Acid Reflux? 
Author Message
 Acid Reflux?

Hello, I was wondering if I could get some advice concerning my
problem.  I saw a doctor recently about a what I would say is a
deterioration of tissue in my mouth.  All soft tissue, as well as enamel
on my teeth have been eroding away for about the past 10 years (or
more--as best as I can remember)(I'm 28).  Very slowly this is eating
away at everything in my mouth.  My dentist first noticed it (after
finding my teeth, especially the back of the front two, were being
'eaten' away by something) and referred me to a doctor to check for acid
reflux.  He said it is possible that acid could be coming all the way
back into my mouth at night, causing the erosion.  After an Upper GI was
done, there was no evidence to indicate reflux of any kind.  Although
the test came out negative, the doctor still said it could be happening
at night, when muscles relax.  Therefore, I have followed his advice and
have taken certain steps.  I.E., raising my bed, not eating at least 3
hours before bed, etc.  But there's no doubt in my mind that the
deterioration is still underway.  I'm just 28 now and fear that in
another ten years, there won't be much left of my teeth or gums.  Has
anyone dealt with this before?  Does anyone have any advice they could
pass?  With the reflux test negative, I'm not really sure what my next
step should be.  I'd like to have a ballpark feel for what I'm dealing
with here before I leave the military doctors (I'm in the Air Force) to
see an outside specialist--to my great expense.  Thank you for your
time!

Gary

P.S.  The first doctor I saw said that with what he saw, he would bet
(although I assured him otherwise) that I deliberately caused myself to
throw-up; causing acids to be forced into my mouth.  That's what it
appeared like to him.  Thought that might help.

Thanks again.



Sun, 21 May 2000 03:00:00 GMT
 Acid Reflux?

Quote:

> Hello, I was wondering if I could get some advice concerning my
> problem.  I saw a doctor recently about a what I would say is a
> deterioration of tissue in my mouth.  All soft tissue, as well as
> enamel
> on my teeth have been eroding away for about the past 10 years (or
> more--as best as I can remember)(I'm 28).  Very slowly this is eating
> away at everything in my mouth.  <GERD w/u snipped>  Has
> anyone dealt with this before?  Does anyone have any advice they could

> pass?

Have you seen a peridontist?  This could be simply bad gum disease.

--
For answers to similar sci.med/cardiology FAQs, see my webpages.
---
Andrew Chung
Homepage (with answers to sci.med FAQs) at:
http://userwww.service.emory.edu/~achung
Mirrored at:
http://www.emory.edu/WHSC/MED/HTN/~achung/



Sun, 21 May 2000 03:00:00 GMT
 Acid Reflux?

I am not a Doc, but I am a research coordinator with a GI specialist.  I don't
know what your doc did, but mine uses a procedure called an EGD
(esophagealgastroduodenoscopy) to diagnose reflux.  You may have a hiatal
hernia which could be allowing the acid into your esophagus.  In any case, over
the counter I would try Zantac or Pepcid.  Double the recommended dose is the
prescription level.  If you don't want to do this, ask your doc to prescribe
Prilosec or Prevacid.  Although I doubt he/she will as these run about $100 a
month and Uncle Sam is trying to cut cost.  As another choice other companies
are developing similar medications and will usually provide them free in drug
studies.  Ask a civilian GI doc if he/she does clinical research. The doc I
work for freqently recommends this course of action for people without
insurance or insurance that will only allow 30 day prescriptions.  I know you
are not likely to get a second opinion in your hospital, it might be worth
getting some TDY orders so another doc can take a look at you.  A word of
caution though, this is not likely to be "cured", but it may be "controlled".



Mon, 22 May 2000 03:00:00 GMT
 Acid Reflux?

if i were you, i wouldn't worry so much about my teeth as my esophogeus!
dude.............run, do not walk to a gastroenterologist, get a goddam peek
inside.  my husband had acid reflux, hiatial hernia etc. all those problems
associated with gid.  his esophogeus perforated!  he was on life support for
a week, and spent a month in the hospital!!!!!  get your ass to a doctor
that will treat you now!
good luck .......................sharon

Quote:

