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Acid reflux and throat dryness - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Average Posted in: GERD
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3177 Questions
Doctor :   hi
Doctor :   how can i help you
User :   I have a dry throat problem for the past 10 months
Doctor :   ok
Doctor :   do u have joint pain and fever as well
User :   I have tried everything still the same problem persists
User :   nope
User :   also I was told that I have the problem acid reflection
Doctor :   did u consult ENT specialist
Doctor :   ok
User :   I did consulted the ENT specialist .. the treatment they gave is not effective
Doctor :   did they prescribe any medicine
Doctor :   ok
Doctor :   do u have burning sensation in throat
Doctor :   r u there
User :   there is no burning sensation but sevior dryness and pain then and there for ex. if I talk for a long time then I will have throat pain also I can see that there is some voice change
User :   I was typing a long sentance
Doctor :   ok
Doctor :   do u have dry eyes or dry mouth?
User :   dry mounth
Doctor :   Dry skin?
User :   mouth
User :   no
Doctor :   ok
Doctor :   what was the medicine prescribed for you
Doctor :   anytime endoscopy was done
User :   yes
User :   after looking at endoscopy result doctor told that i have a sensitive stomach
Doctor :   when was it done and what was the report
User :   it was done some 10-11 months back
Doctor :   ok
Doctor :   do u have the endoscopy report
User :   right now no.. unfortunately I lost those reports some time back
Doctor :   ok
Doctor :   Do you smoke or chew tobacco/drink alcohol/Any illicit drugs/ betel nut chewing? If yes how much/how often?
Doctor :   As this is an online consultation, I have to ask you a few questions because I cannot examine you. It will take some time so please be patient.
User :   no
Doctor :   Do you have any other health problems? Diabetes, Hypertension, Asthma, Thyroid disease, Allergies?
User :   no
User :   also I was done PH test , and was told that acid level was 92%
Doctor :   ok
Doctor :   did they prescribe any antacids or ulcer healing drugs
User :   yes, they gave antacid syrup
Doctor :   so what would u like us to help you now
Doctor :   did it give u relief
Doctor :   so what would you like us to help you with
User :   one sec. am just smmarizing some of the facts in a separate notepad
Doctor :   ok
Doctor :   r u there
User :   still summarizing
Doctor :   do u have cough
Doctor :   We have a long queue of patients waiting for the medical advise please log in a little later
User :   hi
Doctor :   hi
User :   hope am talking to the same Dr whome I spoke before
Doctor :   yes
User :   and you have the chat history as well
Doctor :   yes
Doctor :   dry throat
Doctor :   since 10 months
User :   now am pasting the summary that created seperately
Doctor :   acid reflux
User :   correct
Doctor :   ok
Doctor :   gastro-oesophageal reflux
User :   bit extra lorge sentances...
User :  
Sequence of events
- Had injury when I dashed on a street dog
- Not being sure of dog bite, to be on the safer side taken anti-rabis 4 shots
- Started to have throat dryness
- woamitting problem started, will take after taking food and woaming will be the pices of the food what I took and will be atleast 3-4 times
- started treatment
- taken endoscopy and was told that I have a sensitive stomach
- started taking medicines
- as the problem was still there went to clinic and was advised to take PH test which showed 92% acid level
- was adviced to under go a laproscopic surgery to tighten the end portion of food pipe and starting of stomach
- For the second openion contacted Dr. who was against surgery and gave set of medicins
- Now there is no woamitting but then and there is burning sensation in chest
- But the throat dryness is more and still persists
User :   oops.. there is no new line
User :   do u want me to type in one sentance by one.. will do that
Doctor :   no i will go throu
Doctor :   give me few mins
User :   is the information provided is clear and enough?
Doctor :   iam going throu
Doctor :   ok
Doctor :   from the history i could think
Doctor :   u have lax lower esophageal sphincter
User :   whatz that
Doctor :   throu which the food particles are getting into throat
Doctor :   and causing acid reflux
Doctor :   lax lower esophageal sphincter
Doctor :   r u able to follow
User :   am following you.. but not knowing the meaning of "lax lower esophageal sphincter " in simple terms
Doctor :   lower oesophageal sphincter (the muscular ring at the lower end of the oesophagus) is abnormally relaxed and allows the stomach's acidic contents to flow back or 'reflux' into the gullet (oesophagus)
Doctor :   causing heart burn
Doctor :   now r u able to follow?
User :   yes
Doctor :   Oesophagitis is inflammation of the inner lining of the oesophagus caused by repeated episodes of gastro-oesophageal reflux.
User :   ok
Doctor :   to overcome this problem
Doctor :   u need diet modification
Doctor :   i will give u self care tips
User :   pl.
Doctor :   avoid taking spicy food and oily or food rich in fats
Doctor :   dont take too much of coffee
Doctor :   if ur overweight
Doctor :   u need to loose weight
Doctor :   avoid wearing tight upper body tee shirts
User :   ok
Doctor :   The more the stomach is stretched by food, the higher the tendency to reflux. The tendency is also increased by eating fatty meals as fat delays gastric emptying.Try to avoid large rich meals, particularly in the evening and this will reduce the tendency to reflux.
Doctor :   Chocolate, peppermint, coffee, (lemon, citrus)fruit juices and alcohol prevent the oesophageal sphincter from working properly.
Doctor :   The tendency to reflux increases when you are lying down. This is just due to gravity. A simple way to change that is to use a pillow under the mattress or to raise the head of your bed by 10cm (4 inches) with blocks
Doctor :   If the person is overweight the excessive fat in the abdominal cavity increases the pressure inside it. This causes the contents of the stomach to travel up into the gullet
User :   is this the cause of my throat dryness as well?
Doctor :   yes
Doctor :   avoid large, high-fat meals and bedtime snacks
User :   ok
Doctor :   if the problem persists
Doctor :   u might need surgery
Doctor :   but that is last option
Doctor :   before that u they need to put on medicines
Doctor :   which will reduce the acid
Doctor :   or prokinetics
Doctor :   which will hurry gastric emptying
Doctor :   r u able to follow
Doctor :   any doubts please ask
User :   am following you.. only thing what is not clear to me is
Doctor :   surgery is only last resort, in extreme cases, u need not worry as of now
User :   nowadays I do not have acid reflex problems / woamiting etc.. only problem I have the throat dry ness which is unbarrable at times
User :   am I correct in my assumptions above
Doctor :   u need to consult ENT surgeon
Doctor :   if the problem is persisting
User :   ok will do
Doctor :   i feel problem
Doctor :   is more due to acid reflux
User :   ok
Doctor :   anything else can we help you with
User :   Thanks a lot for your advice and will take it up from here
Doctor :   ur welcome
User :   it was very good
Doctor :   Thanks for Consulting Health care Magic. If you find this service helpful please refer your friends and family members.

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