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Had anyone had a gerd test for silent gerd?
MAC & Bronchiectasis | Last Active: Dec 11, 2023 | Replies (26)Comment receiving replies
It’s also good to know that when you don’t have a serious issue. However, because we have diseased lungs, even having microaspirations in normal range might require attention.
I had the 24 hr impedance test 5 yrs ago and had about 30 microaspirations a day—-NORMAL!! And, they were all during the day, none at night! Still, I raised the head of my bed and follow other lifestyle precautions. Furthermore, during the day I am cautious about bending at the waist and squat instead. I also eat a piece of bread before going to Pilates.
And, yet another webinar 🙂
https://tinyurl.com/bha6mbc5
Replies to "It’s also good to know that when you don’t have a serious issue. However, because we..."
@becleartoday Thanks for posting the link to the Medical Management of GERD webinar. A must view for everyone with bronchiectasis. The link belongs on the what-you-need-to-know page of this forum.
It cleared up many questions about my own condition. One in particular: how/why do I get frequent exacerbations and yet my sputum culture comes back negative. There's research on mice that Dr. Huitt describes around time-mark 1:37. Essentially, digestive enzymes through reflux causes a chemical burn in the trachea, which causes pus to enter the airway and spawn pneumonia, even though there are no typical "germs" present. Untreated it can lead to sepsis. She said it was a common occurrence, which is why pulmonologists will treat with an antibiotic. It takes 7-10 days for healing. Wow.
Time to get super serious about reducing fluid intake. I'm a huge water drinker.....
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I just watched this webinar, and it was so, so helpful and informative. Although I was tested for reflux with barium swallow and also had endoscopy- negative on both- I really believe that I do have silent reflux/micro aspirations that contribute to my bronchiectasis and resulting MAC.
Besides elevating the head of my bed with a combination of wedge and pillows on top, this webinar taught me about not drinking too much fluid. I was under the impression that it was important for thinning the mucus. Also, NAC needs to be taken with plenty of water and not with food. Then there are the supplements and meds. All with water. My doctor has me taking the Azithromycin and Ethambutol at bedtime, and I have been taking them with a full glass of water because the Ethambutol pills are large and saucer-shaped. Now I have to figure out how to take them with just a sip of water. I can also have some bread to soak up some of the liquid, I guess. The webinar speaker was from NJH and said we always have at least 6 Oz of water in the stomach. She said you should not drink too much liquid, and when you do, you should also have a solid food that can absorb and bulk up the stomach contents, in order to prevent the liquid from backing up and entering the lungs through the laryngeal esophageal sphincter. Makes so much sense. Excellent, excellent webinar. Thank you so much for posting it!