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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Acid Rushing Up The Throat A Case Of Acid Reflux Only Or Related To Hiatal Hernia And GERD ?

i WAS VERY ILL WITH A REFLUX ATTACK AND DURING SLEEPING I COULD FEEL ACID LIKE RUSHING TOTHE TOP OF MY THROAT WHERE I COULD NOT BREATHE. I UNDERSTAND THIS IS PART OF THE ACID REFLUX PROBLEM. I HAD AN ENDOSCOPY AND THE GI DR. TOLD ME TO WATCH THE SPICES AND TO BE SURE I WAS SLEEPING WITH THE HEAD RAISED ABOUT 8 INCHES. MY ENT DR. STARTED PRESCRIBING .....DURING THIS TERRIBLE ATTACK...OMNEPRAZOLE TO BE TAKEN (TWO) A HALF HR. BEFORE BREAKFAST AND THE SAME DOSAGE AT DINNER. AND, FLUTACOSE NOSE DROPS EVERY NIGHT BEFORE GOING TO BED. HE SAID I HAD ESOPHAGEAL GASTRITIS. IT DID IN MUCH TIME GET BETTER AND I FOUND MYSELF EATING AS I WAS TOLD SMALLER AMOUNTS AND AT DIFFERENT TIMES OF THE DAY I DID EAT SMALLER AMOUNTS OF FOOD AND CHEWED SMALLER AMOUNTS AT A TIME....IN MUCH TIME I FELT BETTER. NOW, AFTER A YEAR I AM CHOKING ALL DAY ON PHLEM AND BRINGING UP SMALL LUMPS OF PHLEM....AT NIGHT I WAKE UP CHOKING ON THIS PHLEM NOW.....NOT AS BEFORE WHEN I WAS CHOKING ON AND TASTING THE ACID WHERE IT WAS COMING UP AND CHOKING ME. I AM ONCE AGAIN ON FOUR ONMAPRAZOLES A DAY ..... PLUS TWO XANAX....IT SEEMS A DROP BETTER AND I AM BEING TREATED BY MY INTERNEST AND ENT DR. I AM STILL WONDERING ....IF THIS IS PART OF ACID REFLUX, HIATIAL HERNIA, AND GERD...NOW WITH ALL THAT PHLEM COMING UP AND CHOKING ME I STILL DO NOT UNDERSTAND THIS PHLEM COMING UP. I STILL AM IN THE MIDST OF THIS ATTACK....AND THEN WONDER WHAT I DID TO CAUSE IT. I THINK I MAY HAVE STARTED TOMATO SAUCE ON MY PASTAAND A FEW THGS. I SHOULDN T HAVE....PLUS LOTS OF STRAIN AND STRESS. COULD I ASK AGAIN, WHY IS THE PHLEM COMING UP AND NOT THE ACID? SHYRL
Tue, 11 Oct 2016
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Gastroenterologist 's  Response
What you have described clearly is what is better known as Gastro esophageal reflux disease. Reflux of gastric contents occurs due to a number of different causes, some of which are secondary to transient relaxations of the lower end of the esophagus, a lax lower esophageal sphincter, a defect in the diapragm , a hiatal hernia and so on.
patients suffering from reflux require long term therapy with proton pump inhibitors in addition to the lifestyle changes you adopted earlier...but for patients who do not improve, further testing is warranted, including a pH monitoring.
Patients not responding to sequential medical therapy, may need to opt for interventions, some of which are endoscopic, or may be surgical. The purpose of these procedures is to strengthen the lower end of the esophagus, and prevent further episodes.
I suggest you make an appointment with a gastroenterologist and seek proper care.
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Is Acid Rushing Up The Throat A Case Of Acid Reflux Only Or Related To Hiatal Hernia And GERD ?

What you have described clearly is what is better known as Gastro esophageal reflux disease. Reflux of gastric contents occurs due to a number of different causes, some of which are secondary to transient relaxations of the lower end of the esophagus, a lax lower esophageal sphincter, a defect in the diapragm , a hiatal hernia and so on. patients suffering from reflux require long term therapy with proton pump inhibitors in addition to the lifestyle changes you adopted earlier...but for patients who do not improve, further testing is warranted, including a pH monitoring. Patients not responding to sequential medical therapy, may need to opt for interventions, some of which are endoscopic, or may be surgical. The purpose of these procedures is to strengthen the lower end of the esophagus, and prevent further episodes. I suggest you make an appointment with a gastroenterologist and seek proper care.