Blog2023-05-07T12:45:23-06:00

Can Postnasal Drip Cause GERD or Stomach Problems?

Is it possible for the drippy mucus that comes from your nose to leak down into your esophagus and cause GERD?

You may already know that acid reflux can get kicked up as high as the nasal cavity, causing burning in the nose.

But now the question is the reverse: whether or not mucus from your nose can drip down the back of the throat and get into the esophagus or “food pipe,” and trigger acid reflux or heartburn.

Acid Reflux and the Nose

“It actually works the other way around,” says Dr. C. Phillip Amoils, MD, a board certified otolaryngologist with SC-ENT Ear, Nose & Throat Specialists in CA.

“Chronic GERD can reach up all the way to the sinuses, particularly in young kids who are regurgitating, and that can cause inflammation of the sinuses as it’s ascending up the esophagus and hitting the back of the nose – so that’s one of the issues,” explains Dr. Amoils.

“Postnasal drip, if it’s severe, can give you this chronic runny nose and can slightly irritate the stomach – but it’s usually the GERD that causes the problems, not the other way around.”

Triggers for Acid Reflux

So now you know that the triggers do not include anything going on with the nose, no matter how drippy and voluminous the mucus is.

You may have both GERD and a good case of postnasal drip, independent of each other as far as cause.

Acid reflux, including that which gets as high as the throat or nose, can be brought on by:

• Spicy foods

• Chocolate, citrus fruits, coffee

• Alcohol

• Large meals

• Eating close to bedtime

• Weak esophageal sphincter muscle

• Acute or chronic anxiety

If you have nasal drip that persists despite treatment for a suspected allergy, you should have an ear, nose and throat physician examine you.

If one already has, seek a second opinion. A persistent discharge from the nose can be caused by a sinus tumor.

Dr. Amoils is considered among the best surgeons worldwide for sinus surgery and OSA, having helped thousands of patients for 30+ years. He also demonstrates to physicians the protocols he’s developed for mouth breathing, nasal congestion, obstructive sleep apnea and snoring using minimally invasive procedures.
Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. She’s also a former ACE-certified personal trainer. 

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Top image: Shutterstock/antoniodiaz

Why You Get Dizzy when Blowing Your Nose

Is it ever normal to feel dizzy when you blow your nose? What is going on here?

“Your Eustachian tubes go from your nose to your ears, and that’s what you equalize when you pop your ears when you go down a hill or when you’re on an airplane,” says Dr. C. Phillip Amoils, MD, a board certified otolaryngologist with SC-ENT Ear, Nose & Throat Specialists in CA.

Aggressive Blowing of the Nose

Dr. Amoils explains, “What happens if you blow too much pressure, and we call this the Valsalva maneuver, is that you’re forcing the air into the little middle ear space, and it puts pressure on the little bones of the ear.”

This then will “cause pressure onto the inner ear, which is the organ of balance and the organ of hearing.”

This excess pressure when blowing your nose is then what causes the dizzy feeling.

“So, it can actually affect the organ of balance by putting pressure on the little membranes there,” adds Dr. Amoils. “So don’t Valsalva too hard, but gently do it – that’s fine.”

The Valsalva maneuver is when a person bears down while either holding one’s breath or exhaling.

This commonly occurs during the straining action of lifting heavy weights, or when sitting on a toilet and pushing very hard to void a bowel movement. This action is called “bearing down.”

Ideally, to avoid a faint or dizzy feeling during weightlifting or straining to get out a poop, you’ll want to exhale as you simultaneously bear down.

Of course, when you blow your nose, you are exhaling. But it can be aggressive enough to cause pressure that leads to dizziness.

Solutions

To make it easier to clean out your nose, you should consider a neti pot. This will moisten and loosen nasal mucus and make it easier to blow out.

Neti pot

Another option is to have a humidifier near your head overnight to maintain some moisture in your nasal passages.

This way, the following morning, it’s easier to blow all that gunky mucus out of your nose without getting dizzy.

If this article provided you with helpful information or reassurance, please consider supporting my work through Ko-fi. Donations help me continue writing detailed medical content that’s easy to understand.

Dr. Amoils is considered among the best surgeons worldwide for sinus surgery and OSA, having helped thousands of patients for 30+ years. He also demonstrates to physicians the protocols he’s developed for mouth breathing, nasal congestion, obstructive sleep apnea and snoring using minimally invasive procedures.
Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. She’s also a former ACE-certified personal trainer. 

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Top image: Shutterstock/sirtravelalot

A 5 CM Tumor in Sigmoid Colon Is Extremely Large, Says Doctor

Has a 5 cm tumor been found in your sigmoid colon?

If so, you should know that this is a tumor of considerable size. A 5 cm mass is nearly two inches. That is pretty big for a cancerous mass.

“A 5 cm colon cancer in the sigmoid colon is an extremely large tumor,” says Benjamin Levy, MD, board certified gastroenterologist who’s provided clinical care to patients at Mount Sinai Hospital, Schwab Rehabilitation Hospital, and Sinai Medical Group Touhy Refugee Clinic.

“As tumors grow in size, they may cause symptoms such as rectal bleeding, anemia, abdominal pain or unintentional weight loss,” continues Dr. Levy.

“The larger a tumor grows, the greater the potential is for causing a colon obstruction (where stool has a difficult time passing through).”

Symptoms of Colon Obstruction from Cancer

• Constipation, especially if it alternates with diarrhea (e.g., diarrhea for several days followed by more than three days without a bowel movement)

• Signs of blood in the stool (ranging from bright red to dark red/maroon clots to a very dark or black substance whose visible texture resembles gooey cheese or hot tar)

• Stools that come out in the shape of pencils or ribbons

• Feeling you still need to have a bowel movement after having a major BM.

“Once colon cancers are found during a colonoscopy, we take multiple biopsies and send them to a pathologist for evaluation,” says Dr. Levy.

“After a formal cancer diagnosis is made, the next step is a CT scan to stage the tumor (check for spread or metastasis).”

So for instance, if the tumor has spread to the liver, which is usually the first place it spreads to, this will show up on the CT scan.

A mass of 5 cm is not likely to be contained or local.

“Oncologists use the CT scans to determine the best medical treatment. 

“Oncologists work together with surgeons to create a personalized colon cancer treatment plan that helps a patient prolong his or her life and minimize symptoms.”

Dr. Levy’s research and clinical projects have focused on health care disparities, GERD, the early detection of pancreatic cancer and the development of colon cancer screening campaigns.
Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. She’s also a former ACE-certified personal trainer.  
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Top image:  Freepik.com
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