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Reflux laryngitis and throat congestion - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2009
Answered : 615 Questions

Doctor :   Hi
Doctor :  
How can i help you?
User :   actualy i have a prob in my throat
Doctor :  
Ok
User :   i have consulted some 5 e n ts..and have taken many medicines..lastly got an endoscopy done , doc says the vocal chords were over used in my last profesion
Doctor :  
Ok
User :   the last doc who is a famous e nt diagnosed me with reflux laryngitis and throat congestion,,he gave me two tablets respicure and omed
Doctor :  
Ok
User :   it was better few days bk ,still the prob has again emerged..i feel strain in my neck while talking and sore throat..can u guide me?
Doctor :  
May i know your age and gender?
User :   age 26,,female
Doctor :  
nay i know your occupation?
User :   i was in cusXXXXXXXXer care now left it
Doctor :  
Ok.
Doctor :  
Do you have any hoarseness of voice?
User :   what exactly is hoarseness sir?
Doctor :  
Do you have any changes in the voice?
User :   Dear User, Your chat period is about to get over. You will be redirected to the Payment page in 10 seconds. It's very economical. After the payment, you will be auXXXXXXXXatically brought back to this chat page and you can continue your chat with the doctor.
Doctor :   Hi
User :   yes hi
User :   is this chat valid for 12..today only? which is the indian time here
Doctor :  
Do you have any changes in you voice?
Doctor :  
Yes, it is valid for 24hrs.
User :   ok
Doctor :  
you can chat in 3 sessions in 24 hrs.
User :   i dont have much change in the voice..but sometimes it kind of trembles and i need to swallow constantly
Doctor :   Do you have any other medical problems?
User :   i will you my exact sympXXXXXXXXs now-morning it is ok,, as the day progresses i feel a strain in my neck and it sounds rough and i need to swallow
User :   no other medical problem other thanthis
Doctor :   Ok.

