Sunday, May 27, 2007

The "Plum Pit" Is Back

At 7 months post surgery, my biggest health issue at the moment is the return of the "wicked lump" sensation in my throat. Along with this feeling of something being stuck in my throat, I feel crappy, under the weather. In Chinese medicine its called "plum pit" syndrome. Here's an interesting blurb in an article I read:

Plum pit qi refers to an abnormal sensation of something in the back of the throat which can not be swallowed down nor spit up. In modern Chinese medicine, this definition is supplemented by the comment that, upon examination, there are no pathological changes observable in the throat. In Western medicine, this condition is referred to as neurotic esophageal stenosis and globus hystericus.Within contemporary Chinese medicine, this condition is now associated with psychiatry. It frequently occurs in those with depression and/or anxiety disorders.

We are driving to Vegas tomorrow to spend a couple of days with my parents. And other than the typical work issues (dealing with petty rivalry and antagonism of co-workers), I have a very happy, satisfying life. So if I'm depressed as the article suggests, then the cause is completely unknown to me. Well, I'm depressed right now because I couldn't go to yoga today and because I feel like crap right when we are going on a short trip.

From a Western medical point of view, globus hystericus is caused by acid reflux. So why do I have acid reflux? I don't know anyone with a better diet! I don't drink coffee nor alcohol. I don't eat junk food. Recently I went through a two week course of the "triple threat" treatment for h-pylori (which I have had for years): Cirpo, Protonix, Pepto-bismol. About a week or so after getting off of that crap is when this came back. Those stomach acid suppressors seem to do more bad than good.

7 comments:

Graham said...

Are you eating a mostly alkaline diet to reduce the acid? Our digestive system works best that way.

Mary said...

Thanks for your comment Graham. I have actually been on the macrobiotic diet and have books about the ph balance diet but I have yet to figure out what a good alkaline diet really is. Some alkaline foods actually make your blood more acidic. If you have insight to share, that would be super. In the mean time, I am eating potatoes, carrots and bananas until I get through this.

Graham said...

Well, truth be told I haven't read about this kind of thing in quite some time, but I guess the most obvious comparison is that of a vegan diet compared to a carnivorous one. I noticed a big improvement in my digestion pretty quickly. I've been vegan, well mostly, for 7 years. Also, nightshade vegetables can cause low level inflammation (potatoes, tomatoes, egg plant). I thought I read somewhere that red potatoes are ok though. Or maybe you can substitute with rice instead.

Mary said...

Thanks Graham. I was a vegetarian in my 20s/30s and became protein deficienct (I think it has to do with my blood type). Now I eat chicken and fish, red meat rarely. But definitely I could eat more vegies and less sweets and bread foods. Guess I will have to do research. Any word on a surgery date for you? M

Cybele said...

Hi Mary! I just found your blog. I have had acid reflux for several years and thought I might have Celiac. I had an endoscopy and they found I had hpylori (which I already went through the antibiotics for)and Eosinophilic Esophagitis. The doctors suggested taking oral steroids. I just started seeing an acupuncturist for this which he referred to it as Plum Pit Syndrome. My triggers have been wheat (or possibly gluten) and beef. Have you tried a gluten-free diet? I do much better when I am eating gluten-free.

Unknown said...

Hi Mary,

I was wondering if this situation ever recovered for you, and if so, what cleared it up? I have just been diagnosed with the same thing, and I am finding it pretty frustrating.

Thanks,

Kaye

Laura said...

Hi, Just came across your blog and felt the need to comment. The throat lump and silent acid reflux are most commonly caused by lack of stomach acid rather than too much. Antacids etc will make it worse, as you noted. Hopefully these links will provide some help -

http://www.drmyhill.co.uk/wiki/Hypochlorhydria_-_lack_of_stomach_acid_-_can_cause_lots_of_problems

http://www.charlespoliquin.com/ArticlesMultimedia/Articles/Article/433/The_HCL_Acid_Test.aspx