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View Full Version : New here - LPR, hiatal hernia?


Jane Craig
06-05-2006, 10:30 PM
Hi, I'm new to this board. I am a 53-year-old female with symptoms of what sounds a lot like LPR--coughing, hoarseness, mucus-like feeling in throat, nasal congestion. I also have a feeling in my upper chest of uncomfortable pressure, like I can't quite get my breath...relieved by coughing, but only for a couple of seconds.

This feeling gets worse during the day, especially as the day wears on (late afternoon), but I don't cough at night or have sleep disturbance. In fact, the symptoms are less bad in the AM than in the afternoon.

I'm had episodes of this for about twenty years and my internist always thought it was allergies and asthma...it would come and go. I took antihistamines for years along with Advair, but it didn't seem to help much. Flovent and Flonase DID help a bit.

This March I began to have problems again, and this time the coughing and upper respiratory symptoms were so bad that I went to an allergist --and tested negative for allergies. After asthma meds didn't really help, he finally prescribed Nexium (40 MG 2X daily, morning and night) and referred me to a pulmonologist and an ENT. The ENT told me that my larnyx was inflamed near the esphagal opening, and also has two small nodules.

I have been on Nexium since May 1, and have had partial symptom relief--the coughing is much better, but the hoarseness persists. He told me to give up caffeine and alcohol, chocolate and peppermint, to raise the head of my bed six inches, and not to eat 2 hours before going to bed. I have done all of this, although I see from this board that a more stringent diet might be needed. For example, he said I could still drink decaf coffee, and gave me no dietary restrictions other than the items I listed.

Any thoughts? I'm worried about the (only) partial symptom relief...

I see the pulmonologist tomorrow and go back to the ENT June 20 to see whether treatment has improved my larnyx.

QUESTION: I also have pain in the middle of my ribcage, up under the breastbone/solar plexus, and slightly to the left. There have been a few times in the past few months when, in bending over, it has distinctly felt like something was slipping out of place in that spot. "Hernia" occurred to me immediately; that's what it feels like, like soft tissue protruding. And it hurts. Does this sound like a hiatal hernia?

When this happens I have to stand upright immediately, and press on the affected spot until the sensation goes away. It happened this past weekend and as I stood upright to make it go away, I noticed I reflexively raised my left arm as well, while pushing down on the spot with my right hand.

Since it happened, it is quite sore and I'm afraid to bend over.

The area has now gotten somewhat painful--believe it or not, I haven't mentioned it to any of the doctors because they're all specialists who don't really deal with that body part.

Has anyone had this type of pain?

Jane C.

hp8
06-05-2006, 11:19 PM
Have your symptoms but not the pain. Throat feels swollen and constricted though general doc says no infection. Hope my ent can do something about it next week but I'm pretty sceptical at this point.

Ol'Line Rebel
06-06-2006, 09:04 AM
Hiatal hernias are NOT (sorry, left out a crucial word early!) real hernias. Most people don't feel anything. (I'm not sure if I do, myself, yet.)

Although, if you had a bad HH such as "paraesophageal" HH, it could be your stomach getting squeezed. Don't know if you would feel it unless it was really bad.

Don't let me scare you; I'm not a doctor! But, having read too much, and experienced some things as well as having been tested quite a bit and knowing I have a small "normal" sliding HH, I'm just posting what I've heard or experienced.

Jane Craig
06-06-2006, 09:51 AM
Ok, I just made an appointment with my internist for this afternoon on the stomach problem. I can definitely feel something moving, so I'd better get it checked out.

Thanks for replying!

Jane Craig
06-06-2006, 05:10 PM
Ok, I have a dx: I have subluxed a rib from coughing. Actually, it's a bone called the zyphoid (?) bone, which attaches to both the ribs and the abdominal muscle. I guess the pain is NOT in my stomach.

The doctor says it will resolve when I stop coughing. I wonder when that will be...

 
 
 




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