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Suggest Treatment For Irritation In Back Of Throat And Choking Feeling
Question: ever since i can remember i have had this irratating feeling in the back of my throat that causes me to try to clear my throat. Sometimes it is as minor as just coughing a little, but other times it feels like im choking or dry reaching. Ive been given alot of amoxycilin and nexium to no avail.
I have gone to the hospital to have a camera down my throat and they havent found anything abnormal just minor scaring they are blaming on reflux.
Ive been dealing with this for so long it has become normal to me however to have it gone would be amazing.
I have gone to the hospital to have a camera down my throat and they havent found anything abnormal just minor scaring they are blaming on reflux.
Ive been dealing with this for so long it has become normal to me however to have it gone would be amazing.
Brief Answer:
Laryno-pharyngeal reflux/sinusitis
Detailed Answer:
Hi
Thanks for posting the query.
Irritation in the throat could be due to various reasons. To name a few:
1. Recurrent sinusitis
2. Laryngo-pharyngeal reflux secondary to acid reflux disease
3. Excessive intake of antihistamines and decongestants, etc.
According to your description, I do feel, you are suffering from laryngopharyngeal reflux (LPR) also known as silent reflux. LPR happens due to regurgitation of the acid from stomach into the throat.
Due to constant reflux of the acid from stomach into the throat, the mucosa of the throat gets inflamed, giving rise to foreign body sensation in the throat.
As your doctor has already performed laryngeal examination and made the diagnosis, it would be better to start with medications directed at reducing the symptoms.
My suggestions to you are:
1. Drink plenty of warm water.
2. Continue esomeprazole and a prokinetic such as domperidone or metachlopramide for at least 3-4 months.
3. Request your doctor to put you on anxiolytics such as alprazolam for few weeks. You will definitely feel better.
4. Do steam inhalation.
5. Use saline nasal spray to clear any nasal block.
6. Avoid coffee/tea/spicy food/fizzy drinks/chilled food & beverages/smoking if any.
Hope I have answered your query; I'll be available for the follow up queries.
Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon
Laryno-pharyngeal reflux/sinusitis
Detailed Answer:
Hi
Thanks for posting the query.
Irritation in the throat could be due to various reasons. To name a few:
1. Recurrent sinusitis
2. Laryngo-pharyngeal reflux secondary to acid reflux disease
3. Excessive intake of antihistamines and decongestants, etc.
According to your description, I do feel, you are suffering from laryngopharyngeal reflux (LPR) also known as silent reflux. LPR happens due to regurgitation of the acid from stomach into the throat.
Due to constant reflux of the acid from stomach into the throat, the mucosa of the throat gets inflamed, giving rise to foreign body sensation in the throat.
As your doctor has already performed laryngeal examination and made the diagnosis, it would be better to start with medications directed at reducing the symptoms.
My suggestions to you are:
1. Drink plenty of warm water.
2. Continue esomeprazole and a prokinetic such as domperidone or metachlopramide for at least 3-4 months.
3. Request your doctor to put you on anxiolytics such as alprazolam for few weeks. You will definitely feel better.
4. Do steam inhalation.
5. Use saline nasal spray to clear any nasal block.
6. Avoid coffee/tea/spicy food/fizzy drinks/chilled food & beverages/smoking if any.
Hope I have answered your query; I'll be available for the follow up queries.
Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon
Above answer was peer-reviewed by :
Dr. Prasad
With these suggestions, do i continue with them for a few months or is it something i need to do for the rest of my life
Brief Answer:
Initially for at least 3-4 months...
Detailed Answer:
Hi
Thanks for writing back.
Initially, you will have to take the medicines for at least 3-4 months before you notice any improvement. Meanwhile, would require dietary and lifestyle modifications.
The medicines should never be stopped abruptly. If you do so, all your symptoms will recur.
Hope this clears your doubts.
Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon
Initially for at least 3-4 months...
Detailed Answer:
Hi
Thanks for writing back.
Initially, you will have to take the medicines for at least 3-4 months before you notice any improvement. Meanwhile, would require dietary and lifestyle modifications.
The medicines should never be stopped abruptly. If you do so, all your symptoms will recur.
Hope this clears your doubts.
Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon
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. Bhagyalaxmi Nalaparaju
Answered by
Dr. Dr. Naveen Kumar Nanjasetty
Otolaryngologist / ENT Specialist
Practicing since :2001
Answered : 2543 Questions
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