Laryngopharyngeal reflux (LPR)

Posted by sanchopanza @sanchopanza, Jul 7, 2019

Hi. My problem started about a month ago when I started chugging down a glass of water and suddenly I had a spasm in the area of my pharynx. It scared me, and took several minutes to abate, but no other symptoms. Soon, I found that I could no longer drink orange juice without the same problem, and then ice cream gave me very thick saliva that was difficult to spit out as well as the tightness in my throat. I had had problems with normal heartburn in the past, but a few days of ranitidine (Zantac) and I was OK. I think this was because of my taking ibuprofen on an empty stomach. If the Zantac didn’t help, which was seldom, I took Prilosec for 3 days and it was gone. Now, after the spasms, I began burping and having hiccups frequently, which was new to me, so I started on Prilosec 20mg once a day. I also changed my diet to conform with the diet for GERD and I think I’m beginning to get better, but it’s taken a lot out of me because I’ve been on the same diet for a long time and all of a sudden I’m missing crucial nutrients that I ordinarily get. By the way, I”m 69 and have been healthy and disease free for at least 20 years. I want to discontinue the Prilosec because I’ve only been taking it for a little more than two weeks. I’m wondering if I could switch back to the Zantac 150mg twice a day without experiencing rebound symptoms because I’ve been on the Prilosec for such a short time. I can see that there are many people here with digestive health problems and I’m hoping someone can steer me in the right direction. My doctor is very good at giving labs and writing prescriptions, but he doesn’t seem to do much doctoring, but that was OK, because I haven’t had any serious health issues. He just told me ” You know you have to see a gastroenterologist”. Because of the holiday I haven’t been able to schedule an appt. yet and now, with some of the symptoms lessening, I’m hoping there’s a chance that I can switch to Zantac, or preferably cimetidine (Tagament) which helped me greatly when I developed an ulcer many years ago, and solve this problem without any intervention. The reason I want to stop taking it is because of the side effects. I’ve had diarrhea a few times and lots of headaches.I”m also worried about the things that can happen when you have so little stomach acid. I”d appreciate any comments from people who have had experience weaning off Prilosec after short term use, or anyone who has suffered with LPR or laryngopharangeal reflux, or anyone at all. Thanks for listening!!

I was taking omeprazole 40 mg twice a day for only two weeks when I stopped it because of side effects and I had lots of the rebound effects for a couple of weeks until I started another PPI. Sorry, that’s probably not what you wanted to hear, I imagine this is probably true with most if not all PPI meds.

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sanchopanza: Your doctor is correct; you need to see a GI doctor, a gastroenterologist. It sounds like you may need an upper endoscopy to sort this out. I put it off for a long time and finally did it — very easy procedure but do make sure to be totally 'out' for it, i.e., general anesthesia. It's an out-patient deal, painless, and only takes a few minutes. You will need a ride home, however, because they don't want liability of someone driving right after anesthesia.

I had been taking Tums myself for years on occasion but within past year it was nightly. There are so many symptoms associated with indigestion and sometimes people have 'silent' GERD as well so they don't really know anything is wrong.

I am over 65 as well and life catches up with us. My GI doc wanted endoscopy plus abdominal CT scan. The scan was fine except it found several small kidney stones in one kidney. Totally surprised by that and have to deal with it now, too.

The endoscopy was not expected to show much but doc found Barrett's Esophagus tissue in lower portion (you may need to research that); a growing problem around the world and can in some cases turn to adenocarcinoma of esophagus . Chances of having this happen are small but it's good to get the upper endoscopy to check, especially after age 50. These days, though, this problem is being found in people in their twenties and thirties, too.

I would go see a GI doc and get the endoscopy if it is recommended. My best to you.

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@bonnieh218

I was taking omeprazole 40 mg twice a day for only two weeks when I stopped it because of side effects and I had lots of the rebound effects for a couple of weeks until I started another PPI. Sorry, that’s probably not what you wanted to hear, I imagine this is probably true with most if not all PPI meds.

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Thanks, bonnieh218. No, not especially what I wanted to hear, but I appreciate the heads up!!

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@courtneyt

sanchopanza: Your doctor is correct; you need to see a GI doctor, a gastroenterologist. It sounds like you may need an upper endoscopy to sort this out. I put it off for a long time and finally did it — very easy procedure but do make sure to be totally 'out' for it, i.e., general anesthesia. It's an out-patient deal, painless, and only takes a few minutes. You will need a ride home, however, because they don't want liability of someone driving right after anesthesia.

I had been taking Tums myself for years on occasion but within past year it was nightly. There are so many symptoms associated with indigestion and sometimes people have 'silent' GERD as well so they don't really know anything is wrong.

