Suggest Treatment For Intermittent Hoarseness While Having Acid Reflux
I remained hoarse since the day after Christmas, 2015 until the episode on April 3rd.
I have been taking medications for acid reflux for years. I also have problems with my legs and back since I had two spinal fusions and other back surgeries from 2008 until 2011. My legs are stiff and often spasm. I have seen neurologists and orthos but have no help and no real diagnosis as they say I should not have this problem. I am very frustrated and discouraged. Thank you.
Vocal Cord Narrowing is needed.Spinal MRI is needed.
Detailed Answer:
Hello, Madam
I can certainly understand your concern.
I have worked through your query in detail.
As per your history, you possibly seem to have Vocal Cord Paralysis.
I advice you to get a Direct Laryngoscopy .
You need to get a vocal cord medialisation procedure to get the cords closer.
This will set right the annoying hoarseness which you have been experiencing.
Acid reflux needs to be under control.
CT will not give full information.
it's important that you consult an ENT surgeon who has specialised in Vocal Cord surgery.
Once vocal cords are set right, you will tend to enjoy normal voice again.
Pertaining to the back surgery and leg stiffness, it's important to get an MRI scan of the lumbar spine to assess the state of post fusion finer details and risk of any osteoarthritis.
Further management if any is based on test results.
Additionally, I advice you to get a complete blood picture/CBP and update me with the test results.
Post your further queries if any.
Thank you.
Further management is based on test results.
Detailed Answer:
Hello, Madam.
I can certainly understand your concern.
Yes, indeed the possibility of a nerve impingement is high rather than a scar tissue.
it's important to consult an Orthopaedic surgeon followed by a Neurosurgeon with the latest MRI scan to reassess the spine situation.
Likewise, it's very important to reschedule the dosages of all the pain medications in consultation with your pain doctor to minimum required dose.
Blood hemoglobin need to checked via CBP test.
Many of your symptoms can be reversed.
It's important to update your relevant doctors with all the test reports.
Post your further queries if any.
Thank you.