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Sore throat...can reflux cause this?


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#1 Amanda Thorpe

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Posted 13 August 2009 - 10:28 AM

Hello All

As most of you know I have only just been inducted into the gastro hall of pain. :(

My queston is this, can the acid actually burn the back of your throat so it feels kinda like a sore throat? I don't have a virus so know that's not the cause.

My gastro issues wax and wane, as do most things about this disease, and prior to the sore throat feeling I had the wonderful sensation of food hanging around in the esophagus for ages, actually it still is. Well look at it this way I get my monies worth outta my food that sometimes spends more time with me than the family pet!

Anyway I don't usually get a burning pain with reflux and of course take medication for it as well as for the motility issue. As this is a new experience for me I'd be interested in others' thoughts on the matter.

Take care.
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#2 lizzie

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Posted 13 August 2009 - 11:08 AM

Hi Amanda, in my experience, reflux can definitely cause a sore throat and hoarse voice as well. What continues to amaze me about the sclero related gastric issues is the way that they come and go. A couple of months ago I was in almost constant discomfort day and night, despite doubling the PPI dose and swigging the liquid antacid like there was no tomorrow. Now I have barely any symptoms- almost forget to take the PPI because I feel so normal. I haven't changed my diet or medication - so why has it suddenly disappeared (hope I haven't just jinxed myself for a renewed bout of gastro problems). The swallowing problem also comes and goes. One day everything I eat , other than puree type consitency food makes me cough and splutter and tablets stick in my throat, the next I can eat anything- whys that? P'raps it's all in my head :).

Lizzie

#3 Amanda Thorpe

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Posted 13 August 2009 - 11:14 AM

Thanks Lizzie, it's definitely in your head...and mine...and everyone who has gastric issues! :lol: It is weird that they come and go though and it's not always related to anything you eat. Oh well we'll just keep enjoying the "go" times!

Amanda
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#4 janey

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Posted 13 August 2009 - 11:53 AM

Amanda,
Yes, according to WebMD, chronic sore throat is one of the many possible symptoms of reflux (GERD). The crazy thing about PPIs is that they can stop the heartburn (acid burn), but not always the reflux. I have found that the only thing that prevents reflux for me are lifestyles changes. When I mentioned to my rheumatologist that I still get reflux if I break one of my rules, he asked "Does it burn?" My answer was NO - so he responded "Then the PPI is working."

So please try to get that ugly reflux under control. If you are on PPIs, you could be having reflux and not know it.

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#5 ladyhawke

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Posted 13 August 2009 - 01:40 PM

That burning feeling in your throat can be really awful!!! I was on a heavy D supplement for awhile and it was just horrid! I was told not to sit or lay for half an hour after taking it. And even following those instructions, it would come back when I did lay down and the burning was awful. With the PPI's now it's not so bad, but I still get it now and then. And as Lizzie has said it seems to come and go. I'll go for a couple of weeks and be fine and think maybe it's gone, then I'll get it right back. This is such a weird disease with so many different "things" going on.
One tip.....if you get reflux at night, lay on your left side. Believe it or not, it does help. More so if it's not really bad. I had a doctor once say that he could tell how bad the acid reflux was by how many pillows the person would pile up behind them in bed. When I first got scleroderma, I used to sleep completely sitting up straight. I've had a few motility studies done, I'm not as bad off as I was at first thank goodness. It seems alot of things with this "come and go"....and then come back again.....
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#6 Jeannie McClelland

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Posted 13 August 2009 - 04:29 PM

Oh yeah, absolutely! Acid is acid and when the reflux comes up as far as your upper throat (or into the mouth :( ), it is going to burn~ Nasty, eh?



Another thing that can do it is one of our perennial favorites - dry mouth. I always know when I've been sleeping with my mouth open, apart from my drooled-on pillow. I wake up with a horrendous sore throat that takes quite a while for the tissues to rehydrate enough to stop hurting.



