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Why Every Morning Muscus Feel Very Rubbery?

Posted on Wed, 11 Sep 2024

Question: for one year ago i got a local infection in throat. got treated with zitromax and it dissapeard.ever sience i have had muscus back at throat. i can alway suck it together in mouth and spit. been to ent again but she says my throat look fine. tried omeprazole 20 mg for 3 weeks , but no change. also tried medicin agaist thrush, also no effect.
theres no coughing or fever. sometime i hold muscus in my mouth and it feel biting.( only sometimes )
every morning muscus feel very rubbery.
all of this happens only at the right side of throat. can you please help me ?? i got a white lump and a clear lump on tonsil, dont know if its the cause. can i attach a photo ?

Answered by Dr. Dr. Naveen Kumar Nanjasetty (7 hours later)

Brief Answer:
Laryngopharyngeal reflux

Detailed Answer:
Hi

Thanks for posting the query.

After going through your description of the problem and examining the image thoroughly, I believe that you could be suffering from Laryngopharyngeal reflux (LPR).

LPR is a condition wherein the acid from the stomach regurgitates into the throat, causing inflammation. Following the inflammation, there is excess Mucus production in that area. The excess mucus secreted alleviates the underlying inflammation of the oro-pharyngeal mucosa. The thick mucus you perceive during the morning hours is because of the above.

The multiple reddish swellings noticed over the right tonsil are its folds with granulations. The area surrounding the right tonsil is mildly inflamed due to the constant regurgitation of the acid. Many individuals may not perceive the typical acid reflux symptoms because of the quick flow of the acid back into the stomach.

You need to take a course on potent proton pump inhibitors and pro-kinetics after consulting your doctor.

I hope this answers your query; revert to me if you have any follow-up queries.

Regards
Dr. Naveen Kumar Nanjasetty
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Dr. Naveen Kumar Nanjasetty (12 hours later)

Thank you very much for your answer. One final question. If it is what you say, why do omeprazol dont give Any effect ?

Answered by Dr. Dr. Naveen Kumar Nanjasetty (10 hours later)

Brief Answer:
Omeprazole may not be effective for all the individuals...

Detailed Answer:
Hi

Thanks for writing back

Omeprazole may not be effective for all the individuals and the dosage given to you may not be sufficient. Newer generation proton pump inhibitors such as Pantoprazole or Esomeprazole could be more effective. Add to this a pro kinetic which can improve the gastric emptying.

Also, you need to avoid the acidity inducing agents such as smoking, alcohol, chilled food and beverages, citrus foods, spicy/oily food and coffee.

Hope this clarifies tour doubts. Wish you good luck.

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. Raju A.T