Discussions that mention aciphex

Allergies board


This is going to make treatment much much easier for you...

You identified "lump in the throat" sensation as a new problem for you. This realy isn't an allergy problem, instead you have identified the classic symptom of a condition called "laryngopharyngeal reflux" (LPR). It's a category of acid reflux in which a small amount of acid escapes the stomach via the lower esophogeal spinchter muscle, and backflows up the esophogous into the laryngeal/pharyngeal area (the very top of the esophogous). The acid irritates that area, typically causing "lump in the throat" sensation.

"Lump in throat" is a hallmark of this condition, and by identifying it, you are well on your way to treatment.

This condition also goes hand in hand with allergies that have been resistant to antihistimines like Allegra and Claritin. It seems like you know cat allergies well - the suddden onset of massive secretions, sneezing, wheezing, misery that typically can be offset with a claritin. But mild allergies that begin driving you nuts that don't respond to claritin - that's typically caused by the acid reflux causing erosions in your nasal passages. Once the acid reaches your pharynx/larynx, it mixes with your throat secretions, then spreads all around your sinuses and nasal areas, literally causing erosions that make those areas extremely sensitive to common irritants. You need to let all those erosions heal.

The way this is done is by reducing the acid level of the stomach. Sadly, there isn't a method in place to stop the backflow of acid short of surgery, but reducing the acid levels with medication is quite effective. It can take 1-30 days for the problem to go away once you start the meds. Most people will need to take the medication indefinately - the prob never really "goes awa" permanently, and we take the meds as long as we have too.

So the meds are called PPIs (proton pump inhibitors), and you will need to take 2 doses of the maxium strength PPI of your choice every day.

Your choices are:
Nexium
Aciphex
Prilosec (Prescription strenght, NOT the OTC stuff)
Prevacid
Protonix

For instance, Nexium is available in 20 and 40 mg sizes. You will need 2 doses of the 40 mg size each day, for a total of 80 mg of Nexium. I use Nexium myself, and it works very well. Some people find that one PPI works better than another and must experiment.

Remember, you need to go and do a little research of your own on "laryngopharyngeal reflux" and "lump". You'll be amazed at what you find.

It's funny but most LPR patients get 1 or more of the following symptoms:
-Lump in Throat Sensations
-Increased sensitivity to allergens that are unreponsive to allergy meds.
-Chronic Cough
-Hypersensitive Smell
-Asthma-like symptoms unresponsive to asthma meds.