Doctor :   I shall explain to you.
Doctor :  
Your sympXXXXXXXXs are probably related to your occupation.
Doctor :  
The stress and strain related to them, the dietary practice and your life style.
Doctor :  
Excess stress can lead to gastric symXXXXXXXXs which can lead to the reflux of the acid leading to these sympXXXXXXXXs
Doctor :  
So apart from the medications i shall suggest you these measures.
User :   so is it permanent? i have already left my job
User :   now am worried ..if it continues i cant even work cause its embarassin to cough and sneeze in ofice..i hope u understand
Doctor :  
These are temporary problems but if not treated then some times may lead to complications.
User :   but im facing these problems since 4 months..how long do they continue
Doctor :  
Yes i understand.
Doctor :  
With proper dietary changes and life style modifications you can solve the present problems.
Doctor :   I shall explain it to you.
User :   ok..how to do that
User :   yes please
Doctor :   1. Avoid undue stress and anxiety.
User :   but how is stress related to a sore throat sir?
Doctor :  
You have taken a good step by quiting the job which is causing you too much of stressors.
Doctor :  
A good amount of sleep is advisable.
Doctor :   recommended sleep period is 6 to 8 hrs of undisturbed sleep.
User :   i sleep well
Doctor :   when i say 6 to 8 hrs it does not mean in sessions, a complete rest.
User :   ok
Doctor :   2. when you sleep, raise your head by means of few pillows.
User :   ok
Doctor :   and let the pillows be comfortable so as to avoid exertion on the neck
Doctor :  
3. Avoid hot and spicy foods.
User :   hmm
Doctor :  
You need to decrease or restrict foods that are deep fried.
User :   ok
Doctor :  
they can lead to increase in the acidic content of the sXXXXXXXXach.
Doctor :  
4. Decrease your caffeine consumptions.
User :   i drink coffee,,how many cups shal i take?
Doctor :   Caffeine containing products are coffee and tea.
Doctor :  
if your sympXXXXXXXXs are too much it is better to aviod them.
User :   ok
Doctor :  
other wise not more than a cup.
User :   k
Doctor :  
The more you restrict them the better you can prevent the recurence.
User :   you are a doc from which country sir,?
Doctor :  
I am from India.
User :   ok
Doctor :  
4. you can use syp mucaine gel along with the medications given to you when the sympXXXXXXXXs starts.
User :   this syp is for what?
Doctor :  
Take the omed tab and this syp before food.
User :   i need to gargle ?
Doctor :  
This syp is an antacid that can neutralise the acids.
Doctor :  
No it is for consumption.
User :   omed is also for neutralizing? wont they cause prob?
Doctor :   the inflammation in the larynx will heal once the reflux of the acid is reduced.
Doctor :  
They do not have any interactions.
User :   ok
Doctor :   They can help in healing faster.
Doctor :  
5. Avoid smoking if any
User :   i dont smoke
Doctor :   I'm sorry.
Doctor :  
6. Weight reduction if you are over weight.
User :   yes im 71 ..wil do this
Doctor :  
At this point may i know your height and weight?
User :   height is 5.5, weight is 71
Doctor :  
According to your data, you come in the category of over weight.
User :   yes
Doctor :  
Your BMI is calculated to be 28.
Doctor :  
So you need to reduce your weight.
User :   ok
Doctor :  
Target your BMI to below 23.
User :   what is should be
Doctor :  
hence weight reduction measures has to be followed.
User :   ok
User :   sir, why the itchiness and problems in speakin? al related to relux?
Doctor :  
BMI between 19 to 25 range can be considered normal.
Doctor :  
Ideal BMI wold be 23.
User :   ok
User :   bmi is height/wt?
Doctor :  
Apart from the gastric problem you may also have second problem.
Doctor :   Calculated by Weight in kgs/ height in meter square.
User :   ok
Doctor :   the second problem might be because of voice straining.
Doctor :  
that can happen because of over abuse of the voice.
Doctor :  
They usually happen because of the occuapation
Doctor :  
It takes some time for this to improve.
Doctor :  
With adequate rest to the voice your problem will improve.
Doctor :  
Have you followed?
User :   n what about the throat soreness feelin?
User :   yes i have followed
Doctor :  
The soreness is probably because of the reflux of acid itself.
Doctor :  
Acid reflux can cause chemical reaction on the surface of the pharynx(throat) leading to soreness.
Doctor :  
If the soreness is severe, you can try Tab Disprin gargles to help the soreness.
Doctor :  
Once the reflux of the acid imroves the soreness will heal.
Doctor :  
Have you followed?
User :   yes
Doctor :   Remember the most important cause for these sympXXXXXXXXs are anxiety and stress.
Doctor :  
So do not worry on the sympXXXXXXXXs.
Doctor :  
With the above measure you will be able to improve much faster.
User :   they have not gone since a long time so needed consulting again
User :   one last question
Doctor :   That is fine, but also try not to worry much on these, as they may again cause your sympXXXXXXXXs/
User :   will the congestion tablet help cure soreness? what exactly is soreness
Doctor :  
Yes please proceed with that.
Doctor :   Since the congestion is secondary to the adidic content of the sXXXXXXXXach.
Doctor :  
they will heal if there is no further reflux.
User :   ok and i need to take the profession where in i have totalk less?
Doctor :  
The tablet disprin garles i suggested is to improve your sympXXXXXXXXs.
User :   disprin is again a tablet or gargling?
Doctor :  
yes, preferably pick an occupation where there is not much of talking.
User :   n then i should take all these tablets- respicure, omed, disprin gargles, and syp mucaine?
Doctor :  
Disprin is a dispersible tablet available in few pharmacy.
Doctor :  
they have to disolved in luke warm water and gargled.
User :   ok
Doctor :  
Take those medications as suggested by your doctor.
Doctor :  
But if you need to prevent these from happening again you need top strictly follow the life style changes i suggested.
Doctor :  
Do you have any other query?
User :   ok
User :   no i think its fine
Doctor :  
Please fill the feed back form that has been sent to us.
User :   yes i filled it.
Doctor :  
Have you filled the feed back form?
User :   yes
User :   incase i m left up with few of the inquiries. what time i can consult u XXXXXXXX?
User :   ok i think you not there in the chat session..anyways thank you very much
User :   sir u there?
Doctor :   yes
User :   im sorry to bother you again
Doctor :  
Please proceed.
User :   the previous doc actualy had advised me to get a throat culture done..in that some streptococcus bacteris was diagonsed and there is some whitish infection, (though not increasing but even not going) in my left side of mouth, is that normal?
User :   you there sir?
Doctor :   Iam sorry, we are facing a few tecnical issues with the internet here. Can you confirm your mobile number so that i can answer your query on phone?
User :   its 0000
Doctor :  
This number is coming as not valid.
User :   are you calling me?
User :   as the time is little odd, could you give me a call XXXXXXXX? or maybe i could again login XXXXXXXX if thats ok for you
Doctor :  
Ok.
Doctor :  
you can loggin again any time.
User :   ok
User :   you are available 24 hours?
Doctor :   We are available 24/7.
Doctor :  
You can loggin again XXXXXXXXorrow at any other time of your choice.
User :   ok, but then my case is with u, so i think would b appropriate to talk to u only
Doctor :  
I will be available XXXXXXXXorrow only at the night times.
User :   ok, then i would try coming at your convenient time only.
Doctor :   Do you have any other query?
User :   just 1 that i think u missed out
User :   the previous doc actualy had advised me to get a throat culture done..in that some streptococcus bacteris was diagonsed and there is some whitish infection, (though not increasing but even not going) in my left side of mouth, is that normal?
User :   i think a problem again
User :   its fine, maybe if my payment is valid until XXXXXXXX, would ask you XXXXXXXXorrow. thanks again
Doctor :   Streptococcal infection is not normal. but since you do not have fever, you do not need antibiotics.

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