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mucus/severe vomiting/lump in throat/gagging

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for the past 2 years now i have been sick. i have a lot of excess mucus, constantly dripping down the back of my throat."post nasal drip" it is sometimes very thick, and then sometimes it is very thin and runny. seems to get really thin and i produce more when i get active, run play any sports. at times all of this mucus makes me very nauseous. mostly in the morning when i wake up. hot showers make the pnd worse and also drinking a lot of water.

i am also experiencing a lump in the back of my throat. i always try to caugh it up, but normally get nothing out. this lump triggers my gag reflex and it makes me vomit a lot to the point to where i am even dry heaving. when i vomit it is very violently, i just had to get back surgery done last month due to throwing up to violently i herniated one of my discs. this has to due with the lump in the back of my throat triggering my gag reflex. the best way i can explain it is like sticking your fingure in the back of your throat and leaving it there.

a little back round information.

i have acid reflux which i take nexium for and priolosec. i am lactose intolerant which i take lactaid for. the gastro i went to said i have a hiatal hernia. the ent's ive been to say i have a slightly deviated septum and a very small cists. i have lupus erythematosus tumidus. it is a skin form of lupus. it is not systemic though. i am currently being treated with plaquinal for that.

i have tried all sorts of medicines and get no relief. i have also been to multiple ent's, allergists, gastro's, immunologists, and i get no answers they tell me there is nothing more they can do for me and push me off to another doctor and it's like a viscous circle that never ends. i do have an appointment in april with another gastro that specializes in the esophagus. so hopefully i get some answers i need them i am desperate this is ruining my life. and has been messing me up mentally as well as getting depressed. i can't do much so i am always home. iv'e gotten used to it though. i feel trapped and desperate for answers.

i have more to say which i posted in another post it was a lot longer than this so i hope more people will read this one. if anyone if experiencing any of these symptoms at all please comment and maybe we can figure this thing out together i will be checking the blog daily multiple times a day. someone please help. im soo desperate. and i also want to see if i can get any answers or suggestions for when i go to this new gastro. thanks and please post.
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First Helper User Profile robichris

replied April 10th, 2011
Extremely eHealthy
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replied February 13th, 2012
Same Issues
I have all of the same issues. I have no clue what the problem is. My issues have been going on for 3 years. I have basically just learned to put up with it.
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replied May 1st, 2012
Im going on 2 yrs now of basically the same thing.I just had back surgery and 2 weeks after i became very ill.I have lost 15lbs in te last 3 weeks.I go to U of M this week,just pray they can finally figure out what is wrong.And ur right,mentally it takes a huge toll on a person..I feel like my life revolves around my stomach issues..I just would love to g a day with out nausea,heartburn and would love to go out to dinner with my husband and kids..Did u ever get any answers or help?
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User Profile
replied May 2nd, 2012
Experienced User

I do hope you have now seen an upper GI specialist who has managed to sort you out.

The symptoms you describe are quite common for GERD plus LPR. Refluxate can enter your nasal cavity causing the post nasal drip you describe.
And the lump in your throat causing you to gag, known as "Globus Hystericus" is also a common symptom.

I don't know why you are on two different PPIs at the same time: Nexium (esomeprazole) and Prilosec (omeprazole). Research has shown them to be as effective as each other. (Obviously the drug manufacturer wishes to push the former as it is newer, more expensive and, not being out of copyright yet, there's no generic equivalent.
I would have thought one of them would be sufficient if in high enough dose. 20mg omeprazole is the standard maintenance dose though 40mg may be prescribed for a while if required. (I was actually on 80mg before my fundoplication operation).

Unfortunately PPIs alone are not the answer. Whereas they reduce stomach acid production, they do not control reflux (of bile, chime (partially digested food), stomach enzymes etc.).
You will need to follwo all the standard lifestyle advice to reduce your reflux: lose weight, wear loose clothing, avoid exercise that squeezes the stomach after eating etc.

I know exactly what you're going through: I've been there myself. I was sent to so many ENT specialists but all the time the problem was reflux.
In my case the answer was fundoplication anti reflux surgery.

Edit: I've just noticed your post was originally 2011. I thought it was this year.

I'll leave the reply though as I hope it may be useful for others.
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