Question: Hello

Just wanted to let you know I got the biopsy results of my gastroscopy.
Results revealed no inflammation on my esophagus and duodenum, only a chronic inflammation of my stomach which apparently never caused any symptoms.

I still tried to have even healthier eating habits as well.

I guess that reflux is not the cause of my throat problems as I have suspected.
In case you can't see my previous request. I will attach a PDF of our previous conversation

Hello

They are throat and breathing problems. So maybe I should ask another doctor on that specialty. But here is my problem. And this is the disease I am facing for 6 years. It's a complex story

In April 2010 I ate a badly cooked fish and after that I got a throat infection, high fever, yellow stuff coming out from my throat, etc. I got diagnosed with tonsillitis and got antibiotics

The infection seemed to clear up but after a few days I woke up with a globus/tight throat feeling. I would have problems swallowing my saliva but no problems swallowing food. I would also feel mucus on my throat all the problem and swallowing was like painful and awkward. I would also have a constant cough to get rid of the phlegm inside my mouth

I was told this could be sinusitis so I got prescribed a bunch of nasal sprays, none of them ever helped. I knew the problem was my throat and not my nose.

After a year or so, around January 2011 I got a cough attack, probably because of the irritation of my throat due to my previous coughing to get rid of the phlegm of my throat.

After that coughing attack I got new symptoms, a burning/cold/needle feeling in the right side of my chest and throat, a wheeze, which I would say it's like a whistle that comes when I exhale, however it seems to be heard on my throat but not on lungs and like a shortness of breath feeling.

After that I would get laryngospasms often and sometimes I would get a zing on the right side of my throat which would trigger a constant cough

Afte that I got prescribed more nasal sprays, allergy medication with no success.
The only thing that worked, only for 3 weeks to one month which was prescribed on October 2012 was a shot of Trigon depot (a powerful corticosteroid shot I had put in my butt). I got completely symptom free.
Then my symptoms returned, all of a sudden with almost the same intensity.

I stopped seeing doctors because they would try the same things and would never get any relief. Only Trigon did it and that's the one they didn't want to give me

In March 2014 I got seriously tired by this problem because it would disrupt any social and life activity I would have. I was coughing every minute, having this sharp pain in the right side of my chest, and the globus and tight throat feelings in my throat.

I don't know how I managed to live with these symptoms, but I did. I tried to ignore them hopefully someday they would dissapear, but they don't.

In march 2014 I went to two more doctors who prescribed antibiotics which didn't work, and omeprazole for reflux for 3 months.

No single relief. Still same symptoms I was getting desperate. I had a chest CT scan with no contrast and that was clear. a Barium swallow which was clear too, chest x ray and that was clear too.

There doesn't seem to be any serious post nasal drip running thru my throat and I also don't feel anything falling thru the back of my throat.

After helpless doctors I decided to look on the net and found a group of people on a forum who had the same symptoms as I had (before the coughing attack in January 2011) after an upper respiration infection. Just like I did. It was called "Larynx Sensory Neuropathy", "Irritable Larynx Syndrome", "Post viral vagal neuropathy".

I decided to go to a doctor to prescribe anti depressants to handle this. And while we didn't try the right ones, they worked. I did get a relief from symptoms, not complete but at least there's rarely cough anymore.
I took these for one year, from XXXXXXX 2014 to September 2015.

My cough was "replaced" with a throat clearing that seems to be happening below my XXXXXXX apple at the right side. The globus is still there but usually better. Althought not always.

I do still seem to be getting better, but just too slow and I would like to know if there's something else I can do. I do feel this is mostly neurological. Not on my head, but on my nerves

I also got a spirometry done to discard asthma. There was no improvement after trying bronchodilaters, but according to the test I do show a reduction of breath on my smaller airways. Is this reversible? The shortness of breath seems to be felt only on the right side of my chest/ throat (I really cannot differenciate if it's the throat or my chest).

