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Re: Re: Nauseating pressure/pain

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My GI told me not to have any pepper as I might ulcerate. Watch the spicy stuff!

________________________________

From: lindsayaus <lindsay_kite@...>

achalasia

Sent: Thursday, March 8, 2012 4:46 PM

Subject: Re: Nauseating pressure/pain

 

I felt like that 3 weeks after my HM after I ate soup with too much pepper then

tried some wine. Some things just don't agree with my stomach at all now.

Perhaps you had something your stomach really doesn't like.

>

> It isn't a spasm. It feels like right where my LES/stomach is and it feels

like I have been kicked there. Like a bad bruised feeling and it is tender. What

the heck now? Kind of hard to drink when you feel like this... :/ HM is sometime

after april 5..

>

>

> Jenn

> Sent from my CrackBerry® powered by Virgin Mobile.

>

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Actually, while everyone else at the table worries about calories, I eat cake.

Don't knwo why, but cake usually goes down when nothing else will!

 

 

________________________________

From: lindsayaus <lindsay_kite@...>

achalasia

Sent: Thursday, March 15, 2012 8:49 PM

Subject: Re: Nauseating pressure/pain

 

I didn't expect heaps of pepper in a basic pumpkin soup. In future I will

always ask....but for now I only go out for coffee.

> >

> > It isn't a spasm. It feels like right where my LES/stomach is and it feels

like I have been kicked there. Like a bad bruised feeling and it is tender. What

the heck now? Kind of hard to drink when you feel like this... :/ HM is sometime

after april 5..

> >

> >

> > Jenn

> > Sent from my CrackBerry® powered by Virgin Mobile.

> >

>

>

>

>

>

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And let there be cake!!!!   lol

________________________________

From: lindsayaus <lindsay_kite@...>

achalasia

Sent: Wednesday, March 21, 2012 9:58 PM

Subject: Re: Nauseating pressure/pain

 

Yep cake goes down, and so does chocolate. Muffins are ok the day they are

made, but not the next day when they dry out a little.

> > >

> > > It isn't a spasm. It feels like right where my LES/stomach is and it feels

like I have been kicked there. Like a bad bruised feeling and it is tender. What

the heck now? Kind of hard to drink when you feel like this... :/ HM is sometime

after april 5..

> > >

> > >

> > > Jenn

> > > Sent from my CrackBerry® powered by Virgin Mobile.

> > >

> >

> >

> >

> >

> >

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Kim wrote:

>

> My GI told me not to have any pepper as I might ulcerate. Watch the

> spicy stuff!

>

I wonder what he was thinking. While healing from a myotomy the layer of

esophagus left at the site is very thin. I suppose coarse ground black

pepper could have edges that could perforate that site. Any hard sharp

food should be avoid at that time. Spicy food can cause acid reflux to

be worse. But that is more than just pepper. Did he mean pepper is an

irritant that would burn the esophagus? Seems like we would have noticed

that among ourselves. Other than the warmth that spicy food can cause

lasts longer and sometimes I do get reflux after spicy food if I am not

on a PPI, I don't notice any problems with pepper or spicy foods that

would indicate ulcers.

notan

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Yep, that's what he told me. He also said the same would happen if I take any

other pain relievers, like aspirin, if it wasn't acetiminophen. My GI and GP

both said the same thing. Maybe this was more geared towards me than A patients

in general. I always ate hot spicy food post Achalasia maybe that did some

damage in and of itself. And I can't physically eat spicy foods or drink

anything acidic anymore and actually I ulcerated anyways. I will see him again

tomorrow when they do some biopsies and check to see how far down I ulcerated

and get more insight into why pepper would do that. So to say I understand what

really makes sense to me as far as Achalasia is concerned would be a falicy.  

So to say I understand what really makes sense to me as far as Achalasia is

concerned would be a falicy on my part. I guess I need to ask more questions?

 

________________________________

From: notan ostrich <notan_ostrich@...>

achalasia

Sent: Sunday, March 25, 2012 2:14 PM

Subject: Re: Re: Nauseating pressure/pain

 

Kim wrote:

>

> My GI told me not to have any pepper as I might ulcerate. Watch the

> spicy stuff!

>

I wonder what he was thinking. While healing from a myotomy the layer of

esophagus left at the site is very thin. I suppose coarse ground black

pepper could have edges that could perforate that site. Any hard sharp

food should be avoid at that time. Spicy food can cause acid reflux to

be worse. But that is more than just pepper. Did he mean pepper is an

irritant that would burn the esophagus? Seems like we would have noticed

that among ourselves. Other than the warmth that spicy food can cause

lasts longer and sometimes I do get reflux after spicy food if I am not

on a PPI, I don't notice any problems with pepper or spicy foods that

would indicate ulcers.

notan

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On 4/1/2012 6:36 PM, Kim wrote:

>

> ... He also said the same would happen if I take any other pain

> relievers, like aspirin, if it wasn't acetiminophen. ...

>

That one I understand. Aspirin and many other pills will burn the

esophagus if they get stuck in it. Vitamin C is also one to watch out

for. Both aspirin and vitamin C are acids.

> ... I always ate hot spicy food post Achalasia maybe that did some

> damage in and of itself. ...

>

Capsaicin the substance that makes hot chillies spicy and piperine the

substance that makes black pepper spicy are not acids. Capsaicin is kind

of oily and piperine is an alkaloid. Both cause their heat by

stimulating nerves not by damaging tissue. They don't directly do any

tissue damage. The body can react to the nerve stimulation with an

inflammatory response which usually is not damaging but in extreme cases

could be. Perhaps in achalasia with a prolonged exposure in the

esophagus the inflammation could cause problems but I don't know. As I

said before, they do cause acid reflux for some people and that could be

also be the problem. It will be interesting to hear what your doctor

says to explain it.

notan

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