I am over 65 as well and life catches up with us. My GI doc wanted endoscopy plus abdominal CT scan. The scan was fine except it found several small kidney stones in one kidney. Totally surprised by that and have to deal with it now, too.

The endoscopy was not expected to show much but doc found Barrett's Esophagus tissue in lower portion (you may need to research that); a growing problem around the world and can in some cases turn to adenocarcinoma of esophagus . Chances of having this happen are small but it's good to get the upper endoscopy to check, especially after age 50. These days, though, this problem is being found in people in their twenties and thirties, too.

I would go see a GI doc and get the endoscopy if it is recommended. My best to you.

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Thanks for your concern, courtneyt. Yeah, aging isn't all it's cracked up to be. I was hoping to avoid the endoscopy, but I think you're right; I need to know what's going on. I'm pretty sure this is the silent GERD from the reading I've done. And yes, I ran across the Barrett's esophagus and I'm hoping that's not what I have. I did see that if not treated, it can become cancerous, and that esophageal cancer is the fastest growing cancer in the U.S. My problem is trust. I'm on Medicare and Medi-caid and I worry that some GI doc will perform unnecessary procedures on me. The hardest part is changing my diet. I'm losing weight and getting weaker because I still haven't figured out exactly what I can and can't eat. Most of what I used to eat doesn't work anymore. Again, thanks for getting back! I really do appreciate it. I'm living alone and don't have anyone to run things by.

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Some time ago I was diagnosed with same symptoms did my own research come up with some things that helped me: started drinking alkaline water only, elevated my bed four or so inches at head, started sleeping on right or left side at night never on my back or stomach however God made people individually so what is working great for me maybe not work the same for everyone. You have to try to see for yourself

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@patrickl

Some time ago I was diagnosed with same symptoms did my own research come up with some things that helped me: started drinking alkaline water only, elevated my bed four or so inches at head, started sleeping on right or left side at night never on my back or stomach however God made people individually so what is working great for me maybe not work the same for everyone. You have to try to see for yourself

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Thanks, patrickl! I had always thought that alkaline water was a hoax, but I'll look into it again. I already sleep only on my right, and lately my left side. I've never slept on my stomach or back, although I've noticed that I sometimes wake up on my back if I was lucky enough to get some REM sleep. At this age, most men wake up 3 times a night.I"m going to try and elevate my mattress several inches and see if that works for me too. Thanks again for replying to my post.

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Sorry to hear about your illness. First thing is don’t take any aspirin or ibuprofen unless your Dr. says to. These caused me to have a bleeding ulcer. I was in the hospital for 3days and had my small intestine cauterized. They told me I had silent reflux and the Barrett’s esophagus. So I guess it was a good thing that I found out early about these conditions. So no I’m on a low acid diet. No fried food, no Mexican food, no Italian food, no tomatoes, no booze, soda, chocolate, mint, no regular coffee, only low acid coffee like health wise brand, ph is 6.18
I’m eating baked chicken, turkey, baked fish and fresh steamed broccoli, cauliflower, baked potatoes, spinach. Try these and see how you feel.
Don’t eat anything 3hrs before bed. Drink lots of water. I also walk 5-7 miles a day. Good luck! Steve

Liked by pamelajean

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I also have GERD that has been going on for over a year if not longer and getting worse instead of better. I had endoscopy done, results said inflammation of esophagus and stomach. I went to a different Gastro Dr. He did a test called EGD Bravo, they put a capsule the size of an eraser on a pencil in my esophagus and I wore a monitor for 48 hours. They do it like a endoscopy. I just did 2 more tests. A esophageal manometry, then a stomach emptying test.
I go July 16th for my results. So far the first test did show I had a higher acid level but not as high as most people. I told him I probably wasn't off the protonix long enough to show a more negative result. I told him I did try to go off of GERD prescription med because I also don't want the side effects, and that I was in a lot of pain being off of the med. The Manometry test , looks at how your esophagus is working. I feel that may be my problem, because I feel full after I eat something, like its just sitting on my stomach and not moving down the tract like it should.

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@sanchopanza

Thanks for your concern, courtneyt. Yeah, aging isn't all it's cracked up to be. I was hoping to avoid the endoscopy, but I think you're right; I need to know what's going on. I'm pretty sure this is the silent GERD from the reading I've done. And yes, I ran across the Barrett's esophagus and I'm hoping that's not what I have. I did see that if not treated, it can become cancerous, and that esophageal cancer is the fastest growing cancer in the U.S. My problem is trust. I'm on Medicare and Medi-caid and I worry that some GI doc will perform unnecessary procedures on me. The hardest part is changing my diet. I'm losing weight and getting weaker because I still haven't figured out exactly what I can and can't eat. Most of what I used to eat doesn't work anymore. Again, thanks for getting back! I really do appreciate it. I'm living alone and don't have anyone to run things by.

