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Whenever I Talk For A Time (like 15 Minutes) I Feel Pain In My Throat, Nasopharynx, And My Eyelids Become Swollen, I Feel Tired, Fatigued, And Start Yawning From 8 Years Suggest What Can Be Done?

Posted on Fri, 20 Jan 2023

Question: Whenever I talk for a time (like 15 minutes) I feel pain in my throat, nasopharynx, and my eyelids become swollen, I feel tired, fatigued, and start yawning. It can also lead to headaches. It's worse in dry conditions like an air conditioned place. It helps if I wear a mask. This is a chronic problem that's gone on for 8 years. I've seen 15 doctors with no real diagnosis.

Answered by Dr. Dr.Dorina Gurabardhi (1 hour later)

Brief Answer:
Allergy symptoms, an allergy test is needed to confirm the diagnosis.

Detailed Answer:
Hello,

Your symptoms seem to be related to an allergic reaction.
I would suggest you to do an allergy test to discover the type of allergens that cause the symptoms.
Meanwhile,you can use antihistamines like cetirizine 10 mg.
You can also use steroid nasal spray for local relief.
Drinking liquids and using a humidifier at home can help.
If the symptoms continue you should see an allergologist for a physical examination and further treatment.

Thanks.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr.Dorina Gurabardhi (14 hours later)

Hello,

Thank you for your detailed reply, I appreciate it. I have a few follow-up questions.

1. Have you ever heard of someone experiencing such symptoms when they talk?
2. Do you have any opinion on the effectiveness of acupuncture?
3. As I have had blood allergy tests before, which said I have no food allergy and only a house dust allergy, what is your opinion on the effectiveness of blood allergy tests?

By the way I have seen a few allergy doctors, here in Japan, and they did a blood test ,as I mentioned above.

Thanks again

Answered by Dr. Dr.Dorina Gurabardhi (1 hour later)

Brief Answer:
Follow up queries explained in detail below.

Detailed Answer:
Hi,

1) If house dust is the allergens that cause these symptoms by talking you increase the exposure to this allergen.

This can be the cause why the symptoms aggravate while you talk.

2) Acupuncture is a method that is used to treat allergies in different countries.
The effectiveness is not well known yet.
In my opinion,it can be used to relieve the symptoms.

3) Blood allergy tests are the first examinations that are done to confirm the diagnosis and the allergen.These examinations are necessary and in my opinion very effective.

Hope I helped you.
Take care
Dr.Dorina Gurabardhi

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr.Dorina Gurabardhi (15 hours later)

Hi Dr. Dorina,

Thanks for your reply.

Actually, the problem happens whether I'm talking indoors or outdoors. The problem is worse when I'm in an air-conditioned place. Also, when it rains outside also, the problem worsens, and it seems worse in winter too. So it's hard to assume it's a dust allergy if it happens outside too.

Thanks

Answered by Dr. Dr.Dorina Gurabardhi (5 hours later)

Brief Answer:
Level of humidity in the air triggers the symptoms.

Detailed Answer:
Hi again dear,

In my opinion,these are all factors that trigger the symptoms but not the cause.
Air conditioning has a low humidity.
In this case you should use a humidifier at home and drink liquids .
On the contrary,when it is raining the humidity in the air is higher than normal which triggers your symptoms.

I suggest taking the medications that I mentioned above for relief.

Take care dear,
Dr.Dorina Gurabardhi

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. Remy Koshy