New Study Suggests Link Between Nocturnal GERD and Sinusitis

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Steven L. - 31 Oct 2006 05:22 GMT

A new study suggests that 70% of patients with GERD also suffer from one
or more "supraesophageal" symptoms, including globus sensation,
sinusitis, coughing, sore throat, throat clearing, and night-time
snoring, as well as wheezing, choking, noncardiac chest pain, and
hoarseness. The findings were presented at the 71st annual meeting of
the American College of Gastroenterology (ACS).

Due to copyright restrictions, I cannot reproduce the article here. To
read it, go to

http://www.docguide.com/news/content.nsf/news/852571020057CCF6852572170070FFC5

or

http://tinyurl.com/yyuv5c

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Shirley ann - 31 Oct 2006 12:25 GMT

Yep, I have Gerds and sinus problems in the winter time.
I use Prilosec for the reflux amd Aleve to get my sinus's to start to
drain, with saline rinses 2x a day.
It usually takes a week of the above to feel better, providing I do not
have an upper respiration infection.

shirleyann

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preesi - 05 Nov 2006 13:51 GMT

> Yep, I have Gerds and sinus problems in the winter time.
> I use Prilosec for the reflux amd Aleve to get my sinus's to start to
[quoted text clipped - 3 lines]
>
> shirleyann

Why in the WINTER, Shirley?
I had my Gallbladder out 3-4 weeks ago and although the
CAT/Ultrasound/Xrays did not indicate GERD at all, I wake up everyday
with some sort of sinus issues since the surgery. Thick PND and
sneezing. Im also nauseous alot

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MS - 26 Nov 2006 04:36 GMT

That's not really new. There have been a lot of studies linking GERD to
respiratory ailments, including chronic sinusitis, and it has been discussed
here before.

I've currently been on a Nexium 2x per day regimen for about three months
now (I was taking it once per day before that), and have not seen any
respiratory improvement from it. Three months is supposed to be the minimum
time period after commencement of treatment before symptomatic improvement,
so I'll give it more time, but am not hopeful about it.

For the same length of time I have been taking Biaxin 500mg 2x per day (not
for GERD, but relating to the theory of macrolides as anti-inflammatory),
and haven't seen any improvement from that either. I think that's supposed
to also take months before experiencing an improvement of symptoms though,
so I'll give that therapy more time as well. Also not hopeful about it
though.

>A new study suggests that 70% of patients with GERD also suffer from one or
>more "supraesophageal" symptoms, including globus sensation, sinusitis,
[quoted text clipped - 11 lines]
>
> http://tinyurl.com/yyuv5c

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Shirley ann - 26 Nov 2006 13:00 GMT

I had a sinus infection that took me months to clear up.
My MD prescribed 3 different medicines before it finally cleared up. The
last one was Cipro. My MD said not to take my allergy Med while I was on
Cipro.

I had taken all the Meds that you mentioned in your post.

shirleyann

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kathywb2001@yahoo.com - 27 Nov 2006 05:59 GMT

> That's not really new. There have been a lot of studies linking GERD to
> respiratory ailments, including chronic sinusitis, and it has been discussed
[quoted text clipped - 12 lines]
> so I'll give that therapy more time as well. Also not hopeful about it
> though.

After seeing numerous GI doctors because ENTs kept suggesting that
reflux was causing my sinus problems and having 2 pH probes that did
not show significant reflux (however was on nexium on one of them), and
even being on 4 nexiums at a time at one point without any relief from
the "reflux" or sinus problems, I'm almost 100% sure that it is the
other way around, at least in my case. Most of my digestive problems
have been from whatever was/is in the sinus drainage (and there have
been a lot of things cultured out); whether it be toxins from bacteria
and/or fungus; anti-inflammatory substances made from them, or
something else.

I've been keeping track of this for a long time. Whenever I have a lot
of drainage the digestive problems are worse; when I don't drain, the
digestive problems are much less or even absent, but the sinus symptoms
are much worse.

My opinion is still "out" as far as the macrolides and anti
inflammatory effects, but am going to be talking to my allergist on
Friday about this who has suggested it before (I don't have typical
allergies, BTW, but an abnormal immune response to mold); however, I
do slowly seem to be improving after long term use of doxycycline, but
only after have surgery to open up blocked sphenoids. I think I've
read it has anti inflammatory action also. So I don't know if it is
killing bacteria or helping with the inflammation. I think it also has
more coverage than the macrolides. I have had the most success with a
combination of it and sporanox. Diflucan doesn't do much good unless
you have Candida. A lot of molds are not susceptible to it.
At least this has been my experience for the moment. Things could
change at any time.

kathyw

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Murray Grossan - 27 Nov 2006 17:20 GMT

On 11/26/06 9:59 PM, in article
1164607173.928388.38360@n67g2000cwd.googlegroups.com,

>> That's not really new. There have been a lot of studies linking GERD to
>> respiratory ailments, including chronic sinusitis, and it has been discussed
[quoted text clipped - 44 lines]
>
> kathyw

Actually it turns out that GERD is best treated by diet and life styly
changes and elevating the head of the bed. WE see patients all the time who
have "failed" nexium. They continue to eat fatty foods, eat before bedtime,
sleep fat, take caffeine, chocolate and mints. Unually when they switch to
lifestyle they can throw away the Nexium.
Murray Grossan, M.D.
http://hydromedonline.com/HydroPulseWEB_Sm.mov

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Shirley ann - 28 Nov 2006 11:58 GMT

That is right what Dr. Grossan advices.
I have Gerds and I elevate my head at night, small meals, not going to
bed right after meals, low acid foods.
I drink a lot of plain water too.

I rarely have to take Prilosec as the above controls the reflux and acid
backwashing into my throat.

shirleyann

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