> Hello, I was wondering if I could get some advice concerning my
> problem.  I saw a doctor recently about a what I would say is a
> deterioration of tissue in my mouth.  All soft tissue, as well as enamel
> on my teeth have been eroding away for about the past 10 years (or
> more--as best as I can remember)(I'm 28).  Very slowly this is eating
> away at everything in my mouth.  My dentist first noticed it (after
> finding my teeth, especially the back of the front two, were being
> 'eaten' away by something) and referred me to a doctor to check for acid
> reflux.  He said it is possible that acid could be coming all the way
> back into my mouth at night, causing the erosion.  After an Upper GI was
> done, there was no evidence to indicate reflux of any kind.  Although
> the test came out negative, the doctor still said it could be happening
> at night, when muscles relax.  Therefore, I have followed his advice and
> have taken certain steps.  I.E., raising my bed, not eating at least 3
> hours before bed, etc.  But there's no doubt in my mind that the
> deterioration is still underway.  I'm just 28 now and fear that in
> another ten years, there won't be much left of my teeth or gums.  Has
> anyone dealt with this before?  Does anyone have any advice they could
> pass?  With the reflux test negative, I'm not really sure what my next
> step should be.  I'd like to have a ballpark feel for what I'm dealing
> with here before I leave the military doctors (I'm in the Air Force) to
> see an outside specialist--to my great expense.  Thank you for your
> time!

> Gary

> P.S.  The first doctor I saw said that with what he saw, he would bet
> (although I assured him otherwise) that I deliberately caused myself to
> throw-up; causing acids to be forced into my mouth.  That's what it
> appeared like to him.  Thought that might help.

> Thanks again.



Mon, 22 May 2000 03:00:00 GMT
 Acid Reflux?

Quote:

> Hello, I was wondering if I could get some advice concerning my
> problem.  I saw a doctor recently about a what I would say is a
> deterioration of tissue in my mouth.  All soft tissue, as well as enamel
> on my teeth have been eroding away for about the past 10 years (or
> more--as best as I can remember)(I'm 28).  Very slowly this is eating
> away at everything in my mouth.  My dentist first noticed it (after
> finding my teeth, especially the back of the front two, were being
> 'eaten' away by something) and referred me to a doctor to check for acid
> reflux.  He said it is possible that acid could be coming all the way
> back into my mouth at night, causing the erosion.  After an Upper GI was
> done, there was no evidence to indicate reflux of any kind.  Although
> the test came out negative, the doctor still said it could be happening
> at night, when muscles relax.  Therefore, I have followed his advice and
> have taken certain steps.  I.E., raising my bed, not eating at least 3
> hours before bed, etc.  But there's no doubt in my mind that the
> deterioration is still underway.  I'm just 28 now and fear that in
> another ten years, there won't be much left of my teeth or gums.  Has
> anyone dealt with this before?  Does anyone have any advice they could
> pass?  With the reflux test negative, I'm not really sure what my next
> step should be.  I'd like to have a ballpark feel for what I'm dealing
> with here before I leave the military doctors (I'm in the Air Force) to
> see an outside specialist--to my great expense.  Thank you for your
> time!

> Gary

> P.S.  The first doctor I saw said that with what he saw, he would bet
> (although I assured him otherwise) that I deliberately caused myself to
> throw-up; causing acids to be forced into my mouth.  That's what it
> appeared like to him.  Thought that might help.

> Thanks again.

I'm confused, do you have bad heartburn at night?  If you don't feel
this, then unless you are somehow immune to the heartburn sensation
until it reaches your mouth, I can't see how this is it.  First bet:  GO
TO ANOTHER DOCTOR...


Mon, 22 May 2000 03:00:00 GMT
 Acid Reflux?


Quote:
>Hello, I was wondering if I could get some advice concerning my
>problem.  I saw a doctor recently about a what I would say is a
>deterioration of tissue in my mouth.  All soft tissue, as well as enamel

As a person who has suffered from acid reflux for over 25 years, there
is no doubt that you would know if you had acid reflux. Period. When
acid hits your esophagus you know it immediately.

It sounds like you have something different. Keep checking with a
different doctor or dentist.

