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Acid Reflux / GERD Message Board

Acid Reflux / GERD Board Index

Re: Lump in throat?
Sep 22, 2005
Hi Seabreezes,

The congestion and mucous are indicative of ineffective sinus drainage. LPR effectively mimics chronic sinusitis by the everyday nature of the reflux. The membranes cannot heal and the cillia cannot quicken up due to the acid. Sinusitis is normally the result of allergy, bacterial or fungal infection. The problem with LPR is that by slowing down the drainage through inflammation and impaired cillia movement mucous can pool in the sinus creating an opportunity for infection to become entrenched. This type of bacterial infection is often not picked up on CT Scans and is out of the reach of anti-biotics. The post nasal drip can then carries this infection to the throat, tonsils, esophaegus and stomach. If you are experiencing LPR also then the acidic environment creates a safe place for the bacteria to remain. The use of anti-biotics may not get to the source but will upset further your stomach flora balance allowing candida to grow.

My advice to you is to write down your actual symptoms and how you feel they interact. A lump in throat, congestion and mucous are indicative of LPR but also of sinusitis and infected tonsils. Have you noticed any change in how throat actually feels ie does it burn regularly ? Can you feel acid enter the back of your throat and mouth ? Do your nostrils sting at times ? Do you have to clear your throat regularly throughtout the day ? Is the lump there for most of the time ? Have you detected any enamel erosion or cavities ? Does your mouth feel acidic most of the time and not fresh ?

LPR is normally diagnosed by an ENT through a visible examination of the pharynx and larynx. Red and inflammed tissue particulary on the vocal cords is indicative of LPR. A GI only gets involved if there is no response to a course of PPI's. If you had an endoscopy and it found nothing untowards then it depends what they were looking for. In LPR there is often no damage to the esophaegal lining and the purpose of the endoscopy should therefore be to look for evidence of a hiatus hernia, ulcerations, gastritis and to take a culture for the stomach bacterium Helicopacter Pylori which is now sited as the main cause of ulcers ( and not stress). Not sure what the irritated spot on the right side of your stomach is but it could be gastritis or an ulceration. Incidentally why did you have an endoscopy done as I only had mine 8 months into my symptoms and after the PPI's failed. I have a sliding hiatus hernia and a 24 hour PH monitoring confirmed numerous incidents of reflux throughout the day and night. My sphincter is impaired and the hernia is part of that.

GERD can be a serious condition if it is left unchecked over time. It can lead to a condition called Barrett's esophaegus which is a pre-cursor to esophaegal cancer. This happens when the acid levels are such that they cause lacerations in the lining which can become malignant. LPR is still a relatively new term and the complications of it over time are not yet fully known. One concern is that it could be linked to asthma (especially in children) and potential lung disease in adults if the acid makes it way into the lungs from the larynx. Generally both are a quality of life concern as a lot of the symptoms together can be quite restictive.

Sorry so long. Hope helps

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