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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Lump In The Throat. Suffer From GERD. Taking Prevacid. Need A Permanent Cure?

For the past few years, I have had the feeling of a lump in my throat. Everytime I swallow It makes me gag and spit, sometimes for hours on end. I am at my witts end because this is taking over my life. I have been told I have GERD, yet I have no heartburn, or the nasty taste in the back of my throat. I am taking Prevacid, on day 5 and am feeling no relief. This gagging and spitting from the "lump" occurs all day everyday, I have learned to live with it, but it is becoming more and more severe. What can I do?
Tue, 16 Apr 2013
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General & Family Physician,  's  Response
Hello dear,

Gastro esophageal reflux disease is caused by the reflux of acid from stomach to esophagus due to relaxation of the sphincter at the lower part of esophagus.

Management consists of:
1. Lifestyle modification- like weight reduction, sleeping on the left side, or with upper body raised.
2. Dietary modification- avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol.
3. Medical management- Proton pump inhibitors like Omeprazole, Pantoprazole,etc. (which prevent acid formation in stomach) Metoclopramide can also be used but it has some side effects on long term usage.
4. Surgical management- Fundoplication, done in cases of failure of medical management.

So, it will be better to consult a Gastroenterologist for further management.
Investigations like Endoscopy & Ultrasound scan of the abdomen will be helpful.

There is no need to worry...you will be fine.
Wish you a good health & speedy recovery.
Thanks & Take care
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Lump In The Throat. Suffer From GERD. Taking Prevacid. Need A Permanent Cure?

Hello dear, Gastro esophageal reflux disease is caused by the reflux of acid from stomach to esophagus due to relaxation of the sphincter at the lower part of esophagus. Management consists of: 1. Lifestyle modification- like weight reduction, sleeping on the left side, or with upper body raised. 2. Dietary modification- avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol. 3. Medical management- Proton pump inhibitors like Omeprazole, Pantoprazole,etc. (which prevent acid formation in stomach) Metoclopramide can also be used but it has some side effects on long term usage. 4. Surgical management- Fundoplication, done in cases of failure of medical management. So, it will be better to consult a Gastroenterologist for further management. Investigations like Endoscopy & Ultrasound scan of the abdomen will be helpful. There is no need to worry...you will be fine. Wish you a good health & speedy recovery. Thanks & Take care