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Old 05-23-2001, 03:54 PM   #1
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Exclamation Please help!! Phelgm/choking etc. (GERD?)

About a year ago I had a extremly bad chest infection, which also effected my throat, glandular fever was suspected but never properly diagnosed. Since then I've have a continual problem with feeling as if my throat is full of phlegm, which needs clearing all the time. I'm trying to breathe and swallow around this stuff thats always in my throat. Its in my throat all the time, but aggravated a lot by eating/drinking and lying down. I sometimes feel like I'm going to be sick. It sometimes feels sorta like heart burn, but not all the time. I constantly feel like I'm choking, and can never properly swallow because of the stuff in my throat. Its been suggested it may be G.E.R.D but I'm not sure. I've had my lungs listened to, and they're clear, but I still feel as if there is stuff in my throat all the time that Im choking on! I've seen doctors, none of which have helped so far, I'm so desperate, if anyone can help, please do. Thanks.

 
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Old 05-24-2001, 03:42 AM   #2
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I can identify with the coughing and choking on the phlegm. I do this is in the morning and it (per my physician) is all related to GERD. I take nexium which doesn't help at all. I see my physician in a few weeks and will let you know what it is that the PCP says.

 
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Old 06-23-2001, 05:44 PM   #3
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Hi there, we seem to have similar problems and our doctors are similarly clueless. Sorry I didn't see your posting before. Please see mine under the heading "Cough due to GERD?" The cough I have sounds like yours, a choking feeling like something (I guess phlem?) stuck in my throat, which I've had for over a year now. I don't get heartburn though. For about 6 months they were telling me it's GERD but now they seem to have ruled that out.
In 1998 I had atypical pneumonia; was the chest infection you mention pneumonia?

 
Old 10-13-2002, 11:27 PM   #4
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my husband has also been suffering from constant phlem in his throat for 6 months.his lungs are clear and ent specialist diagonised no sinus or any other related problem.we were told it might be GERD and given some pepcid tablets for a month.but there is no improvement.we r of sick of not knowing the cause of such phlem.luckily i got u who have been suffering from similar thing.my husband doesnt feel any chest tightness or anything.but a few times he complains of stomach tightness and constipation.please help us.if u have been diagonised of the cause and treatment for the phlem please reply.

 
Old 10-14-2002, 08:09 AM   #5
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thank you jersey for the immediate reply.my husband complains of phlem.the phlem is clear and sticky.it is aggrevates after he wakes up in the morning and soon after he eats anything.it also aggrevates when he has hectic work and night shifts.he doesn't have any burning sensation.even while eating or drinking he doesnt have any difficulty in swalloing but he has difficulty swalloing that phlem as it again sticks in the throat.r these symtoms of GRED.becuase everyone complaining of GERD say they have heart burn or difficulty swalloing.please help.

 
Old 10-14-2002, 10:33 AM   #6
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Hi to everyone that has responded to the intial question posted by Stroms Fire. I know your responses are much appreciated. However, as a GERD sufferer, I have concerns about all the responses saying your doc "thinks" it's GERD, and then prescribing meds. Have any of you had endoscopy done to actually diagnose GERD? Although your symptoms may definitely be related to GERD, it is imperative to get that diagnosis through appropriate testing - not just a doctor's best guess.

Since PPI's have come out on the market, it seems like every doctor just wants to prescribe the "purple pill" without really trying to find out why you're having the symptoms you do.

I encourage all of you to return to your doctor, and request appropriate testing to determine if you really have GERD or not, and get an endoscopy if you haven't had it done. Even on PPIs and other reflux medication, you still need to be monitored for more serious changes in the esophageal lining (like Barrett's or cancer). Doctors should not just trust that your med is going to make you feel all better. I was on Prilosec for 2 years, and still developed Barrett's esophagus. I've since had surgery to correct the problem, and no longer take any meds for reflux.

It's imperative to get tested for GERD, especially if your stomach med is not helping your symptoms at all.

Good luck to all of you,
Katie G

 
Old 10-14-2002, 02:11 PM   #7
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Katie:

I appreciate your note about getting the doctors to test you for GERD. I am having a very hard time getting the doctors to test me for anything. So far I have been prescribed an astham inhaler, allergy medicine, high doses of vitamins, pepcid, and proton pump inhibitor with no tests. Finally I got an upper GI done which showed acid reflux. Is acid relux the same things as GERD? If not, how do they test for GERD and what is the difference?

Also, should the pepcid and ppi's give you instant relief from breathing difficulty problems or do they take a while to work? I would think it should be instant.

Thanks,
Wendy

 
Old 10-14-2002, 09:42 PM   #8
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Hi everyone.

Helicobactor pylori is an infection in your stomach lining which can cause all of the symptoms you have been describing. It is a bacteria that gets through the mucosal lining and lives there. It causes constipation, diarreah, stomach tightness, intermittent pain in stomach.... uncomfortable bloating, gas, indigestion, and duodenal disorders. It is a class 1 carcinogen, and leads to ulcers and tumors in your digestive tract.

