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What Causes Hoarseness In Voice And Pain While Swallowing?
Question: Hi Doc,
I am 30 years old male with smoking history.I have been diagnosed with GERD 5 years ago and had nissan fundoplication, now for last one month i have hoarseness. hoarseness started severe and with medication it is fine. i have little pain while swallowing and in the morning when i wake up and spit clear very thick mucus with very little blood and dark green dots in it. I also feel sensation to clear my throat constantly as if mucus is stuck in back of my throat. I went to ENT he inserted a camera tube through my nose and told its because of reflux. all symptoms improved with his meds. I am not totally fine. I am little worried. do you think anything wrong with my lungs. Can you help?
I am 30 years old male with smoking history.I have been diagnosed with GERD 5 years ago and had nissan fundoplication, now for last one month i have hoarseness. hoarseness started severe and with medication it is fine. i have little pain while swallowing and in the morning when i wake up and spit clear very thick mucus with very little blood and dark green dots in it. I also feel sensation to clear my throat constantly as if mucus is stuck in back of my throat. I went to ENT he inserted a camera tube through my nose and told its because of reflux. all symptoms improved with his meds. I am not totally fine. I am little worried. do you think anything wrong with my lungs. Can you help?
Brief Answer:
get done chest x ray and PFT.
Detailed Answer:
Hello dear, thanks for your question on HCM.
I want to ask few questions first.
1. Since how long do you smoke?
2. How many cigarettes you smoke per day?
3. Any other symptoms like chest pain or breathlessness or fever are there or not.
Since you are smoker , thick mucus with blood can be seen in
1. Infection
2. Bronchitis.
So chest x ray is needed to rule out infection.
And PFT (Pulmonary Function Test ) is needed to rule out bronchitis.
So better to consult pulmonologist and discuss about these.
And reflux can recur after fundoplication surgery. So your sensations in throat can be due to reflux only.
So continue antacids and lifestyle modifications like avoidance of oily, spicy and hot food.
And you should quit smoking as soon as possible. This habit will only harm you.
So better to consult pulmonologist and get done PFT and chest x ray.
Kindly reply me answers of above questions, so that I can guide you accordingly.
I will be happy to help you further.
Wish you good health.
Thanks.
get done chest x ray and PFT.
Detailed Answer:
Hello dear, thanks for your question on HCM.
I want to ask few questions first.
1. Since how long do you smoke?
2. How many cigarettes you smoke per day?
3. Any other symptoms like chest pain or breathlessness or fever are there or not.
Since you are smoker , thick mucus with blood can be seen in
1. Infection
2. Bronchitis.
So chest x ray is needed to rule out infection.
And PFT (Pulmonary Function Test ) is needed to rule out bronchitis.
So better to consult pulmonologist and discuss about these.
And reflux can recur after fundoplication surgery. So your sensations in throat can be due to reflux only.
So continue antacids and lifestyle modifications like avoidance of oily, spicy and hot food.
And you should quit smoking as soon as possible. This habit will only harm you.
So better to consult pulmonologist and get done PFT and chest x ray.
Kindly reply me answers of above questions, so that I can guide you accordingly.
I will be happy to help you further.
Wish you good health.
Thanks.
Above answer was peer-reviewed by :
Dr. Shanthi.E
I smoke like 10 cigarretes a day and no i dont have any other symtoms. My mucus has gone less thick now and blood is also very minimal. Can it be cancer?
Brief Answer:
Could be bronchitis, Cancer is less likely
Detailed Answer:
Hello dear, thanks for your follow up question on HCM.
In my opinion you should consult pulmonologist and get done PFT and chest x ray.
Possibility of infection or bronchitis (due to smoking) is high. Cancer is less likely as your age is too small. But smokers tend to develop lung cancer at young age.
So chest x ray and other investigations like Ct scan will help in rule out cancer too.
So quit smoking as soon as possible. As it will only harm you.
And your blood in mucus can be due to infection or bronchitis.
Consult pulmonologist and discuss all these.
Hope I have solved your query.
If you are not having further queries, please close the conversation and rate the answer.
Wish you good health.
Thanks.
Could be bronchitis, Cancer is less likely
Detailed Answer:
Hello dear, thanks for your follow up question on HCM.
In my opinion you should consult pulmonologist and get done PFT and chest x ray.
Possibility of infection or bronchitis (due to smoking) is high. Cancer is less likely as your age is too small. But smokers tend to develop lung cancer at young age.
So chest x ray and other investigations like Ct scan will help in rule out cancer too.
So quit smoking as soon as possible. As it will only harm you.
And your blood in mucus can be due to infection or bronchitis.
Consult pulmonologist and discuss all these.
Hope I have solved your query.
If you are not having further queries, please close the conversation and rate the answer.
Wish you good health.
Thanks.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Doc - i dont really cough at all. Not even cough and produce blood. i see when touch my nose it bleeds.
anyhow am planning to consult a doctor soon
Thanks.
anyhow am planning to consult a doctor soon
Thanks.
Brief Answer:
consult an ENT surgeon.
Detailed Answer:
Hello dear, thanks for your follow up question.
