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Persisting Acid reflux disease - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2276 Questions
Doctor :   hi
User :   I have several questions
Doctor :   sure
Doctor :   please go ahead with ur medical query
User :   thanks i been seen a gastroentelogist and ent doctor
Doctor :   ok
User :   several times
Doctor :   ok
User :   i feel something close to my ear and troat also i hve dysplesia
Doctor :   since when u noticed this
User :   3 years ago
Doctor :   what did the doctor suggest when u consulted
User :   that i have acid reflux
Doctor :   ok
User :   but the problem is that i been given severak medication for acid reflux but symptoms presist
Doctor :   ok
User :   I dont feel any relief and i still feel something that moves and makes me shock , also i notice that i cannot burb
Doctor :   ok
Doctor :   anytime u had coughing of blood
User :   doctor also stated that my gallbladder is not funtuning but no stones found no i have never cough blood
Doctor :   ok
User :   does gallbladder can cause acid reflux
User :   or this symptoms
User :   ?
Doctor :   not likely
Doctor :   the hiatus or hole in the diaphragm
Doctor :   will cause this haitus hernia
Doctor :   It is not known why this occurs
Doctor :   it can be due to heredity
Doctor :   obesity
Doctor :   exercises such as weightlifting, or straining at stool
User :   per doctor i have a very small hitus hernia
Doctor :   ok
User :   but my main concern is why i feel always something close by my ear and troat that is obtructing
User :   that means if i can get rid off this feeling i will be cured
Doctor :   it is unlikely this has something to do with ur hiatus hernia
Doctor :   hiatus hernia is an extremely common condition which usually does not cause symptoms or problems
Doctor :   surgery is infrequently required to treat a hiatus hernia in rare cases, but extremely rare in small hiatus hernia
User :   so what do you think is causing this symptoms
User :   in my troat and ear
User :   its just on the right side
Doctor :   only on clinical examination one can say what exactly is the problem
User :   do you know of any good medical exams that i can request from ent
User :   doctor besides
Doctor :   test isit
User :   the little cam that they introduce
Doctor :   Otoscopy,in direct larginoscopy are essential
Doctor :   to arrive at a conclusion
User :   like more extense
Doctor :   anything else u would like to know about
User :   in order to see troat tissue and see if there is any
User :   obtrcution or blockage that cannot been seen with lariginocopy
User :   that can see tissue
Doctor :   yes
User :   doctor
User :   do you know of any other exams that are more profund that i can request from ent doctor
Doctor :   these are the tests one can do
User :   please advice
Doctor :   as i told you
Doctor :   these are the two test
Doctor :   taht yoiu need
Doctor :   to get the exact
Doctor :   problem
User :   thats it
Doctor :   and then the treatement
User :   Otoscopy,in direct larginoscopy
User :   what it means by otoscopy
User :   ?
Doctor :   seeing into the ear
Doctor :   with an instrument
User :   ok
User :   but there is nothing else like ct scan
Doctor :   yes
User :   or something that can see the linage of the tissues
Doctor :   it is there
Doctor :   but only after the naked eye examination
Doctor :   then if required the doc advises the costly tests like CT scan
User :   yes i agree they already chck my ear and troat
Doctor :   Ok
Doctor :   What is your wt?
Doctor :   and height
User :   so whats the best exam i can request in order to find problm besides Otoscopy,in direct larginoscopy
Doctor :   CT scan and Xray
Doctor :   are the next things
Doctor :   Xray first and then CT
User :   perfect thats what i need it to know
User :   great
User :   my weight is 214
User :   6 feet
Doctor :   Ok
Doctor :   I feel that you are over wt too
Doctor :   and the reflux that causes
Doctor :   can have the sensation of obstruction too
User :   yes i used to weight 260
Doctor :   So why not considering more controled wt loss
User :   so i believe im progresing
Doctor :   that is better
Doctor :   then
Doctor :   You try the same way as you are doing that now
Doctor :   for wt control
User :   ok
User :   thanks doc
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