[Dysphagia] Treatment of GER for patient with G-tube

[vstefans at george.ach.uams.edu (Vikki Stefans)]

Candida esophagitis presents just as you have described - painful 
swallowing, burning, sometimes even vomiting. Throat pain is probably a 
more prominent and persistent symptom than it is in GER, but otherwise, I 
can certainly see how you the two different entities could be mistaken for 
each other. I have learned to suspect it in a rehabiliation patient with 
these symptoms who is already on gastritis proevention or doesn't reapond 
to it and has been on a lot of antibiotics. You can have it even without 
obvious oral thrush.

Vikki Stefans, M.D., pediatric physiatrist (rehab doc for kids) at UAMS
and Arkansas Children's Hospital.  Working Mom of Sarah T. and Michael C.,
and wife of Henry Stefans. Every mom is a working mom!- OK, dads too.

On Fri, 30 Sep 2005 mbundy@msh.on.ca wrote:

> What is the list-serv's opinion about candida and reflux symptoms?
> The reason being, I have been working with pts with swallowing problems for
> 7 years and have heard the symptoms of GER inside and out. So when I started
> experiencing a chronic dry cough, pain in my upper abdomen on occasion
> (hiatal area), constant sensation of lump in suprasternal notch region,
> burning in my throat and I self-diagnosed myself with GER. I attempted to
> control symptoms by diet - avoided all acidic, high fat, high fried foods -
> although I had a good diet already. I was eating GAVISCON like it was candy
> - up to 6 tablets a day. But my symptoms worsened and I was eating hot
> oatmeal, toast, along with fruit (bananas, apples) and vegetables, and beans
[snip]