Many doctors are not schooled on this yet, but it seems to be getting more and more common.

I had h pylori and had flem in my throat.
I also felt nauseated a lot. Trouble going #2.

It can be detected with a blood test or breath test....

I was given Biaxin 500mg, 2x daily
Amoxicillin 500mg 2, 2x daily
Prevacid 30 mg 2x day.

I felt much better after about four days.

The mucous could be from the stomach, a sort of congestion, lacking acidic properties.

It is said that 50% of the world population has h pylori, and it is asymptomatic for awhile before it begins to cause symptoms. Some people do not even realize they have it,
and many GERD, IBS, stomach ulcer and cancer patients tested positive to h pylori.

Gerd has been the favorite diagnosis and unfortunately
the virus continues to flourish because it is untreated.

There came a point where my food began to look the same coming out as it did going in,
as when the virus progresses, it can also cause malabsorption, and has been linked to asthma.

Let us know how it goes.

Please get tested for this virus....
and also ask your doctors about hypohydrocloria....
this is the most commonly confused disease with Gerd.

MAny Gerd people found out this was there problem, and it is contrary to the treatment of Gerd.

Blue



 
Old 10-15-2002, 02:24 AM   #9
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thank u all guys for replying.do u all have this phlem constantly in ur throat.an ENT specialist had done endoscopy for my husband.but he checked only till the throat area and diagonised slight inflamation due to GRED in the throat area.it was something like ulcers and small red patches.

 
Old 10-16-2002, 10:58 AM   #10
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Hi, wendy. In response to your question, acid reflux and GERD are not the same. Acid reflux happens to all of us at one time or another (an example being when you taste your meal after a burp) or the feeling of heartburn. Acid reflux by itself is a condition, not a disease. However, if the reflux damages the esophagus, then you have GERD. GERD cannot be diagnosed with an upper GI since the doc is only looking at an X-ray image, not real tissue. The only way GERD can be diagnosed is by endoscopy, in which the doctor will move a lighted camera through your mouth, down the throat, into the esophagus and onto the stomach. During this passage, he can take biopsies/tissue samples to monitor cell changes in the lining of the esophagus as well as the stomach and duodenum.

I agree with Blue - you should all be tested for H. pylori. After my first endoscopy in '96, the doc took tissue samples from the esophagus and duodenum and treated me for H. pylori (even without the lab info) since so many digestive problems have similar symptoms. I felt better too within a few days of antibiotics; however, the relief was short-lived. Eventually, I had my GB out (1997) and fundoplication surgery due to my Barrett's esophagus (2001).

But I can't stress enough that doctors need to order endoscopies to determine the true cause of your stomach complaints. If you don't feel better within a week of starting a PPI, go back to your doc for another treatment idea.

Good luck to you all,
Katie G

 
Old 10-17-2002, 09:09 PM   #11
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KatieG im alittle confused here by what you told this person about gerd.Ive had this problem for 25 yrs.My esophogus was never damaged,and i had and upper gi thats how i found out i had gerd.The doctor never told me that to be diagnosed with gerd meant that i had damage to my esophagus.He said i had gerd,acid reflux.I had an endoscopy done they found nothing.If what your saying is true that gerd is the definition of damaged esophagus.Then i dont have it .So are you saying that i dont have gerd?I had an endoscopy last year with nothing showing up .20 years ago i had a upper gi and thats where they discovered that i had gastroesophageal reflux disease.If acid reflux and gerd are not the same thing,why in the name gerd does the r stand for reflux?Just thought id ask

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Old 10-18-2002, 08:20 AM   #12
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Hi, suzy. Yeah, I agree - medical stuff can be confusing. I'm really only trying to describe how it was explained to me by my doc. In a nutshell, the "R" & "D" in GERD do stand for reflux disease, and you probably were diagnosed with GERD during an upper GI, because you did reflux during the procedure. However, reflux can only become a disorder when that reflux damanges the esophagus. You were lucky that endoscopy has revealed no irritation, inflamation or lining changes. Doctors tend to call reflux GERD whether or not damage has actually occurred. I was diagnosed with esophagitis/GERD about 15 years ago because of inflamation of the lining of the esophagus. I never actually refluxed during an upper GI or during endoscopy, but the esophageal lining showed damage related to reflux - hence the diagnosis of GERD. Just like the commercials for Nexium talk about reflux and over time it can develop into a more serious condition called GERD. You can reflux without having GERD, but you cannot have GERD without reflux.

You are extremely lucky that so far your endoscopy results have been "normal." Reflux is a condition; GERD is a disorder meaning that the reflux has actually started to cause damage to the esophagus. However, docs tend to call reflux and/or the damage it causes by the name of GERD. Kind of like any digestive disorder that doesn't appear to have a cause, many docs will just lump it under the term IBS.

Hope this explanation helps,
Katie G

 
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