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What Causes Burning Sensation In Throat Along With Difficultly Swallowing?

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Posted on Sat, 20 Dec 2014
Question: Hello,
Question:

Since October I have had a burning sensation iny throat and some difficultly swallowing. It used to be a lot worst where speaking caused discomfort but since i have been on nexium for 2 months ot has gotten a little better. I take nexium 1x a day with 40 miligrams. I feel like their is somethibg int throat which causes difficultly swallowing.
I have seen the ent 2 times. Forst time he looked with the mirrow down my throat and second time did it down my nose. I dont know rge name but he numbed my throat and nose and used a little thing and said he saw my reflux. But now it is going on 2 months woth little relief i am paranoid it is somethibg else and not reflux.
History:
Suffer from severe anxiety which i think medically something is wrong
2013 i had a stomach ultrasound, colonoscopy, pelvic untrasound, kidney and pancreas ultraspund. All clear.

What doesy symptoms reflect ? I am worried its some sort of cancer but the symptoms not being relieved by the medicine. The ent said im fine and to stop worrying. I am seekng my primary doctor today for more answers.
Any help please as i am panicing
doctor
Answered by Dr. Sumit Bhatti (38 minutes later)
Brief Answer:
Not cancer. Nexium side effects are the likely issue here

Detailed Answer:
Hi,

Thank you for your query.

1. I have reviewed all your previous questions pertaining to this issue. To avoid repetition, I would like to add the following observations:

2. The burning throat and discomfort while speaking is also seen in chronic pharyngitis and laryngitis. These subtle changes will be seen on a videolaryngoscopy. These may also lead to a dry throat and occasional blood stained sputum. Upload images or a video.

3. By this time, the Nexium dose should have controlled the symptoms. Rule out sleep apnea (snoring) leading to mouth breathing and hence a dry throat. The Nexium (esomeprazole) itself can cause a burning, dry throat or a persistent sore throat. On long term use it may also cause low calcium and magnesium levels which may present with these symptoms including the foreign body sensation in the throat and difficulty in swallowing. Get your hemoglobin and Vitamin B12 , Vitamin D levels checked to rule out Plummer Vinson Syndrome (Patterson Brown XXXXXXX Syndrome).

4. These are symptoms of reflux and not of cancer. A prokinetic such as levosulpiride will help. That is a prescription medication and you will need to meet your doctor face to face to get that.

If you have any more questions I will be available to answer them.

Regards.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Sumit Bhatti (1 hour later)
Thank you for your input.

I did jidt leave my primary care doctor and see refered me for a barium swallow study and to a gi
She did say my left lymphnoid was slightly larger but said do t worry and i havw large tonsils (whoxh i knew- i have encrypted tonsils)
I will ask for blood work-
From my past and present emails you do not feel concerned. My major problem is dofficultly swallowing and sore throat from constantly swallowing

When you google it agows cancer which is upsetting!
doctor
Answered by Dr. Sumit Bhatti (15 hours later)
Brief Answer:
Variation of tonsil size is normal. This is not cancer.

Detailed Answer:
Hi,

Thank you for writing back.

1. It is normal for one tonsil to appear slightly larger than the other. There is not much clinical significance attached to tonsil size unless there is a massive difference in size. Small tonsils can be deep and large, while large tonsils often have a smaller shallow base. The surface of a normal tonsil has crypts.

2. These are not the symptoms of cancer, though initially they do overlap. Cancer symptoms are progressive and cancer is unlikely to be missed on thorough examination.

If you have any more questions I will be available to answer them.

Regards.
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Sumit Bhatti (38 minutes later)
Thank ou for your prompt response-
Last question when the ent did a laryngoscopy he would have something that is just my throat or can he see my esophagus?
I do suffer from anxiety and extreme worry and just to know exacts of all procedures and my doctors fail to explain wverything exactly

I appreciate your feedback!
doctor
Answered by Dr. Sumit Bhatti (6 hours later)
Brief Answer:
A laryngoscopy does not include an esophagoscopy.

Detailed Answer:
Hi,

Thank you for writing back.

1. A laryngoscopy does not include an esophagoscopy.

2. The barium swallow study and the GI scopy helps assess the food pipe and the stomach.

3. Esophageal cancers are rare.

If you have any more questions I will be available to answer them.

Regards.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sumit Bhatti

Otolaryngologist / ENT Specialist

Practicing since :1991

Answered : 2685 Questions

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What Causes Burning Sensation In Throat Along With Difficultly Swallowing?

Brief Answer: Not cancer. Nexium side effects are the likely issue here Detailed Answer: Hi, Thank you for your query. 1. I have reviewed all your previous questions pertaining to this issue. To avoid repetition, I would like to add the following observations: 2. The burning throat and discomfort while speaking is also seen in chronic pharyngitis and laryngitis. These subtle changes will be seen on a videolaryngoscopy. These may also lead to a dry throat and occasional blood stained sputum. Upload images or a video. 3. By this time, the Nexium dose should have controlled the symptoms. Rule out sleep apnea (snoring) leading to mouth breathing and hence a dry throat. The Nexium (esomeprazole) itself can cause a burning, dry throat or a persistent sore throat. On long term use it may also cause low calcium and magnesium levels which may present with these symptoms including the foreign body sensation in the throat and difficulty in swallowing. Get your hemoglobin and Vitamin B12 , Vitamin D levels checked to rule out Plummer Vinson Syndrome (Patterson Brown XXXXXXX Syndrome). 4. These are symptoms of reflux and not of cancer. A prokinetic such as levosulpiride will help. That is a prescription medication and you will need to meet your doctor face to face to get that. If you have any more questions I will be available to answer them. Regards.