4th July 15:30
For Howard McCollister... (erythema endoscopy stomach heartburn esophagus)
I've never contacted you before, but I've been reading your
this group for several years and I have great respect for what you
say. So I was wondering if you might help to answer a question
A little history.... I am 39 and was diagnosed with GERD in my early
twenties. But the GERD
symptoms I was dealing with in my 20s and early 30s were nothing
compared to what I have been dealing with in the past few years.
have had the most intense, persistent burning in my upper esophagus
throat. I am not overweight (5 feet 9 inches - 147 pounds). I eat
coffee, no alcohol, no chocolate, no caffeine, no citrus, no junk
spicy food, no fried food, no fast food and I don't smoke.
In the past three years, I have rarely had any relief from my
matter what medication I try. Be it strict regiments of PPIs and H2
blockers... Nexium, Prevacid, Prilosec, Aciphex, Protonix, Ranitidine,
Famotidine... I have tried them all and taken each one properly, but
seems my heartburn has gotten so severe, nothing
can extinguish it at this point. Even Gaviscon barely provides me
any temporary relief.
My heartburn has become stubborn beyond anything I could
have ever imagined. Since the burning does get so intense and never
completely goes away, it's extremely difficult for me to fall asleep
stay asleep. I
honestly have not had a real night's rest in three years... and my
seems to only be getting worse.
Much of the burning comes from my throat and the upper part of my
The burning is constant and can be agonizing at times, particularly
when it's in my
throat. So in December 2007, I went to an ENT, who put a scope through
examined my throat. He said that he could see slight irritation, but
more serious than that. That really surprised me because the pain in
throat can get to be so intense and this has been going on for quite
time. I was expecting to hear that I had developed some sort of a
ulcer. The ENT said I should see a
gastroenterologist, since I was having so much burning and
had not had an endoscopy since 2000.
So on February 5th, I had an endoscopy performed at the Raleigh
Center. The only finding was erythema in the lower third of the
nothing more. Again I was surprised because all of my pain comes from
upper part of my esophagus and throat, plus the pain from that area
excruciating to the point that it is debilitating... and this has been
for the past few years. I was just a little shocked that there isn't
physical, observable evidence of the pain that I'm experiencing from
So here's my question...
During my 20s and early 30s, my refluxate was very mild and extremely
tolerable. It hardly ever had any burn to it at all. But ever since I
entered my late 30s, it literally feels as
though I am refluxing Drano or Liquid Plumber... and that causes me to
Is it possible for stomach acid to become stronger and hotter as a
ages? Can the chemical makeup of the acid be much more caustic in a
forties than it ever was in their twenties?
I ask because that is exactly what it feels like has happened to me.
Thank you in advance,
4th July 15:31
For Howard McCollister... (cancer bile)
I am not Howard and am the resident alt.
I'll first make some comments I suspect Howard might
agree with and then I go off into the wild blue yonder.
Yes, it is possible you are making more acid than
before by way of a gastrin releasing cancer. Or,
you maybe getting bile/alkaline reflux instead which is
also quite damaging. The only way to have an idea
is be tested by wearing a unit that measures both
when the pH drops below 4.0 or goes above 7.0.
Even then it might miss some bile reflux.
It 9:00 pm time for the TV.