know is the burning in the nose happens at the same time as the burning in the mouth and throat (most often when I sit hunched at the computer- keep trying to work on my posture!-, when I drive and when I bend over or twist the wrong way). The ent and gi only ever say 'it seems likely' or 'it is consistent with' but I will tell you it is related to the GERD as I never had this before I had GERD. Of course I never had joint pain and muscle pain all over my body before this either but can't seem to find a correlation for that. People say the body starts to head south at 40... I never believed it except that I am turning 40 this fall and my body is rebelling in ways I never knew it could!

Hi mjcm,

I know what you mean. I will be 40 this summer. Been having these symptoms since last August. Really sick of it now. It is a real battle to get anywhere with the public health system in the UK and I have had to persevere to get this far. I would be interested to know if you feel you have PND as I have read that LPR is the main cause. Also I hate to be graphic but do you have to clean out your nose regularly like everyone does ? I used to till this happened but very rarely now. My nostrils are dry and empty. I think I have PND and it is probably the worst symptom of the reflux for me. Had to get tonsils removed because of stones which I think were created by the PND and the mucous is a great food source for tongue bacteria. Tried the Hydropulse nasal irrigator but since I do not have a sinus problem as such it was painful to use and did not work. I am disappointed that my PPI's did not work as I used to get great relief from my peptic ulcer meds. Could have created a resistance to all antacids I suppose. It is early spring in UK so pollen not high but in any event I have never suffered hayfever or any other allergy and have never had any sinus problems.

Thanks

Hi Ginger. I don't know if I have PND now. It hasn't been suggested to me by the drs but then I find I have to often suggest things to them! Regardless, the double dose ppi's seem to help some which I don't think they would if it is pnd (though I don't know that for sure). When I feel the burning in my throat, I assume it is acid coming up because it is also in my mouth. However, if the ppis don't work, I will certainly look into pnd. My sister-in-law had a horrible case of pnd which left her with terrible coughing fits. I don't have that .... yet, anyway (just occasional coughs).Do you take meds for pnd as well as gerd? Jen

Hi mcjm,

The PND would only be a possible cause of the mucous it would not account for the acidic burning and taste. That is the reflux. The PND is a by product of some other infection, allergy or irritant. Most people clear their drainage away without even knowing and it causes no problem at all. It is only when the cillia slows that it pools and thickens. Can happen when nose isn't that blocked but would usually follow some reaction.

To answer your questions no I do not take any meds for PND as it has never really mean confirmed as such although as I have said it is noted as a symptom of LPR though not GERD. PND seems to be one of these conditions that are difficult to pin down given that it is a reaction to something else.
My ENT didn't say anything about it particularly as you say it seems like we are the ones investigating the problem. It just seems to tie in with everything else. I am currently on 1 PPI as part of the H.Pylori meds but no I do not take any PPI, blockers or ant-acids and have not done since last year. For me they have unfortunate side effects (lethargy, male breast tissue increase) when used regularly and if they don't work what would be the point. Ironically one of the few occasions I was symptom free was after taking over the counter ranitidine after the PPI's had failed. Don't be alarmed by my situation as these meds are often very effective at addressing the reflux by reducing the acid production allowing the damaged tissue to heal. Dietary and lifestyle changes could then limit your need for further meds. However, they do not correct the reason for the reflux itself which in non med responsive operative cases is a poorly functioning lower esophaegal sphincter usually combined with a hiatus hernia. In LPR as well as the LES not working the upper muscle is similarly impaired allowing the reflux into the larynx and pharynx. Most GERD sufferers get heartburn and esophaegal problems only as there upper muscle is OK. With your burning mouth it looks like you have LPR along with any GERD symptoms you get.

Sounds like the meds are working for you though. Good luck.

Hi all just an update my GP put me on Omeprazole 40mg 1 an day is this medication any good?

Miss L

This is what I was on. It worked great for my reflux and associated pain!!! I was just about symptomless. However I believe I experienced a couple of the rare side effect - lymphnode swelling and neck/throat pain. From what I undestand this is pretty rare though.

It is the one that works the best for me out of all that I've tried in the last 8 months and the side effects are not as bothersome as what the other ones gave me, I get a sore throat, the glands get a bit swollen but I'll stop taking it after a couple weeks and the symptoms go away. The others made me feel like I had the flu and all my glands were swollen and painful so I'll stick to this one and the new Prevaced Solutabs as a back up.

NancyH, I really haven't found anyone who says that their nodes/glands definitely swell up when they take the PPIs (specifically Prilosec for me). Are yours in your neck and chin?? When you stop the PPI, how long do they usually take to go down?? Any info on this swelling would be a huge help to me!! Thank you in advance for any info you have.

The swelling is in the throat on both sides, the swelling goes away by the second day of not taking the Prilosec. With nexium the swelling was worse and my throat hurt more and didn't know it was a side effect til after I had taken it for 2 months, when I called the Dr he said to stop and we got on another PPI, but the swelling was real bad with that one. Prilosec just makes them a bit swollen like when you have a cold or ear infection. It's tolerable for me cuz I can deal with that more easily than the heartburn!!! This time around with Prilosec my glands didn't bother me as much.

Hi all i feel a lot better today as i have had no heart burn for 1.5 days now no chin or gland pain the acid was playing havoc with my salivery glands and made my tmjd symptoms worse, still got the burning nostral thing but my throats on the same side isnt as sore. Now the gland thing do you think this could be a side affect from taking zantac? as my glands are always swallen neck and chin tmjd CAN CAUSE THIS, my doctor thinks because my teeth are desperate to be repaired she thinks i have a ongoing infection so thats why my glands are up what do you think? heres to a heartburn free weekend! oh yeah she said my tonssils look ok nothing to worry about just inflamed they look terrable to me!

Miss L oh yeah still have ear pain but my TMJD can cause this also, when you say your glands are up do you meen lymph glands are do your salivery glands feel inflamed

I am new to this room, and want to know what LPR and GERD stand for....I believe you may have diagnosed what I have. Its been a scary few months waiting to see my ENT He diagnosed me with acid reflux, I thought he was wrong as I do not have burning or anything coming up my throat ...just a hoarse voice and a annoying cough to clear my throat which does not really clear. Is this LPR?

pam r you on line at the moment would like to talk to you re your hoarse voice

I have had reflux for a long time looking for someone who has barretts this is a syndrome that people sometimes get after long periods of reflux I have also had a cyst removed from my vocal cord apparently reflux can affect your throat I had no idea this was so until it happened to me
dillyd

anyone on line that would like to talk to me about barretts syndrome or reflux that effects the voice.

dillyd