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Medical Forum / General / General / February 2005spasm of the throat
I had posted this on the asthma site and got 2 replys maybe someone here could be of help. I went to the ENT Dr. yesterday because I was having throat spasms. At the time it feels like I can't breath in or out, I start dry heaving and then vomit. I will cough for a long time, maybe 2-3 days after. I was very surprised when the Dr said this was all a part of my asthma. I thought something was wrong with my throat because sometimes my voice kind of goes off in two directions at the same time. If I am in a crowd and have to raise my voice to talk the same thing happens. He said it is probable someone's perfume or dust in the air. He is a really nice guy told me my pulm. Dr can treat this. It's not that I don't believe him I am just really surprised that all this is my asthma. My main question would be how do you treat throat symtoms? Do inhalers help this? And is my asthma out of control if this is happening 2-3 times a week? I have an appt. with the pulm Dr in a few weeks but would appreciate some feedback so I can hold my own during our conversation. Still surprised, Damian >I had posted this on the asthma site and got 2 replys maybe someone > here could be of help. [quoted text clipped - 19 lines] > would appreciate some feedback so I can hold my own during our > conversation. There's a distinct possibility that your throat problem AND your asthma are due to GERD. Only about 40% of people with acid reflux disease actually have typical "heartburn". The other 60% have a variety of symptoms, including asthma, hoarsness, and "throat problems". I think your ENT doctor is not keeping up with his reading. HMc > >I had posted this on the asthma site and got 2 replys maybe someone > > here could be of help. [quoted text clipped - 30 lines] > > HMc I'll agree with Howard. And I'll add that you may have wry neck to add to your asthma and possible GERD related microaspiration. Wry neck can brought by a bad neck, or a bad reading position such as reading in bed with the neck against the wall. Swallowing results in a spasm which is very painful. What medications are you taking Damian? Zee > I had posted this on the asthma site and got 2 replys maybe someone > here could be of help. [quoted text clipped - 22 lines] > Still surprised, > Damian > What medications are you taking Damian? Zee Thank-you all for your feedback. To Howard my asthma is from an industrial accident about 10 years ago. I am not saying I don't have reflux but I had some GI bleeding and they did an endoscopy wouldn't I have had some indication to the tissues that I had reflux? I take QVAR 80 2 puffs 2x a day. It does not seem to stop the tightness and my PFT's (handheld)are down below 300 on a consistent basis. I use to blow 450-500 so I need something else. Good thing I don't read in bed I have never heard of wey neck but thanks for the information. Thanks again for the feedback I really appreciate it. Damian > > I had posted this on the asthma site and got 2 replys maybe someone > > here could be of help. [quoted text clipped - 25 lines] > > Still surprised, > > Damian > To Howard my asthma is from an industrial accident about 10 years ago. > I am not saying I don't have reflux but I had some GI bleeding and they > did an endoscopy wouldn't I have had some indication to the tissues > that I had reflux? No. Not necessarily. EGD won't diagnose GERD, it will only diagnose the complications of GERD. Disabling and symptomatic GERD can be present in the face of a completely normal EGD. Obviously, if EGD demonstrates the complications of GERD (erosive esophagitis, stricture, Barrett's esophagus) then GERD can be presumed. Otherwise, the only way to diagnose GERD definitively is with ambulatory esophageal pH testing or impedance manometry. HMc > > To Howard my asthma is from an industrial accident about 10 years ago. > > I am not saying I don't have reflux but I had some GI bleeding and they [quoted text clipped - 10 lines] > > HMc Howard would you suggest having the pH testing or impendance testing done for spasm? I have a Drs appt on Thursday he is my pulmonary Dr will I have to lead him by the hand or will he know whats needs to be done. I am not so good at Dr appts. Thanks for you assistence. Damian > Howard would you suggest having the pH testing or impendance testing > done for spasm? I have a Drs appt on Thursday he is my pulmonary Dr > will I have to lead him by the hand or will he know whats needs to be > done. I am not so good at Dr appts. There is often a correlation of GERD with asthma, throat problems, hoarsness. Acid reflux high enough into the esophagus can lead to microaspiration, which in turn can set off a reactive airway (asthma attack). Certainly this is not the only cause of asthma, but it is one cause. Likewise, acid in the posterior pharynx can cause hoarseness (reflux laryngitis) and cause symptoms of fullness or 'lump' in the throat. Based on what little I know about you, I would suggest that ambulatory esophageal pH testing and esophageal manometry would be a reasonable next step. The symptoms you describe and your history of asthma indicate that GERD is a worthwhile avenue to investigate with those two tests. Ask your pulmonologist about the relationship of asthma and GERD, and explain your other symptoms to him. You might have to remind him, or the gastroenterologist he might refer you to, that a negative EGD does not rule out GERD. HMc > > Howard would you suggest having the pH testing or impendance testing > > done for spasm? I have a Drs appt on Thursday he is my pulmonary Dr [quoted text clipped - 18 lines] > > HMc Howard, I saw the Dr yesterday. I told him about the spasm and how I can't raise my voice because it causes coughing. He didn't mention GERD. He said with the moderate asthma that I have (which surprised me, I thought I had very mild)there is an increasing percentage (small that it is) of asthma patients who experience very senitive vocal cords and spasms along with their asthma. He told me to cut back on my QAR 80 and see if there is some improvement. the visit was over and I never asked about GERD and didn't even realize it till last night. I go back again in 6 months so I can ask then. If I continue to have problems I can call him he is good about returing calls. I can talk to my medical Dr he seems pretty with it. Thanks Damian > > > Howard would you suggest having the pH testing or impendance > testing [quoted text clipped - 46 lines] > Thanks > Damian Use "asthma", "GERD", and "microaspiration" as search words on the following website. Enter them together or in combinations. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi I agree a GP worth his salt should understand that GERD results in microaspiration and a worsening of asthma. Have you raised the head of your bed? It is time if you haven't. Also consider a foam mattress instead of an innerspring mattress as these don't work well when tilted. |
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