Fever, Difficulty In Swallowing, Renal Mass, Mitral Valve Prolapse, Nodule In Thyroid, Taken Augmentin And Prednisone. Due To A Single Disease?
Thanks for posting your query.
There are three main possibilities for this feeling of something being stuck in the throat and hoarseness of voice and they have already been identified in your case. Unfortunately there is no common medical condition which may be causing these symptoms.
First, this feeling of something stuck in the throat, trouble swallowing, raspy voice and exhaustion is due to the thyroid nodule that are solid or fluid-filled lumps within the gland. In addition to these symptoms it may cause nervousness and irregular heartbeat as well. A biopsy of the thyroid gland should be done to check out whether this nodule is benign or not. If it is benign then treating a benign nodule with levothyroxine is the first step. Check the Serum TSH, Free T3 and T4 levels through blood tests.
But if it becomes so large that it starts pressing upon the windpipe or causing difficulty in swallowing then it has to be removed by surgery. The chances of malignancy are more if it is creeping into the oesophagus and windpipe. The usual treatment for malignant nodules is surgical removal, often majority of the thyroid tissue is removed and necessary thyroxine replacement therapy is given.
So get an evaluation done from an Endocrinologist and a Surgeon and discuss these treatment options.
Second, the osteoma in the ethmoid is quite large in size then it has to be removed surgically especially if they are likely to cause orbital or intracranial complications. You should discuss the option of surgery with your ENT specialist.
Third, the esophageal ulcers can be causing the difficulty in swallowing, choking and difficulty in swallowing as well. This needs immediate gastroenterologist’s review. Till then, try the following lifestyle measures:
1) Try raising the head of your bed about four inches with blocks.
2) It also might help to avoid eating or drinking for two hours before you lie down. Avoid tight clothing.
3) To help control the stomach acid, one should not drink alcohol or drinks with caffeine in them, or eat chocolate or spicy or greasy foods.
4) Also take some antacid but if the symptoms are severe, then you may need drugs like proton pump inhibitors like omeprazole after consulting your doctor.
A Gall bladder problem should ideally be rule out with an Ultrasound scan of the abdomen.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
Wishing you good health.
Thanks for writing back to me.
What you are suffering from could be post cholescystectomy syndrome. In this, there’s persistent pain and associated nausea/vomiting after gall bladder removal. This occurs primarily due to either the adhesions which are formed in the area of the surgery or due to the dysfunction of the sphincter of oddi.
ERCP is a procedure which is done to look for the cause of the post cholecystectomy syndrome and is also used for the treatment. You can discuss this option with your gastroenterologist.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
Wishing you good health.