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To Be Answered By Dr. XXXXXXX Kumar- Hi, Doctor. With

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Posted on Mon, 18 May 2020
Question: To be answered by Dr. XXXXXXX Kumar- Hi, doctor. With your diagnosis of that Laryr. refux, can there be any type of breathing issues involved as well? Odd type of feeling as if esophagus is constricted and hear whistling noise.
doctor
Answered by Dr. Naveen Kumar Nanjasetty (51 minutes later)
Brief Answer:
One of the typical symptoms of laryngopharyngeal reflux is breathlessness

Detailed Answer:
Hi

Thanks for writing back

Yes, the symptoms you are perceiving are the typical features of Laryngopharyngeal reflux.

The common symptoms include:
1. Sense of foreign body in the throat. This is secondary to burning of the throat mucosa by the acid reflux. Following which, there is swelling in the mucosa. The swollen mucosa gives the sensation of foreign body in the throat.
2. Feel like you cannot take deep breathe due to the irritation of the oesophageal mucosa when the acid regurgitates from the stomach. Seldom it may mimic the asthma.
3. Hoarseness, repeated hawking and post nasal drip or excess mucus in the throat are all some of the other common symptoms of laryngopharyngeal reflux.
4. In many, the symptoms worsen as the age progresses because of the weak diaphragm muscles and the weight gain.

Hope this clarifies your doubts; revert back to me if you have any more queries.

Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Naveen Kumar Nanjasetty (21 hours later)
Hi, doctor. One important symptom I forgot to mention which was concurrent with symptoms dovetailing with your diagnosis of Larygn. reflux is a loss of taste and smell. I did see my primary doctor about this and he suggested speaking with an ENT. (Anything to do with sinus has been ruled out) Just want to get your feedback on this since all symptoms (aforementioned in prior querys and loss of taste/smell) have been ongoing for approx. 4 months now and wondering if this, too, could in some way be related to your diagnosis or feel this is some other issue? Thanks so much. XXXXXXX
doctor
Answered by Dr. Naveen Kumar Nanjasetty (5 hours later)
Brief Answer:
Loss of smell due to nasal allergy can also affect the taste

Detailed Answer:
Hi

Welcome back

Yes, loss of smell could affect the taste as well. Many a times people with nasal allergy would not be able to smell because of the obstruction of the air to the olfactory area inside the nose. Inflammatory changes in the olfactory nerves following chronic nasal allergy could affect the sense of smell.

A short course of oral steroids (to be avoided in the diabetics) may help in getting back the smell and taste to a certain extent. But the intranasal steroid sprays ( Fluticasone or Mometasone) are the best with negligible systemic side effects.

Hope this clarifies your doubts. Wish you good health.

Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Naveen Kumar Nanjasetty (5 hours later)
Hi, doctor. Just a quick clarification follow up question before embarking on oral steroids. The laryngopharyngeal reflux that I do have would not cause any loss of taste? Also, you mentioned that a nasal allergy may have that affect.
Having never been someone to have any type of allergy, could u tell me some of the symptoms? Thanks again.
doctor
Answered by Dr. Naveen Kumar Nanjasetty (1 hour later)
Brief Answer:
Laryngopharyngeal reflux will not cause loss of taste

Detailed Answer:
Hi

Thanks for writing back

1. Laryngopharyngeal reflux will not cause loss of taste.
2. The symptoms of nasal allergy include recurrent nasal block, nasal congestion/stuffy nose, sneezing, running nose, discharge of yellowish mucus, headache, loss of smell, itching in the eyes, nose and the throat, etc. It is not mandatory that you should have all the symptoms mentioned above.

Hope this clarifies your doubts. wish you good health.

Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
Dr.
Dr. Naveen Kumar Nanjasetty

Otolaryngologist / ENT Specialist

Practicing since :2001

Answered : 2543 Questions

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To Be Answered By Dr. XXXXXXX Kumar- Hi, Doctor. With

Brief Answer: One of the typical symptoms of laryngopharyngeal reflux is breathlessness Detailed Answer: Hi Thanks for writing back Yes, the symptoms you are perceiving are the typical features of Laryngopharyngeal reflux. The common symptoms include: 1. Sense of foreign body in the throat. This is secondary to burning of the throat mucosa by the acid reflux. Following which, there is swelling in the mucosa. The swollen mucosa gives the sensation of foreign body in the throat. 2. Feel like you cannot take deep breathe due to the irritation of the oesophageal mucosa when the acid regurgitates from the stomach. Seldom it may mimic the asthma. 3. Hoarseness, repeated hawking and post nasal drip or excess mucus in the throat are all some of the other common symptoms of laryngopharyngeal reflux. 4. In many, the symptoms worsen as the age progresses because of the weak diaphragm muscles and the weight gain. Hope this clarifies your doubts; revert back to me if you have any more queries. Regards Dr. Naveen Kumar N ENT and Head & Neck Surgeon