Good luck.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Marietta, GA

~~~~~~~~~~~~~~~ THIS TOO, SHALL PASS ~~~~~~~~~~~~~~~



Mon, 22 May 2000 03:00:00 GMT
 Acid Reflux?

Quote:
Mr. Poston wrote...
>As a person who has suffered from acid reflux for over 25 years, there
>is no doubt that you would know if you had acid reflux. Period. When
>acid hits your esophagus you know it immediately.

While I know the condition is painful for some, I have had many patietnts in
GERD studies that didn't feel a sensation of pain with their esophagitis.
Again, I am no doc, but I have witnessed this dozens of times.  I still
recommend getting TDY orders and having another doc 'scope you.  Just go to
sick call complaining of severe hearburn with everything you eat, even water.
Such is the state of military medicine.


Tue, 23 May 2000 03:00:00 GMT
 Acid Reflux?

Quote:

> Mr. Poston wrote...
> >As a person who has suffered from acid reflux for over 25 years, there
> >is no doubt that you would know if you had acid reflux. Period. When
> >acid hits your esophagus you know it immediately.

> While I know the condition is painful for some, I have had many patietnts in
> GERD studies that didn't feel a sensation of pain with their esophagitis.
> Again, I am no doc, but I have witnessed this dozens of times.  I still
> recommend getting TDY orders and having another doc 'scope you.  Just go to
> sick call complaining of severe hearburn with everything you eat, even water.
> Such is the state of military medicine.

I agree. This is a purely anecdotal comment, but, until I almost bled to
death from ulcers, I didn't realize I also had acid reflux. While in the
hospital recovering, the doc (GE) kept questioning me. It was then that
I found out that funny taste in my mouth at night most of the time, was
acid reflux. At the time, I kept commenting about not having any pain
with the big ulcer bleed.

I obviously didn't have any pain with the acid reflux either. Even now,
a year and a half later, I have to be real careful to watch for signs of
reflux, because I don't feel anything except some upper abdominal
pressure, and if I allow it to increase too much, then the funny taste
in my mouth & a little burning in my throat. I can't take prilosec any
more, due to my bad luck of developing one of the rare side effects.
Prilosec took care of it real well, before I had to stop it. Now, I just
watch what & how much & when I eat. (Low fat/low dairy, small portions &
total, at least 4 hours before lying down.)

PS I like Mexican food, including the salsa. It doesn't bother me. As
long as I avoid the more greasy kind of stuff, I don't get reflux. This
may not be true for everyone, but spicy cooking.net">food does not cause me to make
excess acid. Greasy cooking.net">food certainly does, along with sweets, and too much
carbohydrates, like bread & spaghetti. Whole milk & regular ice cream do
as well. But skim milk and low fat, low sugar yogurt are okay.

The scariest thing, to me, about GERD was when the doc explained that
exposure of the esophagus to stomach acid too frequently, over too long
a time, is associated with a marked increase in cancer of the esophagus.
The cells there don't like to be damaged too much and too long.

Good luck,
Chuck



Tue, 23 May 2000 03:00:00 GMT
 Acid Reflux?

Quote:


> > Mr. Poston wrote...
> > >As a person who has suffered from acid reflux for over 25 years, there
> > >is no doubt that you would know if you had acid reflux. Period. When
> > >acid hits your esophagus you know it immediately.

> > While I know the condition is painful for some, I have had many patietnts in
> > GERD studies that didn't feel a sensation of pain with their esophagitis.
> > Again, I am no doc, but I have witnessed this dozens of times.  I still
> > recommend getting TDY orders and having another doc 'scope you.  Just go to
> > sick call complaining of severe hearburn with everything you eat, even water.
> > Such is the state of military medicine.

> I agree. This is a purely anecdotal comment, but, until I almost bled to
> death from ulcers, I didn't realize I also had acid reflux. While in the
> hospital recovering, the doc (GE) kept questioning me. It was then that
> I found out that funny taste in my mouth at night most of the time, was
> acid reflux. At the time, I kept commenting about not having any pain
> with the big ulcer bleed.

> I obviously didn't have any pain with the acid reflux either. Even now,
> a year and a half later, I have to be real careful to watch for signs of
> reflux, because I don't feel anything except some upper abdominal
> pressure, and if I allow it to increase too much, then the funny taste
> in my mouth & a little burning in my throat. I can't take prilosec any
> more, due to my bad luck of developing one of the rare side effects.
> Prilosec took care of it real well, before I had to stop it. Now, I just
> watch what & how much & when I eat. (Low fat/low dairy, small portions &
> total, at least 4 hours before lying down.)

> PS I like Mexican food, including the salsa. It doesn't bother me. As
> long as I avoid the more greasy kind of stuff, I don't get reflux. This
> may not be true for everyone, but spicy cooking.net">food does not cause me to make
> excess acid. Greasy cooking.net">food certainly does, along with sweets, and too much
> carbohydrates, like bread & spaghetti. Whole milk & regular ice cream do
> as well. But skim milk and low fat, low sugar yogurt are okay.

> The scariest thing, to me, about GERD was when the doc explained that
