Question: I have GERD w/ hiatal hernia and resultant frequent aspiration during sleep even when being well elevated. I also snore very loudly w/ reported pauses in breathing. I have eaten as much as 7 hours prior to sleep and still have the aspiration. I am on Nexium 40mg q d. have taken motillium with no apparent change in symptomatology. I am a 61 year old married white male weighing 220 lbs, and stand 6' tall. I have been scoped in the past 3 years both throat and colon w/ some diverticulum and precancerous polyps which were removed. I have borderline GFR numbers >60 w/ high normal creatine leading to a possible stage 2 CKD diagnosis. I also have slightly high alt/SGOT at times and an enlarged aortic base (43mm and stable for at least 5 years confirmed by echo cardiograms each year) and I have a bicuspid aortic valve w/ no reflux or subluxation noted. I have mild hypertension controlled by Toprol XL 50mg q d and Cozaar 25mg q d. I have BPH and have had holmium laser ablation of the prostate for that about 7 years ago which seem to be holding up very well. My PSA numbers are normal (>3) I have constant sinus and nasal congestion with a suspected continuous sinus infection which varies somewhat in severity but has not totally resolved in over at least 15 years. I suspect emesis from the reflux as a major contributing factor.
The frequent aspirations and possible sleep apnea seem to be leading to decreased lung productivity. I carry a pulse oximeter and have found my normal reading to be about 95% with pulse rate about 90-100 resting. I cannot take stairs without becoming quite winded and cough incessantly to try to clear the emesis I have aspirated. Also as a result of this, I believe I suffer from circadian rhythm desynchronizes, sleep deprivation, and resultant daytime sleepiness/ general fatigue.
I have GERD w/ hiatal hernia and resultant frequent aspiration during sleep even when being well elevated. I also snore very loudly w/ reported pauses in breathing. I have eaten as much as 7 hours prior to sleep and still have the aspiration. I am on Nexium 40mg q d. have taken motillium with no apparent change in symptomatology. I am a 61 year old married white male weighing 220 lbs, and stand 6' tall. I have been scoped in the past 3 years both throat and colon w/ some diverticulum and precancerous polyps which were removed. I have borderline GFR numbers >60 w/ high normal creatine leading to a possible stage 2 CKD diagnosis. I also have slightly high alt/SGOT at times and an enlarged aortic base (43mm and stable for at least 5 years confirmed by echo cardiograms each year) and I have a bicuspid aortic valve w/ no reflux or subluxation noted. I have mild hypertension controlled by Toprol XL 50mg q d and Cozaar 25mg q d. I have BPH and have had holmium laser ablation of the prostate for that about 7 years ago which seem to be holding up very well. My PSA numbers are normal (>3) I have constant sinus and nasal congestion with a suspected continuous sinus infection which varies somewhat in severity but has not totally resolved in over at least 15 years. I suspect emesis from the reflux as a major contributing factor.
The frequent aspirations and possible sleep apnea seem to be leading to decreased lung productivity. I carry a pulse oximeter and have found my normal reading to be about 95% with pulse rate about 90-100 resting. I cannot take stairs without becoming quite winded and cough incessantly to try to clear the emesis I have aspirated. Also as a result of this, I believe I suffer from circadian rhythm desynchronizes, sleep deprivation, and resultant daytime sleepiness/ general fatigue.