The refluxed gastric acid irritates the nerve endings in the esophagus generating signals to the brain. Subsequently, the brain responds with impulses to the lungs that stimulate the muscle and mucus production in the airways. The small airways of the lungs then constrict, resulting in asthma symptoms.
If you have allergies and GERD, particularly if difficulty swallowing is a major feature, it may be a good idea to consult your doctor or discuss with an eDoc about the possibility that your symptoms are due to this recently recognized condition. If a certain food appears to be causing symptoms, it may need to be permanently removed from the diet. Environmental allergens, such as pollens, molds, cat, dog and dust mite allergens may also be related to the development of EE. Assuming symptoms improve, foods are added back into the diet one at a time while monitoring for symptom recurrence. Along with medications to reduce acid production, dietary therapy and treatment with corticosteroid medication are currently being used.
Proton pump inhibitors do not treat the underlying eosinophilic esophagitis; however, and treatment with fluticasone or another steroid usually is required as well. Jennifer Mitchell Wilson is a dietitian and mother of three girls. Two of her children have dealt with acid reflux disease, food allergies, migraines, and asthma. She has a Bachelor of Science in dietetics from Harding University and has done graduate work in public health and nutrition through Eastern Kentucky University. In addition to writing for HealthCentral, she does patient consults and serves on the Board of Directors for the Pediatric Adolescent Gastroesophageal Reflux Association.
The sticking of food in the esophagus is referred to as dysphagia. If the solid food then passes into the stomach, the discomfort subsides, and the individual can resume eating. If the solid food does not pass into the stomach, individuals often must regurgitate the food by inducing vomiting before they can resume eating.
The first is to do skin and blood tests looking for specific foods that might be causing the allergy and then eliminating these foods from the diet. For decades, gastroenterologists have been treating patients with dysphagia from eosinophilic esophagitis in the same manner as patients with dysphagia due to esophageal strictures and Schatzki rings.
However, the potential relationship between nickel allergy and GERD remains unaddressed. Doctors used to pass off the symptoms of eosinophilic esophagitis (EoE) as acid reflux, but now they know more about the allergic/immune disease characterized by inflammation of the esophagus. The condition is believed to result primarily from food allergies. In some cases, environmental allergies can contribute too. It affects about 150,000 Americans, and, in youth, it is one of the most common contributors to food impaction (food getting lodged in the throat) and difficulty swallowing.
Fluticasone propionate is a synthetic (man-made) steroid that is related to the naturally occurring steroid hormone, cortisol or hydrocortisone, produced by the adrenal glands. These steroids have potent anti-inflammatory actions.
IgE can cause several chemicals to be released, the most important being histamine. Difficulty swallowing is more common in EE (63% of patients) than in GERD (28% of patients); heartburn is more common in GERD (53% of patients) than in EE (20% of patients). There are a lot of factors that affect acid reflux, including physical pressure from obesity or pregnancy, tobacco smoking, meal timing, and posture. Various different lifestyle interventions like weight loss can help. Chris Kresser has also written a lot about a theory that GERD is actually caused by low stomach acid and weak digestion that puts pressure on the esophageal sphincter; you can read about it here.
A â€œproton pump inhibitorâ€ also can be used to markedly reduce stomach acid production for one or two months. If you have GERD-related asthma, this therapy should help reduce your asthma symptoms. Recent studies indicate that some asthma medications may promote gastric reflux.
When acid-blocking drugs first came on the market, even the pharmaceutical representatives warned us how powerful these drugs were. They told us not to prescribe them any longer than 6 weeks and only for patients with documented ulcers. After 20 years in private practice, Dr. Agren became the Founder and President of AllergyEasy, which helps primary care physicians around the country offer allergy testing and sublingual immunotherapy treatment to their patients. Over 200 physicians in over 32 states use the AllergyEasy program to help their patients overcome environmental and food allergies and asthma.
Some people have GERD with no symptoms of heartburn. These individuals may feel chest pain, difficulty swallowing, or have the feeling that something is stuck in their throat or swallowing becomes blocked. The stomach acid that leaks back into the esophagus creates a chain reaction leading to asthma symptoms.
However, proton pump inhibitors can also improve EoE symptoms without making the inflammation any better. Researchers are now looking into using them to manage EoE. Careful monitoring by a physician knowledgeable in treating EoE is very important. It is important to understand that skin prick, allergy blood tests and food patch tests can have false positive tests. This means that these tests may suggest you are allergic to a food that you can tolerate.
But thatâ€™s of little comfort when youâ€™re suffering from heartburn. This prospective, multicenter study included 210 adult GERD patients and 140 patients without GERD who presented at the general practitioner. All GERD patients had undergone treatment with proton pump inhibitors and upper digestive endoscopy within the previous five years. Demographic and clinical data were collected by questionnaire and patients underwent a nickel patch allergy test.
Your doctor may use the results of an allergy test to eliminate certain foods from your diet to see if symptoms improve. Instead of allergy testing, your doctor could use other forms of diet management to identify any problem foods. This could be through eliminating common allergy-causing foods like wheat, soy, nuts, or shellfish to see the effects, if any.