> exposure of the esophagus to stomach acid too frequently, over too long
> a time, is associated with a marked increase in cancer of the esophagus.
> The cells there don't like to be damaged too much and too long.

> Good luck,
> Chuck

Were you tested for HP?  Didn't you notice that {*filter*} from the ulcer in
your stool (dark)?


Tue, 23 May 2000 03:00:00 GMT
 Acid Reflux?

Quote:



> > > Mr. Poston wrote...
> > > >As a person who has suffered from acid reflux for over 25 years, there
> > > >is no doubt that you would know if you had acid reflux. Period. When
> > > >acid hits your esophagus you know it immediately.

> > > While I know the condition is painful for some, I have had many patietnts in
> > > GERD studies that didn't feel a sensation of pain with their esophagitis.
> > > Again, I am no doc, but I have witnessed this dozens of times.  I still
> > > recommend getting TDY orders and having another doc 'scope you.  Just go to
> > > sick call complaining of severe hearburn with everything you eat, even water.
> > > Such is the state of military medicine.

> > I agree. This is a purely anecdotal comment, but, until I almost bled to
> > death from ulcers, I didn't realize I also had acid reflux. While in the
> > hospital recovering, the doc (GE) kept questioning me. It was then that
> > I found out that funny taste in my mouth at night most of the time, was
> > acid reflux. At the time, I kept commenting about not having any pain
> > with the big ulcer bleed.

> > I obviously didn't have any pain with the acid reflux either. Even now,
> > a year and a half later, I have to be real careful to watch for signs of
> > reflux, because I don't feel anything except some upper abdominal
> > pressure, and if I allow it to increase too much, then the funny taste
> > in my mouth & a little burning in my throat. I can't take prilosec any
> > more, due to my bad luck of developing one of the rare side effects.
> > Prilosec took care of it real well, before I had to stop it. Now, I just
> > watch what & how much & when I eat. (Low fat/low dairy, small portions &
> > total, at least 4 hours before lying down.)

> > PS I like Mexican food, including the salsa. It doesn't bother me. As
> > long as I avoid the more greasy kind of stuff, I don't get reflux. This
> > may not be true for everyone, but spicy cooking.net">food does not cause me to make
> > excess acid. Greasy cooking.net">food certainly does, along with sweets, and too much
> > carbohydrates, like bread & spaghetti. Whole milk & regular ice cream do
> > as well. But skim milk and low fat, low sugar yogurt are okay.

> > The scariest thing, to me, about GERD was when the doc explained that
> > exposure of the esophagus to stomach acid too frequently, over too long
> > a time, is associated with a marked increase in cancer of the esophagus.
> > The cells there don't like to be damaged too much and too long.

> > Good luck,
> > Chuck

> Were you tested for HP?  Didn't you notice that {*filter*} from the ulcer in
> your stool (dark)?

If there was any stool change, I didn't notice. The doc said I lost most
of the {*filter*} over probably a 30 minute period, having sprung a pretty
big leak in an artery. They estimated I lost about 4 1/2 pints. I had a
full {*filter*} test the week before, due to medication for high cholesterol,
& my hemoglobin was actually high then. That test allowed them to better
guage what had happened to me when I hemmoraged. So, if I was leaking
any {*filter*} before that event, it was probably a pretty small amount.
During the procedure to stop the bleeding they did a biopsy for HP which
turned out positive. So I received the full treatment for that, and it
hasn't returned.

Chuck



Tue, 23 May 2000 03:00:00 GMT
 Acid Reflux?

Chuck stated:

Quote:
>During the procedure to stop the bleeding they did a biopsy for HP which
>turned out positive. So I received the full treatment for that, and it
>hasn't returned.

Chuck make sure your wife or significant other is tested also as it is common
for these folks to also have the bacteria, although I don't know specifically
how it is transmitted.  It only takes a drop of {*filter*} and 15 minutes to do a
Flexsure.

Tazz



Wed, 24 May 2000 03:00:00 GMT
 Acid Reflux?

Quote:



  He said it is possible that acid could be coming all the way

Quote:
> > back into my mouth at night, causing the erosion.  After an Upper GI was
> > done, there was no evidence to indicate reflux of any kind.  Although
> > the test came out negative, the doctor still said it could be happening
> > at night, when muscles relax.
> > Gary
> I'm confused, do you have bad heartburn at night?  If you don't feel
> this, then unless you are somehow immune to the heartburn sensation
> until it reaches your mouth, I can't see how this is it.  First bet:  GO
> TO ANOTHER DOCTOR...

You do not have to have heartburn to have acid reflux.  Acid brought up
and back down into the lungs is a major cause of asthma.

To the original poster, did they diagnose all of this with an upper GI?
That is not good enough. To *really* evaluate reflux, you need to have
what is called a 24 hour PH monitor inserted into your esophagus. This
little device is hooked up to a computer which records the pH
environment
(acid level) constantly for a day. That will REALLY tell you if stuff
is coming up.

--
Doug Bank                  Editor

847-576-8207               http://www.acor.org/TCRC



Sat, 03 Jun 2000 03:00:00 GMT
 
 [ 12 post ] 

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