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Vocal cord abuse, GERD - 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 : 2004
Answered : 1358 Questions
Doctor :   Hi
Doctor :  
How can i help you?
User :   yes hi
User :   i had spoken abt my query few days ago, are you the same doctor?
Doctor :   no i am different, i shall go through the previous record

User :   yes please
User :   you have the older communications with you?
Doctor :   you are suffering from throat problem, where it hurts while speaking

User :   yes
User :   have you gone through the chat
Doctor :   please proceed with your query
User :   i was fearing that could it be tonsillitus, as a small white patch has not gone from the left side of my throat
Doctor :  
where exactly is the white patch in throat?
User :   and since few days,, its kind of hurtin down in my neck
Doctor :   ok
User :   the white swelling in inside my mouth on the left side..
User :   the second layer
Doctor :   did you got this checked with doctor?
User :   yes but he almost ignores it everytime, and other day prescribes antibiotics for it
User :   im sorry the other Doctor prescribes antibiotics
Doctor :   what did the other doctor say about the white swelling?
User :   one doctor, got the throat culture done in which streptococcal bacteria was detected and prescribed me antibiotics for it
User :   and the new doctor that i consulted doesnt say anything about this infection, only suggested to continue with tablet Respicure and Omed
User :   nd tablet Sinarest also
Doctor :   from the symptom you told i can make out you are suffering from overuse of voice, and GERD

Doctor :  
pain deep inside the throart and cough which appears after talking for some time is the sign of vocal cord abuse
User :   its not tonsillitis na?
Doctor :   no
Doctor :  
its not
Doctor :  
it is due to repeated acid reflux causing the congestion and pesudomemberanous which appear as white patch
Doctor :   have you undergone endoscopy investigation?

User :   yes
Doctor :  
what did it say?
User :   The doctor had a fast look on the report and he said there are no polyps/nodules on the vocal chords
Doctor :  
User :   what exactly are tonsillitus
Doctor :  
tonsillitis are the two organs situated in the side wall of the throat
Doctor :  
infection of it is called tonsillitis
Doctor :  
it will have the following symptoms
Doctor :  
Doctor :  
severe throat in pain
Doctor :  
difficulty in swallowing
Doctor :  
red throat with swollen tonsillitis which appear as red flesh almost blocking the throat
Doctor :  
there will be inability to open the mouth because of pain
User :   ok
User :   all of these symptoms are present at a time?
Doctor :   yes

Doctor :  
WWW.WWWW.WW User :   ok
Doctor :  
check this site
Doctor :  
there is a photo on the right side
Doctor :  
which shows how tonsilitis will be seen
User :   ok..then i also need to ignore the whitepatch na?
Doctor :   you need to concentrate on reducing the use of voice and also to modify the speech so that the vocal cords are not stressed
Doctor :  
also need to observe the anti reflex measures for acid reflucx
User :   ok
Doctor :  
once it is observed in a few days time the patch may disappear by itself
User :   ok
User :   and i get heavy palipations or what u say heart beating after eating? is that fine
User :   and it increases as the day progresses
User :   sorry palpitations
Doctor :   have you got the ECG examination done?

User :   no
Doctor :   i suggest you to get an ECG examination done when you have palpitation
User :   what is the normal beatin rate ?
Doctor :  
this will be helpful in deciding what it is
Doctor :  
normal beat rate at rest is 60 to 100 per minute
User :   mine reaches to 110 smetimes,,so thats fine na
User :   while exercising it may increase
Doctor :  
and after exertion like exercise and in hot climate and during emotions it might increase to more than 140 per minute
Doctor :   yes exercise will increase the heart rate

User :   so if its 110, ECG is not necessary na?
Doctor :  
if the palpitation is at rest and it occurs suddenly it is not normal
User :   it gradualy increases after eating
Doctor :   eating is not an exertion
Doctor :  
so only i suggest you to get an ecg done
User :   is it painful and how much does it cost
Doctor :   it is not painful and it may costs about 100rs

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