If you are having nasal bleed than it would be better to consult an ENT surgeon and get done local examination.
And quit smoking as soon as possible.
Hope I have solved your query.
If you are not having further queries, please close the conversation and rate the answer.
Wish you good health.
Thanks.
consult an ENT surgeon.
Detailed Answer:
Hello dear, thanks for your follow up question.
If you are having nasal bleed than it would be better to consult an ENT surgeon and get done local examination.
And quit smoking as soon as possible.
Hope I have solved your query.
If you are not having further queries, please close the conversation and rate the answer.
Wish you good health.
Thanks.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Thanks Doc - I have quit smoking for a month now. what i mean by bleeding is when put my finger deep inside my nose i can see the fresh blood in my finger. do you think its nasal bleeding?
Thanks,
XXXX
Thanks,
XXXX
Brief Answer:
yes, it is nasal bleeding.
Detailed Answer:
Hello dear, thanks for your follow up question.
Yes, you are having nasal bleeding only.
Nasal mucosa is very delicate. And can bleed if damage by trauma. And finger pricking is the most common cause for trauma.
So better to avoid finger in nose.
And consult ENT surgeon for local examination of nasal cavity.
Hope I have solved your query.
I will be happy to help you further.
Wish you good health.
Thanks.
yes, it is nasal bleeding.
Detailed Answer:
Hello dear, thanks for your follow up question.
Yes, you are having nasal bleeding only.
Nasal mucosa is very delicate. And can bleed if damage by trauma. And finger pricking is the most common cause for trauma.
So better to avoid finger in nose.
And consult ENT surgeon for local examination of nasal cavity.
Hope I have solved your query.
I will be happy to help you further.
Wish you good health.
Thanks.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Hi Doc - What do you think is the constant mucus in the throat in which is very very thick in throat in the morning?I am also little confused if this can be lungs related as well, i dont see any cough. is this possible to have serious condition without cough?
Thanks,
XXXX
Thanks,
XXXX
Brief Answer:
it is smoker's cough.
Detailed Answer:
Hello dear, thanks for your follow up question on HCM.
Early morning thick mucus expectoration in chronic smoker is known as smoker's cough.
It is due to smoke induced irritation and inflammation which causes mucus gland hypertrophy and secretion of thick mucus.
And in my opinion you are having problem in lungs (bronchitis) as mucus can only produced in lungs and coughed out. Which is felt in trachea.
And no need to worry. This is not serious. Since you have left the smoking, you will surely improve with time.
Hope I have solved your query.
I will be happy to help you further.
Wish you good health.
Thanks.
it is smoker's cough.
Detailed Answer:
Hello dear, thanks for your follow up question on HCM.
Early morning thick mucus expectoration in chronic smoker is known as smoker's cough.
It is due to smoke induced irritation and inflammation which causes mucus gland hypertrophy and secretion of thick mucus.
And in my opinion you are having problem in lungs (bronchitis) as mucus can only produced in lungs and coughed out. Which is felt in trachea.
And no need to worry. This is not serious. Since you have left the smoking, you will surely improve with time.
Hope I have solved your query.
I will be happy to help you further.
Wish you good health.
Thanks.
Above answer was peer-reviewed by :
Dr. Prasad
Doctor- I never cough. I feel mucus coming out my throat or mucus from my nose. May be i am asking you too many questions, it just i am worried thats all.
Thanks,
XXXX
Thanks,
XXXX
Brief Answer:
you may have URTI.
Detailed Answer:
Hello dear, thanks for your follow up question.
And no need to worry, as being a patient, to ask questions is your fundamental right. And I can understand what patients can feel when they are in trouble. So no worries.
Now lets get back to the answer.
In my opinion you are having upper Respiratory tract infection ( URTI ). Due to this throat irritation and mucus can be seen.
So try to follow these steps.
1. Avoid oily and spicy food.
2. Drink plenty of fluids and keep your self hydrated.
3. Warm water gargles 5 - 6 times a day.
4. Start macrolide group of antibiotic.
5. Also start antihistamines and anti inflammatory drugs.
Hope this will help in your throat problem.
Hope I have solved your query.
If you are not having further queries, please close the conversation and rate the answer.
Wish you good health.
You can also ask me directly through this link. bit.ly/askdrkaushalbhavsar.
Thanks.
you may have URTI.
Detailed Answer:
Hello dear, thanks for your follow up question.
And no need to worry, as being a patient, to ask questions is your fundamental right. And I can understand what patients can feel when they are in trouble. So no worries.
Now lets get back to the answer.
In my opinion you are having upper Respiratory tract infection ( URTI ). Due to this throat irritation and mucus can be seen.
So try to follow these steps.
1. Avoid oily and spicy food.
2. Drink plenty of fluids and keep your self hydrated.
3. Warm water gargles 5 - 6 times a day.
4. Start macrolide group of antibiotic.
5. Also start antihistamines and anti inflammatory drugs.
Hope this will help in your throat problem.
Hope I have solved your query.
If you are not having further queries, please close the conversation and rate the answer.
Wish you good health.
You can also ask me directly through this link. bit.ly/askdrkaushalbhavsar.
Thanks.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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