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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Acid In The Throat, Belching Continuously. Taking Nexium For Sinus. Trying To Quit Smoking. Suggestions?

acid build up in the throat about 4-5 hiurs after eating some spicy foods, i wake up and belch continuoysly for a while . i normally eat spicy foods with no problems. also have phelm build up and constant clearing my thraot for over five years and thought it my sinus draining. i used nexium it did help for a while not anymore.i am a smoker who is dying to quit Please help
Mon, 21 Oct 2013
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ENT Specialist,  's  Response
Hello

Your symptoms suggest an acidity problem. The belching suggests a condition known as GERD( gastr oesophageal Reflux Disease ), a condition where acid and gases from the stomach come into the upper food-pipe ( oesophagus)

The 2nd set of symptoms i.e. constant throat clearing is suggestive of LPR ( laryngopharyngeal reflux) a condition where stomach acid comes up to the thraot and voice box.

Both GERD and LPR have the same cause, and require the same treatment

You could start medical treatment with Tablet Omeprazole / Rabeprazole before breakfast once a day. This could be anywhere from 2-12 weeks ( sometimes more )

More importantly some Lifestyle modifications will be required such as
1. STOP SMOKING
2. Drink 2-3 liters of water a day
3. Decrease the intake of caffeine ( tea /coffee)
4. Try to keep a 1-2 hour gap between meal timings , and the time you lie down

there are many other medications available , so if you do not feel better, get in touch with a local doctor who can monitor your progress

Thank you
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Acid In The Throat, Belching Continuously. Taking Nexium For Sinus. Trying To Quit Smoking. Suggestions?

Hello Your symptoms suggest an acidity problem. The belching suggests a condition known as GERD( gastr oesophageal Reflux Disease ), a condition where acid and gases from the stomach come into the upper food-pipe ( oesophagus) The 2nd set of symptoms i.e. constant throat clearing is suggestive of LPR ( laryngopharyngeal reflux) a condition where stomach acid comes up to the thraot and voice box. Both GERD and LPR have the same cause, and require the same treatment You could start medical treatment with Tablet Omeprazole / Rabeprazole before breakfast once a day. This could be anywhere from 2-12 weeks ( sometimes more ) More importantly some Lifestyle modifications will be required such as 1. STOP SMOKING 2. Drink 2-3 liters of water a day 3. Decrease the intake of caffeine ( tea /coffee) 4. Try to keep a 1-2 hour gap between meal timings , and the time you lie down there are many other medications available , so if you do not feel better, get in touch with a local doctor who can monitor your progress Thank you