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Can Acid Reflux Cause Irritated Or Broken Blood Vessels On Soft Palate?

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Posted on Mon, 24 Aug 2015
Question: Can acid reflux cause irritated or broken blood vessels on the soft palate. The ENT thinks I have acid reflux and definite post nasal drip. Things are getting better but not those. Sleeping pills really set this off. I am done
doctor
Answered by Dr. Sandip Kabra (2 hours later)
Brief Answer:
Need more information.

Detailed Answer:
Hi
Welcome to health care magic,

Acid reflux might cause throat irritation but unlikely cause injury to small blood vessels or capillaries.

Here,I will need more information regarding your symptoms of acid reflux.

Kindly get back to me with more information.

Regards,
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Sandip Kabra (5 minutes later)
ENT thinks I have LPR, but I did not ask about palate , I have sore throat irritated tonsils, cough, post nasal drip. Started when I started taking ambien and drinking a bit at night to sleep. She examined me twice and did not mention palate. Just said larynx is red and inflamed and post nasal drip present. All have improved a bit on PPI and h2 blocker. Except mouth irritation, but I did slip and take sedatives twice to sleep.
doctor
Answered by Dr. Sandip Kabra (50 minutes later)
Brief Answer:
Look to be having LPR rather than classic GERD.

Detailed Answer:
Hi,
Thanks for the quick follow-up.

I have read your query and understand the problem.

Your symptoms are suggestive of LPR (laryngeopharyngeal refulx) which is a similar condition to acid reflux (GERD) where stomach contents are coming back into the pharynx or larynx.

Also, you do not seem to have symptom like heart burn or chest burning which is generally a classic symptom of GERD.

Your larynx redness and inflammation with post-nasal drip are suggestive of LPR rather than acid reflux.

So, here I agree with your ENT doctor’s opinion as all the symptoms are also indicating the same picture.

In LPR,stomach acid backs up into the back of throat (pharynx) or voice box (larynx), or they might come back into nasal airway and may can cause inflammation in those areas which are not normally protected against gastric acid exposure.

Treatment:

Continue to take PPI and H2 blockers but you should also take prokinetic agents (like levosulphride) to increase the forward movement of the GI tract (decrease the stomach holding time) and increase the pressure of the lower esophageal sphincter (and thus preventing reflux of stomach contents or acid).

Syrup sucralfate can also be added with dietary precautions.

1) Avoid oily,spicy and high fiber diet.
2) Avoid eating with full stomach rather you eat small frequent meals.
3) Avoid taking rest for at least 3 hours after meal.
4) You can walk slowly up to first 2 hrs of meal but don't walk fast.
5) Quit smoking, if you are a smoker and quit alcohol.
6) Elevate the head of the bed.
7)Avoid wearing tight-fitting clothes around the waist.
8) Do yoga regularly.

All this cumulative effect will be beneficial to you.

Hope this detailed information will be helpful to you.

Regards,
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Sandip Kabra (13 minutes later)
So there soft palate irritatiin is probably related
doctor
Answered by Dr. Sandip Kabra (6 minutes later)
Brief Answer:
Yes,it may be

Detailed Answer:
Hi,
Thanks for quick follow-up.

As soft palate is also a part of pharynx or throat mucosa, it's irritation could be related to LPR as I explained.

Regards,
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Sandip Kabra

General & Family Physician

Practicing since :2009

Answered : 3078 Questions

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Can Acid Reflux Cause Irritated Or Broken Blood Vessels On Soft Palate?

Brief Answer: Need more information. Detailed Answer: Hi Welcome to health care magic, Acid reflux might cause throat irritation but unlikely cause injury to small blood vessels or capillaries. Here,I will need more information regarding your symptoms of acid reflux. Kindly get back to me with more information. Regards,