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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Swallowing Difficulties, Done Blood Work, No Heart Burn. Laryngopharyngeal Reflux?

Dear Doctor I am a 41 year old male who suffers from symptoms of swallowing difficulties when eating coupled with asthma . I find it difficult to eat sitting down and have difficult sleeping as it feels I need to be constantly swallowing. I have had a breath test to test for a bacteria associated with an ulcer however that came back negative. I also had my full blood work analysed and it also came back in good order. I am finding it difficult to eat however I am hungry and have always had a good appetite. At times when I don t eat the swallowing problem becomes worse. I have been to my doctor 3 times complaining of this problem but have yet to get a sufficient response. I have recently been prescribed Nexium tablets. As this matter has been of concern to me I have undertaken my own research onr reflux and the symptoms I suffer largely mirror those encountered with Laryngophayngeal Reflux (LPR). I do not suffer heartburn however from my reading this is quite common with this illness. Since undertaking my research I have attempted to limit my intake of food/drink high in acids however this does appear to limit what one can consume. Can you please provide your thoughts? Kind Regards
Fri, 28 Mar 2014
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ENT Specialist,  's  Response
Hello

Welcome in H.C.M.

I have gone through your query regarding swallowing difficulty, though your routine investigations reports are normal.

Considering your all symptoms and co-relating them with possible pathological process it appears as you are suffering from either of these-

1- GERD (gastro esophageal reflex disease).

2- Grannular Pharyngitis.

3- L.P.R.

I would like to suggest you to do-

1- Steam inhalation.

2- Antacid with PPI.

3- Avoid spicy food.

4- Take proper rest.

5- Adequate fluid orally.

6- Anti histaminic.

I hope this above treatment will help you otherwise consult your ENT doctor.

Regards.
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Swallowing Difficulties, Done Blood Work, No Heart Burn. Laryngopharyngeal Reflux?

Hello Welcome in H.C.M. I have gone through your query regarding swallowing difficulty, though your routine investigations reports are normal. Considering your all symptoms and co-relating them with possible pathological process it appears as you are suffering from either of these- 1- GERD (gastro esophageal reflex disease). 2- Grannular Pharyngitis. 3- L.P.R. I would like to suggest you to do- 1- Steam inhalation. 2- Antacid with PPI. 3- Avoid spicy food. 4- Take proper rest. 5- Adequate fluid orally. 6- Anti histaminic. I hope this above treatment will help you otherwise consult your ENT doctor. Regards.