Just think how lucky we are to have such an interesting disease with all these lovely 'features'. :lol:
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#7 ladyhawke

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Posted 13 August 2009 - 04:34 PM

Oh Jeannie....I get that dry mouth thing!!! I wake up and have been afraid that I can't swallow, the dryness seems to go right on down my throat. I now keep a bottle of water beside my bed, sometimes I need it 2 or 3 times through the night, just to get some moisture in my mouth and down my throat.
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#8 Lillskuzi

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Posted 14 August 2009 - 03:57 AM

Hi Amanda

Me, too, I got a sore, burny throat from reflux, even when taking a PPI. I get problems pretty much every day. Though like the others, I seem to have good periods where it is not noticeable.

At first I thought I had a sore throat all the time (I have had this for about 7-8 years), but now after all these years I can tell the difference between sore throat from reflux, and a sore throat from a cold.

I avoid all the triggers for it, but still get it a lot. Drinking water, especially on an empty stomach, is a big trigger. Sometimes I don't drink the water because I know it will be sore, or I drink it but in smaller quantities.
Susie

#9 Amanda Thorpe

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Posted 14 August 2009 - 08:25 AM

Hello All

Thank you for the replies and I would agree we have a multi-faceted disease that makes no sense whatsoever!

In order to embrace my new sympton I need to understand it and must admit that until now I have paid no attention to the reflux issue other than taking my PPI (proton pump inhibitor) so I never asked for details when I last saw my rheumatologist in May. As I am now mightly fed up with it I need to do what I can to reduce the frequency so what tried and tested tips can you give me and does this mean I have GERD?

As I don't get typical heartburn pain I had thought that the reappearance of a long eaten meal was a motility issue but I gather reflux can be the cause for this. I know I am a good cook but really, I only need to taste my food once! :D

Okay so now I have mobility issues, heart issues, bowel issues and gastro issues, what should I aim to collect next? :lol:

Take care and I'm off to read about reflux on our beloved site.
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#10 Alexandra

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Posted 14 August 2009 - 12:36 PM

Hello Amanda! And the other lovely members who are also suffering from the hot burning world of reflux!
I can only second what you have already heard,that a sore throat is most definitely part of the reflux.There is a condition (which I have experienced sadly) in which there is loss of voice and/or hoarseness due to acid reflux.
With gut involvement in Scleroderma as you probably know, the peristalsis movement often stops altogether.This is the muscular action that helps food travel down the 'food tube'!
Food hangs around for ages!I have regurgitated a bit of sandwich that I had a good 3 days before,Oh how disgusting,I'm so sorry anyone who is eating whilst reading!
It has been my experience that even if the acid is controlled with the wonderful PPIs,reflux can still happen.I often have a mouthful of liquid that doesn't always burn,but when it does..as you all have experienced, there is nothing quite so awful.
Generally though with very boring bland diet and not eating past a certain hour etc and medicines then the burning can be eased.
But I don't know about you lovely people out there,but my pleasures in life are now very few,and tasty bits of food,or sweet things are often the highlight of the day.But oh the suffering afterwards.
My relationship with food has become very hard indeed.
Chocolate of course is not a real food and as it melts in my mouth doesn't get stuck in my throat!
To everyone who is having trouble with reflux,burning,pain and all gut involvement, I am thinking of you and sending you love and understanding.
Take Care
Alex
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#11 red

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Posted 14 August 2009 - 02:07 PM

Hi all! I can certainly sympathize with you all about how bad the reflux can be!. I was another one who used to sleep almost upright to try to stop the burn. And yes, oh yes, it can burn the throat, nose, and one time I swear the reflux went up my eustacian (sp?) tube and into my middle ear! Despite 2 Nexium, 1 Prevacid, multiple TUMS a day, sleeping upright and not eating for 3 hours before bedtime, I still developed aspiration pneumonia, esophageal bleeding and permanent vocal cord scarring. My GI doctor explained that while the medicines can lessen and even stop the acid production in the stomach, there are still other digestive enzymes in the reflux that can damage the esophagus and throat.
The only thing that helped me was a Nissen fundoplication - I had this surgery last November, and while I still have some swallowing issues, have to watch what I eat, and take a PPI daily, I am not bothered by the reflux at all now. I'm sure the surgery is not for everyone, but if you are not helped by any of the anti-reflux suggestions and medications, you might want to discuss with your doctors if this surgery is an option for you.
red