I also tried Trigon again in October 2015 and I was dissapointed because it didn't give me relief (But it worked in 2012)

So, this is a really long story, that has been really horrible for me althought I tried to learn to live with it during the time I could, but after seeing that no doctors could help me I got worried. I was the healthiest guy on the world and after that throat infection in 2010 my life changed completely. I was a healthy guy who did jogging and I was fit, but in 2014 I had to stop.

So obviously I don't know what to do here. I think it's a not ordinary illness, maybe neurological or functional.

Here's a short version of everything that happened:

After throat infection in April 2010 I felt:
Globus
Tight throat
Difficulty swallowing saliva
Cough to get my phlegm out

After a cough attack in January 2011 I got these other symptoms as well
Burning cold/hot/needle pain in the right side of chest and throat that seems to radiate to the back
feeling of shortness of breath on the right side of chest or throat (I am unable to say if it's in the throat or chest)
Cough attacks caused by a zing, tickle in the right side of my throat. These attacks would last 30 minutes or more
wheeze when I exhale. It's like a whistle sound that seems to be heard in the throat

Tests done:
Barium swallow = Normal
DYsphagia using another barium swallow = Apparently not difficulty
Chest CT Scan without contrast = Normal
Chest X Ray = Normal
Gastroscopy = Normal, small chronic inflammation in the stomach that doesn't seem to be related
Spirometry = Bronchodilaters don't help, but according to the woman that did it I have a 25% reduction on smaller airways and I am not sure what this means or if this is reversible. (Can they differentiate if it's because of the larynx or the lungs?)

Medicines I tried:
Antibiotics = No help
Nasal sprays, all brands = No help
Omeprazole = No help
Trigon Depot = Made me symptom free in October 2012 for around one month, but didn't work or do anything in October 2015
Allergy medicine = No help
Bronchodilater inhalers or steroid inhalers = Didn't try them for too long, but didn't help either.
Anti depressants = They seemed to help, tried them to treat the irritable larynx syndrome or laryx sensory neuropathy. We never confirmed if I had this, but I proposed this to my doctor as it seems to happen in some people. I still have symptoms but I don't cough anymore more or less


So this is all my story, six years with it and it's really debilitating. I used to be a fit healthy guy who would do jogging, but it's impossible for me to do that. Jogging inmediately triggers phlegm, I also can't laugh, it triggers phlegm in my throat inmediately.

Which others tests can I do? What is this? Any next steps to try?
Is that "25% small airways reduction" reversible and is this causing my shortness of breath feeling in the right side of my chest?

And are all those symptoms reversible? I really want to cure one day and wake with no symptoms but sometimes I feel it's impossible and I don't want to live with this.

Thanks

Thanks

But.. are you sure it's an allergy? I am not allergic to foods apparently, neither fish. I ate fish all my life and I assume that one contained bacteria or something that triggered tonsillitis. I seemed to be getting well until 5 or 6 days later, it triggered the lump in my throat.

Also, the cough was neurogenic. The pain is really strange as I can say. I have tried antihistamines in the past and they caused me swallowing problems (maybe they will work now tho)

Also, the symptoms are constant, might be little better or worse. Althought they seem to be getting better and I guess it's because my cough is no longer there so Idon't do self harm

Also, the new symptoms that triggered in 2011 developed after an attack of cough and I think I "broke" something there.
The pain was really needle like, like hot needles in my chest

Maybe not in my lungs (maybe that's why it doesn't show on the chest CT Scan. But in my trachea or larynx or bronchi?

Sorry for the questions but I really think it's something more complex than an allergy.

I've moved to other places as well and stayed there for sometimes and not a single improvement..

I do believe that it's not an ordinary thing caused by external agents (except the throat infection in first place) but also my cough harmed it

Thanks

The pain also irradiates to my back or neck at the right side too. It's a really strange pain to describe

Hello

Thank you very much. I will take a few days to see my doctor again, but I will try suggesting this. Lets see if this aggressive therapy helps...

Thank you so much