Velvet Elvis Posted July 21, 2009 Share Posted July 21, 2009 I've been having this constant feeling like there's a wad of phlegm in the back of my throat that I can't cough up or swallow back down. It's right on my gag reflex so I spend the whole day going around feeling like I'm going to gag and sometimes actually vomit. Sometimes I also have a dry cough that doesn't produce anything. I've been having some acid reflux problems lately. Could that be related? They don't seem to happen at the same time. It gets better when I'm laying down so I've been spending way too much time in bed. Current meds in case my sig is wrong: 60mgs Dexidrine per day 450 mgs Wellbutrin per day 120 mgs Celexa per day (alternating 80 and 120 every other day) 2mgs risperdal per day 2mgs klonapin per day 100 mgs topamax per day The most recent changes have been to increase the celexa and add the risperdal. Since I'm in mega-high dose land on the celexa and the Risp is an AAP I'd think they are both candidates for side effects or interactions. Link to comment Share on other sites More sharing options...
dancesintherain Posted July 21, 2009 Share Posted July 21, 2009 I may be asking the obvious--but do you have any allergy problems? The reason is that it sounds to me like an allergy mess...that you're having phlegm accumulate through post-nasal drip, causing the "have to gag" feeling and the occasional cough. If no allergies, then dismiss this of course. :-) I'm afraid that I'm not knowledgeable enough about side effects to be helpful in that territory. Link to comment Share on other sites More sharing options...
lottacrazy Posted July 21, 2009 Share Posted July 21, 2009 It might be something going around, I am having the similar symptoms and so does my English professor, clear your throat too much your throat is going to get raw (just a warning)...and if you smoke don't it makes it worse. I think it just some sort of minor bug that people are getting...it sucks in the morning. I have little knowledge of meds and their side effects, I know acid reflux can make your throat raw, my brother had a raw throat all the time from reflux. May try an over the counter like zantac or pepcid see if that helps at all. Link to comment Share on other sites More sharing options...
tryp Posted July 21, 2009 Share Posted July 21, 2009 For what it's worth, I had acid reflux issues back in the day, and lying down is said to make that worse, and not better. I was told by my doctor not to lie down after I ate because of the reflux thing. Link to comment Share on other sites More sharing options...
Artemisia Posted July 21, 2009 Share Posted July 21, 2009 I get a similar sensation in my throat, too, sometimes (except I never actually feel like vomiting). I think it's allergies. Link to comment Share on other sites More sharing options...
Velvet Elvis Posted July 21, 2009 Author Share Posted July 21, 2009 my nose and sinuses are dry and there's no itchy allergy feel Link to comment Share on other sites More sharing options...
Artemisia Posted July 21, 2009 Share Posted July 21, 2009 my nose and sinuses are dry and there's no itchy allergy feel Then I guess you should see an otolaringologist and maybe get that endoscopy done (but I don't know what I'm talking about). Link to comment Share on other sites More sharing options...
Silver Posted July 21, 2009 Share Posted July 21, 2009 GI doc for endo. Reflux would be my first guess too. I suspect they'd recommend trialing treatment for reflux before scoping you. My second guess: weird EPS from the Risperdal. Not unheard of at all -- I'll hunt for articles. Link to comment Share on other sites More sharing options...
LunaRufina Posted July 21, 2009 Share Posted July 21, 2009 I would strongly suspect the risperdal. Dysphagia, difficulty or pain swallowing, is listed under warnings and precautions in the PI sheet. Though this isn't quite what you are experiencing, it says specifically: "Esophageal dysmotility and aspiration have been associated with antipsychotic drug use." So the feeling in the back of your throat could be an unnatural relaxation of the muscles. It also mention dyspepsia, which is usually caused by acid reflux, not the other way around. Though I imagine if you are being effected to the point where it's relaxing your esophageal muscles, it might possible relax the esophageal sphincter a small bit. Which could lead to some acid reflux. Of course, I'm talking out of my ass, but still, I do think the risperdal has something to do with it. Link to comment Share on other sites More sharing options...
Silver Posted July 21, 2009 Share Posted July 21, 2009 Or, even better, both at once. That's extra-special-fun. Link to comment Share on other sites More sharing options...
lysergia Posted July 21, 2009 Share Posted July 21, 2009 for me it's acid reflux. some meds make it worse, some not. anxiety makes it worse sometimes too. when mine is bad i lie down a lot too. doesn't make it worse or better really, just moves the pressure around that lump in the back of my throat for a little while. its probably contraindicated but i swear a glass of flat cola helps for about a half an hour. hope you get relief soon. its a sucky feeling and losing your meds from vomiting doesn't help. Link to comment Share on other sites More sharing options...
Artemisia Posted July 21, 2009 Share Posted July 21, 2009 GI doc makes sense for endo, I suppose. My dad was referred to an ENT by his primary for hoarseness of voice and some other throat symptoms. ENT said he thought it was acid reflux and prescribed him something. I guess some new stuff arose because he's now scheduled for an endo. Link to comment Share on other sites More sharing options...
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