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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Persistent Mild Chest Discomfort And Sore Throat

Male. 29. Average height & weight. Non smoker. Expericing persistent mild chest discomfort & sore throat for 4+ months. Occasional yellow tongue. No cough. No hoarse voice or other symptoms. Does not seem to be effected by diet, exercise, environment or medications. Currently taking Prilosec, Flonase & Clartin for 30+ days. No noticeable change. Please help.
Mon, 14 Sep 2015
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General & Family Physician,  's  Response
Hi
Thank you for asking HCM.
I have gone through your query. Your problem can be due to GERD (gastro-esophageal reflex) and allergy. So your doctor has given drugs for acid reflux, antihistamine and corticosteroids. A thorough examination and chest x ray should be taken to rule out other problems. Prilosec may not be enough for your acid reflux. I would suggest more potent PPI like rabeprazole along with motility enhanzers like domperidone. Combination of antihistamines like levocetirizine and mast cell stabilizers like monteleukast along with this will be helpful also. Keep atleast 2 hours gap between meals and lying down for sleeping. Keep your head end elevated little more by pillows also while lying down.
Hope this may help you. Let me know if anything not clear.
Thanks.
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Suggest Treatment For Persistent Mild Chest Discomfort And Sore Throat

Hi Thank you for asking HCM. I have gone through your query. Your problem can be due to GERD (gastro-esophageal reflex) and allergy. So your doctor has given drugs for acid reflux, antihistamine and corticosteroids. A thorough examination and chest x ray should be taken to rule out other problems. Prilosec may not be enough for your acid reflux. I would suggest more potent PPI like rabeprazole along with motility enhanzers like domperidone. Combination of antihistamines like levocetirizine and mast cell stabilizers like monteleukast along with this will be helpful also. Keep atleast 2 hours gap between meals and lying down for sleeping. Keep your head end elevated little more by pillows also while lying down. Hope this may help you. Let me know if anything not clear. Thanks.