Long standing throat problem, LPR, tonsils. Suggest treatment and remedy - Online Doctor Chats
How can I help you?
i have this long standing throat problem
the last time i went to an ENT.. they told me its LPR
Yes, - can you elaborate about this problem?
there is a raw feeling in the left side of my throat coupled with only my left ear being blocked
anything i swallow i actually get the feeling in my ear as well..
its ok in the mornings but by evening time it becomes more
could you please help me out
May I know your age?
and this left side throat problem has been there for the last 5-6 months
im 34 yrs old doctor
Let me brief you.
LPR - laryngo pharyngeal reflux is a chronic condition and as you may have read about it - here the contents of stomach and acid reflux back to the upper air way and digestive tract
leading to chronic inflammation.
This results in myriad of upper respiratory symptoms such as yours.
As an ENT surgeon has examined you and diagnosed to have LPR, I agree that these symptoms could be related to this reflux problem.
it is not cancer or anything right?
Reflux of stomach contents can sometime lead to a premalignant condition called barrets oesophagus.
Your symptoms doesn't suggest you have one such premalignant condition.
ok.. also the thing is that my tonsils have become more sensitive only after this LPR thing..
earlier i used to be able to have cold stuff without a problem. i only had to watch out in winter.. now its become an all season affair
Tonsil inflammation can lead to chronic inflammation and such conditions are best managed by surgery - removal of tonsils.
I understand your tonsils are getting affected both by cold and LPR.
so what is your suggestion doctor?
If you been suffering from this tonsil problem for too long
and if the symptoms are very frequent,
surgical removal of tonsils will definitely benefit you.
* this will relieve your tonsil related complaints such as pain in the throat, pain while swallowing and to some extent the ear fullness.
could you please prescribe me some?
Your physician would know about these medications and the right dose for you.
ok.. and when should i be taking them?
In addition to these it is important that some life style changes be carried out.
what changes doctor?
Since the medical drugs are prescription only medications, you need to review with your doctor and take a prescription for him/her.
As far as life style changes are concerned, the following would be useful.
1. Be regular with your food timings.
2. Do not eat till the brink. Rather small frequent meals would do.
3. Drink plenty of water
4. Avoid any thing that is spicy and hot.
5. Restrict caffeine intake to not more than 1-2 cut.
Absolute restriction will be more better.
6. If you smoke or consume alcohol, restrict that.
7. After your diner, it is compulsory that you get to bed only after 2 hours.
restrict to? probably once a week and 2-3 smokes per day?
Sleeping immediately after a full meal increases LPR.
It would be better to quit smoking.
8. Sleep with your head end elevated.
Some of my patients sleep with their headend of the cot elevated on a block of wood.
you may try putting 2-3 pillows under the neck to elevate it above the stomach.
9. Regular sleep improves LPR.
10. Physical exercise, yoga and other alternative form of treatment such as accupunture /accupressure have been helpful.
If these measures and medications do not provide proper relief
and if the condition is not responding to any other treatment, surgery is sought as last resort of treatment.
I suggest you to try these lifestyle changes and medications for a few weeks and see how it goest.
if there is no improvement, the next step would be to for endoscopy.
Have you followed?
thank you so much for your time
Thanks for consulting me.
Bye for now.
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