#12 Lillskuzi

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Posted 16 August 2009 - 03:56 AM

Hello Amanda

Here's my personal tried and tested tips controlling both reflux and regurgitation of food (horrible, horrible, horrible):

1) I don't drink around meal times (for an hour or two before and a few hours after, or if I do drink near a meal, it is only a small volume. But if I haven't eaten very much food, I can drink ok, so I guess it's a question of limiting what goes in at once)

2) Don't let myself get too hungry as that seems to be when reflux gets worse; when this happens, between meal times, I have something small and bland like rye crispbreads a or oatcakes which takes away the reflux taste and don't drink too much water at that point or it makes the reflux splash up!

3) don't drink fizzy drinks, coffee or fruit juices at all and alcohol seldom (ie just at holiday). Though sparkling water seems ok

4) don't drink tea too much, or the reflux gets yucky. But then I like my tea, so it's a balancing job <_<

5) avoid fatty and greasy and oily foods

6) avoid chocolate and really sweet things, particularly when eaten in isolation (but I can manage some biscuits and fruit cake now and then, oh joy!) or the sickly sweet reflux hangs around too long

7) wear skirts and trousers a size too big so there is no pressure on my stomach

8) try to avoid foods that seem to float in my stomach undigested for hours, eg mushroom, pepper, strawberries, apples, carrots etc. However, I do like these things so I don't cut them out, just eat them occasionally and bear in mind I will probably get to eat them twice when they revisit me hours later...even if my cooking was ok, I don't want to eat it more than once!

9) put some blocks under the head of my bed to elevate it

10) don't eat desserts often as I just seem to get sickly sweet reflux and if I am full from the meal anyway, the dessert will just keep coming back to my mouth. Having said that, who doesn't like desserts?! So I do eat them now and then...

11) Don't have cereal with milk for breakfast unless it's only a little bit of milk totally absorbed by the cereal (ie wheat biscuits- I am sure you know the brand I mean) I don't know why, but if I have, for example, muesli or any other type of cereal with milk, the milk just seems to slosh up and I get a yucky reflux taste from it for some reason. But I can eat yogurt for breakfast with no problem, so it is not a dairy thing, just a milk thing. I would be interested to hear if anyone else has a milk and reflux problem!

12) If I do have something bad, like spicy or fatty, I try and just have a tiny bit and "dampen" it with bland stuff at the same time, such as veg

13) clean my teeth when I get reflux, as the mint taste takes away the taste of the reflux for a while

Those are things I try and stick to, but if I am round a friend's house and they offer me a cup of tea and biscuit, I will just have it and enjoy it and not say no thanks because otherwise I will get reflux, as I think life is for enjoying, too, and part of the social event of going to see a friend is drinking their tea <_< and eating their nice biscuits :rolleyes: so it will be worth it!

Honestly, though, when I started getting regurgitation of food I had eaten many hours early, I used to get really upset as it seemed so yucky and abnormal. To be honest, I still get upset when it happens as it seems so unsociable and makes me feel dirty in some way, like it's due to poor personal hygiene, like when you haven't cleaned your teeth when you are supposed to or something similar. I know it is not my fault, but I still feel "dirty" whenever it happens.

I rarely get actually heart burn pain in my chest. I just get a horrible tasting reflux in my throat and mouth and it can feel burny in my throat sometimes, though I do take a PPI every day, so it can't be a real burn, I don't think. I think that some people can have a more sensitive oesohopagus than other people, so maybe I am just a whoos!

I'd love to hear more tips from anyone else, too. Hope these are helpful.
Susie

#13 Amanda Thorpe

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Posted 17 August 2009 - 07:39 AM

Hello Susie

Thanks for the tips, I will try to implement them. As far as feeling "dirty" goes I think you're wonderful and look forward to seeing you again in September.

Take care.
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#14 Yolzy

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Posted 18 September 2012 - 11:51 PM

Hello Amanda

Here's my personal tried and tested tips controlling both reflux and regurgitation of food (horrible, horrible, horrible):

1) I don't drink around meal times (for an hour or two before and a few hours after, or if I do drink near a meal, it is only a small volume. But if I haven't eaten very much food, I can drink ok, so I guess it's a question of limiting what goes in at once)

2) Don't let myself get too hungry as that seems to be when reflux gets worse; when this happens, between meal times, I have something small and bland like rye crispbreads a or oatcakes which takes away the reflux taste and don't drink too much water at that point or it makes the reflux splash up!

