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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are Pain Inside Throat And Vomiting Sensation Upon First Smoke Due To Cancer?

Hi, I worry about my boyfriend who will be 38. He smokes a lot , and he recently complains that his throat hurts inside , and the pain doesn t go away. He has also strong acid reflux, and feels like vomiting every morning, when smoking his first cigarette. His Dad almost died of colon cancer, and his Granpa died of colon cancer. I am afraid he has advanced throat cancer that has low chance of survival.
Mon, 24 Nov 2014
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Pulmonologist,  's  Response
Thanks for your question on HCM.
In my opinion you should first consult pulmonologist and get done chest x ray and Broncho scopy to rule out any pathology of throat.
The pain mostly from GERD only. And smoking has deteriorated effect on GERD. It actually worsens GERD.
So if chest x ray and Bronchoscopy is normal than no need to worry about throat cancer. His symptoms are mostly due to GERD.
So cessation of smoking is needed in his case. Along with these do following things for better control of GERD.
1. Avoid oily and spicy food.
2. Avoid heavy meals, instead take small meals.
3. Avoid stress and tension.
4. Start proton pump inhibitor.
5. Go for walk after meals.
6. Keep 2-3 pillows under head in bed.
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Are Pain Inside Throat And Vomiting Sensation Upon First Smoke Due To Cancer?

Thanks for your question on HCM. In my opinion you should first consult pulmonologist and get done chest x ray and Broncho scopy to rule out any pathology of throat. The pain mostly from GERD only. And smoking has deteriorated effect on GERD. It actually worsens GERD. So if chest x ray and Bronchoscopy is normal than no need to worry about throat cancer. His symptoms are mostly due to GERD. So cessation of smoking is needed in his case. Along with these do following things for better control of GERD. 1. Avoid oily and spicy food. 2. Avoid heavy meals, instead take small meals. 3. Avoid stress and tension. 4. Start proton pump inhibitor. 5. Go for walk after meals. 6. Keep 2-3 pillows under head in bed.