Re:reflux s/s

[Guest guest]

i have a couple thots 2 contribute. First, the phlegm

lump is a typical sx of gerd, gastroesophageal reflux

disease. Yes,md/dos are using plum pit qi, among other

s/s, to dx gerd! I saw a perfect description of plum

pit qi in a nursing mag a few months ago. Gerd can

lead to colicky babies & it also can mimic asthma b/c

of irritation & aspiration. i would recommend a

physical tx cons to provide strength/mobility

exercises 4 the hypermobility in his hip, then taichi

or qigong, too. lynn

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<grazzinik wrote:

> I have a patient, 55 yo male., with what he calls

reflux, but it doesn't

> sound nor does it react like typical reflux. I was

hoping for some other

> opinions on the pathomechanism(s) so I can make some

herbal recommendations.

>

> There are three parts to it: one is a lump in the

throat (doesn't respond to

> the normal plum-pit qi points), then he has

excessive saliva that is usually

> white and frothy and causes nausea if he swallows

too much of it. Last is

> dryness in the throat. He goes back and forth

through all of these. This has

> gotten better in the last week when he began a

low-carb diet. Someone had

> suggested that it could be a proliferation of

bacteria. I was thinking it

> might be a wheat allergy. Also, he often gets a

metallic taste in his mouth

> when he has the excess saliva and dryness.

>

> More details:

>

> 1) sciatic pain…starts in the sacral/buttock area

and can go down lateral

> thigh, wrap across the top of the quad to inner

thigh near and into shin.

> Can go down into the arch if really bad. Began a

few months after a car

> accident. Was just affecting left leg when it did

travel; now can affect

> both and switches spots. Has had tests done. No

disc involvement found.

> Pt has excessive external hip rotation. I think the

prime culprit from a

> musculo-skeletal aspect is the piriformis and

pelvis/sacrum movement…pelvic

> blocking can change the sensations almost instantly.

Just doesn’t last.

> Aggravated most by too much walking and standing.

Also can be triggered if

> on the table in certain positions for longer than

10-15 minutes.

>

> 2) Anxiety: the above reflux issue causes anxiety

about not being able to

> breath. He is extremely cautious about eating and

drinking anything if he

> thinks it might trigger the symptoms. Pt reports

that he’s always been

> anxious/excitable. Was a hyper child. Easily

emotional (still is).

> Anxiety can be accompanied with the physical s/s:

increased heart rate,

> chest pain, shaking hands, sweaty palms.

>

> 3) Decreased libido: first mentioned as difficult

and painful ejaculation

> for 10 yrs. Actual libido seems to cycle (he can’t

tell what the cycle is,

> though) through normal with thoughts/desire/actual

erection to nothing.

>

> Other s/s: high cholesterol (dropped significantly

at check-up 2 weeks ago),

> OA in wrists with aches and pains in other joints,

restless sleep, fatigue,

> gets hot easily, sweats a lot easily, actual

reflux…typical triggers of

> citrus, chocolate, wine, coffee. Dizzy &

light-headed, previous episodes of

> low blood pressure (but not in a long while).

Phobia of bridges, started in

> the last 10-12 years…will go out of his way to avoid

them. Thick & yellow

> urine until late afternoon when it changes to clear

despite all the water

> consumed.

>

> Pulse: almost always tight. Typically moderate pace

(70s). Slightly thin

> bilaterally. Lv and K xu at times. Wiry and/or

slippery depending on the

> day.

>

> Family history: cancer (father, mother, brother…all

different types).

> Possible alcohol abuse…my interpretation…mom and

brother “like their

> drinks.” Everyone has low blood pressure.

>

> Dad died 15 years ago. Mom disconnected from

family; she just died last

> week. Two siblings. Not married, currently without

girlfriend.

>

> Meds: Nexium and a new statin drug

>

> I had thought it was damp accum, possible damp-heat

causing most of the s/s,

> but the " reflux " reacts differently. He has also

told me that the best thing

> to make it go away is either salty french

fries/potato chips or a water and

> whiskey! Leaning toward a phlegm-fire with H-K

issues.

>

> He also has a phobia of bridges that just came up in

the last 10 years. Not

> sure if that means anything to anyone, but I thought

i'd throw it in there.

>

> I am looking at herbs for him. Just need to nail

down what’s going on. I

> think I'm getting bogged down with little details

and might be missing the

> forest for the trees. Thanks in advance for your

help!

>

> Kris

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