3) don't drink fizzy drinks, coffee or fruit juices at all and alcohol seldom (ie just at holiday). Though sparkling water seems ok

4) don't drink tea too much, or the reflux gets yucky. But then I like my tea, so it's a balancing job Posted Image

5) avoid fatty and greasy and oily foods

6) avoid chocolate and really sweet things, particularly when eaten in isolation (but I can manage some biscuits and fruit cake now and then, oh joy!) or the sickly sweet reflux hangs around too long

7) wear skirts and trousers a size too big so there is no pressure on my stomach

8) try to avoid foods that seem to float in my stomach undigested for hours, eg mushroom, pepper, strawberries, apples, carrots etc. However, I do like these things so I don't cut them out, just eat them occasionally and bear in mind I will probably get to eat them twice when they revisit me hours later...even if my cooking was ok, I don't want to eat it more than once!

9) put some blocks under the head of my bed to elevate it

10) don't eat desserts often as I just seem to get sickly sweet reflux and if I am full from the meal anyway, the dessert will just keep coming back to my mouth. Having said that, who doesn't like desserts?! So I do eat them now and then...

11) Don't have cereal with milk for breakfast unless it's only a little bit of milk totally absorbed by the cereal (ie wheat biscuits- I am sure you know the brand I mean) I don't know why, but if I have, for example, muesli or any other type of cereal with milk, the milk just seems to slosh up and I get a yucky reflux taste from it for some reason. But I can eat yogurt for breakfast with no problem, so it is not a dairy thing, just a milk thing. I would be interested to hear if anyone else has a milk and reflux problem!

12) If I do have something bad, like spicy or fatty, I try and just have a tiny bit and "dampen" it with bland stuff at the same time, such as veg

13) clean my teeth when I get reflux, as the mint taste takes away the taste of the reflux for a while

Those are things I try and stick to, but if I am round a friend's house and they offer me a cup of tea and biscuit, I will just have it and enjoy it and not say no thanks because otherwise I will get reflux, as I think life is for enjoying, too, and part of the social event of going to see a friend is drinking their tea Posted Image and eating their nice biscuits :rolleyes: so it will be worth it!

Honestly, though, when I started getting regurgitation of food I had eaten many hours early, I used to get really upset as it seemed so yucky and abnormal. To be honest, I still get upset when it happens as it seems so unsociable and makes me feel dirty in some way, like it's due to poor personal hygiene, like when you haven't cleaned your teeth when you are supposed to or something similar. I know it is not my fault, but I still feel "dirty" whenever it happens.

I rarely get actually heart burn pain in my chest. I just get a horrible tasting reflux in my throat and mouth and it can feel burny in my throat sometimes, though I do take a PPI every day, so it can't be a real burn, I don't think. I think that some people can have a more sensitive oesohopagus than other people, so maybe I am just a whoos!

I'd love to hear more tips from anyone else, too. Hope these are helpful.


Hello Amanda

Here's my personal tried and tested tips controlling both reflux and regurgitation of food (horrible, horrible, horrible):

1) I don't drink around meal times (for an hour or two before and a few hours after, or if I do drink near a meal, it is only a small volume. But if I haven't eaten very much food, I can drink ok, so I guess it's a question of limiting what goes in at once)

2) Don't let myself get too hungry as that seems to be when reflux gets worse; when this happens, between meal times, I have something small and bland like rye crispbreads a or oatcakes which takes away the reflux taste and don't drink too much water at that point or it makes the reflux splash up!

