Hello and welcome to XXXXXXX

Thank you for writing to us.

From your presentation and history, it does appear as though your problem is related to the acid reflux mentioned in your history. Let me explain this to you in an elaborate manner along with the symptoms. They are:
-Chest pain (heartburn, spreading to the throat, and even around the chest)
-Sour taste in mouth
-Belching (due to the acid reflux from the stomach into the oral cavity)
-Damage/discoloring of teeth (due to repeated acid reflux into the oral cavity, causing the damage and/or discoloration of teeth)
-Dry cough
-Hoarseness of voice
-Difficulty swallowing
-Feeling of lump in throat
-Vomiting (due to the weakened sphincters of the upper esophagus, that easily allow the food material from the stomach to enter the oral cavity)

Please note that not all symptoms need to be present for a proper diagnosis. But, it does appear as though all your symptoms are related to the acid reflux. I hope I have successfully explained all your symptoms. We will also have to rule out other conditions that could cause a similar presentation (eg. ulcers).

The reason why you feel your symptoms after consuming plain peanuts or dry roasted/salted peanuts, is because peanuts are one of the most common triggering factors leading to a gastric event (eg. vomiting, belching, irritation of the gut causing diarrhea, etc.)

There exist numerous triggering factors, specific for different individuals. Once you experience or realize a certain triggering factor, it is best to avoid it from there on (i.e, exclude it from your diet).

I also feel it would be best to rule out any cardiac cause, as is practice with all cases of chest pain, thus please visit a doctor for an EKG (ECG), and then re-visit your treating doctor, to re-evaluate your treatment for your acid reflux. If required make a change in dosage or medication for your condition as well.

I hope you found my response helpful and informative. Do write back to me for any further clarifications, I would be happy to help.

Best wishes.

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Hello once again.

Thank you for your response.

Yes, acid reflux, taking place over a long period of time can damage the upper esophageal sphincter, making it weak. This allows food to regurgitate, back from the stomach to the mouth.

Although we will have to rule out all other possibilities like a cardiac source, stomach flu, etc.

Please take your husband to the doctor, and get him analyzed at the earliest. I hope he recovers soon and feels much better.

Best wishes.

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