Jump to this post

My husband has the gastric disease Gastroparesis. He has had it for a long time and has trouble eating. I would try some protein drink or mix to supplement your diet. I use a tasteless Collagen powder in my drink, food for protein. I also bought the book "The Acid Watcher Diet" off of Ebay. for more information.

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I also follow a Digestive Health group on Facebook for up to date Info and articles on Digestive Issues.

Liked by pamelajean

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@riflemanz64

Sorry to hear about your illness. First thing is don’t take any aspirin or ibuprofen unless your Dr. says to. These caused me to have a bleeding ulcer. I was in the hospital for 3days and had my small intestine cauterized. They told me I had silent reflux and the Barrett’s esophagus. So I guess it was a good thing that I found out early about these conditions. So no I’m on a low acid diet. No fried food, no Mexican food, no Italian food, no tomatoes, no booze, soda, chocolate, mint, no regular coffee, only low acid coffee like health wise brand, ph is 6.18
I’m eating baked chicken, turkey, baked fish and fresh steamed broccoli, cauliflower, baked potatoes, spinach. Try these and see how you feel.
Don’t eat anything 3hrs before bed. Drink lots of water. I also walk 5-7 miles a day. Good luck! Steve

Jump to this post

Thanks, Rifleman64, I know that I can't continue to take my ibuprofen.Not sure what I can take for my arthritis pain. Tylenol isn't much help. What's strange is that I don't usually eat anything spicy or fried. I've been on the same diet for years, which includes whole grain bread with seeds 6gm protein 4 gm fiber, low fat, part skim mozzarella sticks with 7g protein and only 1.5 sat fat, almonds or walnuts daily, Siggies non fat yogurt with 15gm protein, peanut butter, and for desert, raisin bread, or instant flavored oatmeal. I don't eat red meat, but occasionally eat chicken breast without the skin. I have an Ensure Plus also daily and eat a protein bar every day too. It's made from Sunflower butter and egg whites and has 20gm protein. Oh, yeah, a glass of orange juice, which is now impossible to drink. So I've been eating only the foods that don't bother me and still experimenting with new food ideas. I"m also trying to finish eating 3 hours before bed, but I've been eating most of my food all the way up to the time I go to sleep and it's never caused me problems before. I went out last night and bought some bananas and some red bell peppers and a few red potato's. I don't drink alcohol, but I do miss my espresso. I've never warmed up to vegetable, but I had been getting enough fiber from the grains I eat and had been drinking v8 every night, but that's out now because of the tomato content. I'll have to go buy some chicken breast, but I'm not much of a cook!

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@pamelajean

I also have GERD that has been going on for over a year if not longer and getting worse instead of better. I had endoscopy done, results said inflammation of esophagus and stomach. I went to a different Gastro Dr. He did a test called EGD Bravo, they put a capsule the size of an eraser on a pencil in my esophagus and I wore a monitor for 48 hours. They do it like a endoscopy. I just did 2 more tests. A esophageal manometry, then a stomach emptying test.
I go July 16th for my results. So far the first test did show I had a higher acid level but not as high as most people. I told him I probably wasn't off the protonix long enough to show a more negative result. I told him I did try to go off of GERD prescription med because I also don't want the side effects, and that I was in a lot of pain being off of the med. The Manometry test , looks at how your esophagus is working. I feel that may be my problem, because I feel full after I eat something, like its just sitting on my stomach and not moving down the tract like it should.

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I"m sorry you're going through all that! Is that one of those little camera's that you swallow with the monitor? That would seem like the easiest way for them to have a direct up close look inside your esophagus. I've decided to switch to Nexium because I've heard a lot of anecdotal evidence that it works much better than the omeprazole. Good luck with your test results! It must be very frustrating for you.

Liked by pamelajean

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@pamelajean

My husband has the gastric disease Gastroparesis. He has had it for a long time and has trouble eating. I would try some protein drink or mix to supplement your diet. I use a tasteless Collagen powder in my drink, food for protein. I also bought the book "The Acid Watcher Diet" off of Ebay. for more information.

Jump to this post

Thanks, pamelajean! I"m sorry to hear your husband has gastroparesis. It must be difficult to live with. I"ll look in to the book "The Acid Wathcher's diet". I hope your husbands finds some relief.

Liked by pamelajean

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My doctor scheduled me for an abdominal ultra sound next Monday morning.

Liked by pamelajean

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@bonnieh218

I was taking omeprazole 40 mg twice a day for only two weeks when I stopped it because of side effects and I had lots of the rebound effects for a couple of weeks until I started another PPI. Sorry, that’s probably not what you wanted to hear, I imagine this is probably true with most if not all PPI meds.

Jump to this post

Are PPIs helping with the symptoms?

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