3) don't drink fizzy drinks, coffee or fruit juices at all and alcohol seldom (ie just at holiday). Though sparkling water seems ok

4) don't drink tea too much, or the reflux gets yucky. But then I like my tea, so it's a balancing job Posted Image

5) avoid fatty and greasy and oily foods

6) avoid chocolate and really sweet things, particularly when eaten in isolation (but I can manage some biscuits and fruit cake now and then, oh joy!) or the sickly sweet reflux hangs around too long

7) wear skirts and trousers a size too big so there is no pressure on my stomach

8) try to avoid foods that seem to float in my stomach undigested for hours, eg mushroom, pepper, strawberries, apples, carrots etc. However, I do like these things so I don't cut them out, just eat them occasionally and bear in mind I will probably get to eat them twice when they revisit me hours later...even if my cooking was ok, I don't want to eat it more than once!

9) put some blocks under the head of my bed to elevate it

10) don't eat desserts often as I just seem to get sickly sweet reflux and if I am full from the meal anyway, the dessert will just keep coming back to my mouth. Having said that, who doesn't like desserts?! So I do eat them now and then...

11) Don't have cereal with milk for breakfast unless it's only a little bit of milk totally absorbed by the cereal (ie wheat biscuits- I am sure you know the brand I mean) I don't know why, but if I have, for example, muesli or any other type of cereal with milk, the milk just seems to slosh up and I get a yucky reflux taste from it for some reason. But I can eat yogurt for breakfast with no problem, so it is not a dairy thing, just a milk thing. I would be interested to hear if anyone else has a milk and reflux problem!

12) If I do have something bad, like spicy or fatty, I try and just have a tiny bit and "dampen" it with bland stuff at the same time, such as veg

13) clean my teeth when I get reflux, as the mint taste takes away the taste of the reflux for a while

Those are things I try and stick to, but if I am round a friend's house and they offer me a cup of tea and biscuit, I will just have it and enjoy it and not say no thanks because otherwise I will get reflux, as I think life is for enjoying, too, and part of the social event of going to see a friend is drinking their tea Posted Image and eating their nice biscuits :rolleyes: so it will be worth it!

Honestly, though, when I started getting regurgitation of food I had eaten many hours early, I used to get really upset as it seemed so yucky and abnormal. To be honest, I still get upset when it happens as it seems so unsociable and makes me feel dirty in some way, like it's due to poor personal hygiene, like when you haven't cleaned your teeth when you are supposed to or something similar. I know it is not my fault, but I still feel "dirty" whenever it happens.

I rarely get actually heart burn pain in my chest. I just get a horrible tasting reflux in my throat and mouth and it can feel burny in my throat sometimes, though I do take a PPI every day, so it can't be a real burn, I don't think. I think that some people can have a more sensitive oesohopagus than other people, so maybe I am just a whoos!

I'd love to hear more tips from anyone else, too. Hope these are helpful.

Well hello there! You sound exactly like me; milk with cereal kills me....I only get reflux in throat and mouth, not food, more of acid. Coffee or tea acid with a biscuit? Worse!..I am on these drugs called Motilium, prevents vomiting, because my Specialist thinks it's "mechanical", to me that my stomach spasms? I just said to him "just give me something, as the PPI's don't work". I am even thinking of having the operations that fixes reflux; it's when the lower esophagus sphincter becomes weak. Look it up. :)...I am now trying a Gluten free diet to see if it works. I just don't know why sweets bring up the acid!? Should test glucose intolerance or maybe acid gets worse because it can't break down sugar? I don't know. I have almost given up.

#15 Joelf

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Posted 20 September 2012 - 11:39 AM

Hi Yolzy,

Welcome to these forums!

I'm sorry to hear that you suffer with acid reflux; you don't say whether this is related to Scleroderma, but it's jolly unpleasant nevertheless!!

I assume that you're referring to the Nisson Fundoplication surgery which some of our members have had with, I believe, a fair amount of success. I've also included links to our medical pages on Reflux and Heartburn and Gluten Free Diet which I hope you'll find interesting and informative.

Do please keep posting and let us know how you are faring.


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#16 Amanda Thorpe

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Posted 20 September 2012 - 12:38 PM

Hello Yolzy

Welcome to the forums but I am sorry you're having reflux/dietary issues. I just hate that mouth full of acid, when it sits at the back of the throat (tastes like soap!) and food that just won't make its way down the esophagus in an orderly and timely fashion. Let me tell you, however good the food it isn't enjoyable the second time round!

Let us know how you get on with the gluten free diet and keep posting.

Take care.
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