Discussion:
Oesophagitis
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Byron Hinson
2008-04-09 15:51:32 UTC
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I have developed Oesophagitis from having Acid Reflux over the weekend
- I've got this constant feeling on having something stuck low down in
my throat (is this normal). Does anyone know how long it tends to last
for and if it will just go of its own accord?

Thanks
--
Byron Hinson
***@byronhinson.com
http://www.byronhinson.com
trigonometry1972@gmail.com |
2008-04-11 10:30:58 UTC
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Post by Byron Hinson
I have developed Oesophagitis from having Acid Reflux over the weekend
- I've got this constant feeling on having something stuck low down in
my throat (is this normal). Does anyone know how long it tends to last
for and if it will just go of its own accord?
Thanks
--
Byron Hinson
The answer is is that it depends. Your description sounds right and
it can get worse. A round of over the counter PPI meds may help
clear up a mild case. However, it may it part have resulted from
too little acidity. (Caution this a concept of alternative medicine.)
A fatty meal can cause a meal with an extra long residence time
in the stomach and worsen reflux. If the chyme (the meal as it
is digesting) doesn't drop to a pH of 2.0 or lower, GI motility is
impaired. Taking additional helps some in this situation.
Talk to an alternative medicine provider before trying this.
Many alt med providers claim reaching a low pH (highly acid)
help the lower esophageal sphincter to relax less often.

The other things you can consider to help yourself is to hold
off of alcohol, caffiene from chocolate, coffee, china tea, certain
herbs, Cola soft drinks, and fatty meals and foods that sweep
the mucus off of the lining of the esophagus such orange juice,
tomato, or citric acid based drinks. Caffiene relaxes the LES.

Sleep on an incline the more the better here. If you could sleep
standing up I suggest it. As we age and gain body mass the
lower esophageal sphincter tends to works less well.
Researcher have should an increase in GERD as women
body mass index raises above 20. And yes a BMI of
20 is slim. Think age 18. This likely true for males
as well.

I had a bit of heartburn as kid and I got over it after a couple
of weeks as I very dimly recall. When the burning hit
in my 40's it did not let go. I tried meds. I tried a fundo
that failed over time. I tried more meds and more meds.
I raised my bed incline more. I tried alternative medicine
use of betaine HCl capsules (~650 mg with pepsin)
and I use 4 or 5 caps at my larger meals of each day.
Which for me means two meals a day.
And I'll add I take them with and NOT after the meal. You really
don't want a capsule of acidic material breaking down in the
esophagus.
I kept the incline, I got better
and have stayed better for approaching 4 years after
a decade long nightmare from GERD and its conventional
treatments.

Would I reject a fundo? I don't know. Mine helped for
a year or so. Some feel the operation has improved since
I had mine.

I have serious doubts about the long term safety of the PPI meds
and even the H-2 acid reducer.

I will say if you have a fundo in case this turns into full blown GERD
and you choose a nissen fundoplication, don't go back to your
old bad habits of coffee, cola drinks, and greasy foods.

To recap: You may get better. Eat a bland diet for awhile.
Sleep on an incline to prevent nocturnal reflux the most damaging
kind. You may need prescription meds but don't trust
them as a good long term answer no matter what the Doc says.
Consider both a fundo operation or/ and consider alternative medicine.
Vanny
2008-04-11 11:23:07 UTC
Permalink
I am a GERD patient and point out that, as with any medical issue, any
information received over the internet from unknowns should be discussed
with your medical team prior to attempting to treat yourself. Untreated or
inadequately treated GERD can progress to cancer.

The only person(s) in a position to determine whether or not you have
developed oesophagitis due to reflux is a gastroenterologist on
esophagogastroduodenoscopy (EGD), pH measurements, etc. If you have had a
one-off heavy weekend of partying with overindulgence in food, alcohol,
smoking or in a smoky atmosphere, etc., then it is likely that your symptoms
will resolve themselves if you look after yourself for the next few days.
However, if you have had repeated problems in the past and have taken/take
Omeprazole or equivalent I suggest that you get a referral to a GERD
gastroenterologist (ask how much experience the doc has with GERD patients)
and ask for a full GERD work up.
http://www.google.de/search?hl=de&q=GERD+diagnosis&meta=

Medically diagnosed GERD as such does not go away on its own. You have to
either work at it by radically changing your lifestyle or be operated on
http://www.google.de/search?hl=de&q=GERD+Lifestyle+changes&meta= GERD can
sometimes be associated with the presence of a hernia, which may also need
to be operated.

Most patients can relieve their symptoms this way. Indeed, some overweight
patients can get rid of their GERD symptoms completely by losing the excess
kilograms. However, GERD in most patients is caused by dysfunction of the
lower oesophageal sphincter (LES)
http://www.google.de/search?hl=de&sa=X&oi=spell&resnum=0&ct=result&cd=1&q=lower+oesophageal+sphincter&spell=1
This can be corrected by such as fundoplication, resulting in resolution of
the symptoms for a few or several years.

If you do have inflammation in the oesophagus and throat then adopting the
GERD lifestyle changes will help tackle this. However, medical examination
is necessary for a watertight diagnosis.

Vanny
I have developed Oesophagitis from having Acid Reflux over the weekend -
I've got this constant feeling on having something stuck low down in my
throat (is this normal). Does anyone know how long it tends to last for and
if it will just go of its own accord?
Thanks
--
Byron Hinson
http://www.byronhinson.com
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