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Gastroenterology  (Expert Forum)
 | 
Are my stomach/mouth/fatigue symptoms related?
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.

Are my stomach/mouth/fatigue symptoms related?

by JG__0, Jul 03, 1998 12:00AM

  I'm a 43 yr. old non-smoking (non-insured) male.
  About three months ago, I was put on Prilosec by a GP for heartburn and reflux-like symptoms.  I've never been tested for Reflux, but have had the symptoms from time to time.
  About a month ago, I experienced severe stomach discomfort (not pain) accompanied by diarreah.  At the time I was under a great deal of stress, and these symptoms were similar to others I had during stressful times.
  I had also developed a sore throat.  
  The same GP gave me a six-day antibiotic sample pack, which did not clear up my problem.
  
  About a week later, I noticed my tongue was coated, so I visited another GP who added propulcid to the prilosec, and told me the sore throat was a by-product of the reflux (although she said it could be post nasal drip), and not to worry about the tongue, as she saw no evidence of infection or fungus.
  The diarreah worsened (that is to say became more and more liquid) so I visited a GI specialist who  prescribed alprazolam for stress and prochlorperazine for nausea (I felt nauseous, but have never vomited during this time).  He also discounted my concerns about the coating and sensitivity of my tongue.  I read that H. Pylori can cause several of the symptoms I have, but the GI Dr. didn't seem to think that was the problem.  I have the results of a blood test pending.
  I discontinued the prilosec when I heard it can cause laryngeal discomfort, but my throat and tongue are still in bad shape.
  Any thoughts?  Thanks in advance.  DS
________________
DEar DS,
It is difficult to relate all your symptoms to a singlre process.  The reflux and the sore throat may be related to acid regurgitation into the esophagus and mouth.  I wonder if the nausea and diarrhea are manifestations of stress, as you siggest, or possibly of a viral gastroenteritis.  I would not investigate these symptoms unless they persisted.  I would also be reluctant to treat unless you were incapacitated by the symptoms.  Finally, even if you have evidence of H. pylori infection, I would not treat you.  The current NIH recommendations are to treat those with current or previously documented ulcers.  IIt is controversial whether individuals with nonulcer dyspepsia benefit from H. pylori therapy.
This information is provided for educational purposes only.  Always consult your personal physican for specific medical questions.
HFHSM.D.-rf
*keywords: nausea, H. pylori, esophageal reflux
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