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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Bumps In Throat?

I have a feeling like there is something stuck in my throat. When I reach my fingers down my throat, I feel bumps. Are those bumps always there Or is something wrong. I m not in pain but it is very annoying feeling. It feels like a human hair ball that just won t go away
Wed, 10 Sep 2014
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ENT Specialist 's  Response
Hi. The little bumps in your throat resemble the description of what is called a granular pharyngitis. That would explain why it feels a little sore or as if something is stuck ( like a hairball). Most granular pharyngitis start as viral infections and are easily treatable.

A good oral rinse and gargle with betadine or an antiseptic mouthwash before and after meals for 3 days should take care of this. If you start developing pain, difficulty in swallowing or fever then have yourself started on an antibiotic and anti-inflammatory medications by your ENT surgeon.

The other common reason for for your symptoms is seen in a condition called LPRD or Laryngopharyngeal Reflux Disease.

In this condition small amounts of acid from the stomach create injury and inflammation around the voice box leading to swelling in the interarytenoid region (posterior portion of the voice box). This is what causes the sticking feeling in the throat and the acid irritation can sometimes lead to dry cough. LPRD is different from GERD or Gastroesophageal Reflux Disease and therefore may not be associated with symptoms of gastritis such as burning chest pain, stomach pain and gas.

Management of this condition involves keeping the LPRD under control and allowing the voice box to heal (2-3 weeks). This is a challenge because there is more effort required from the patients in the form of lifestyle changes and little support provided by medications. At the least you need an ENT evaluation to follow up with you to review improvement and Pulmonology evaluation to manage the Asthma. Antacids and lifestyle changes may need to be followed for 6 months or more for complete cure.

Here are some recommended lifestyle modifications

1. Reduce/ avoid spicy and fried food
2. Reducing intake of tea/ coffee/ carbonated drinks
3. Reducing/ stopping smoking and alcohol consumption
4. Reducing stress/ anxiety related to work or family
5. Taking plenty of fluids : 1.8 to 2.5 litres of water per day
6. Maintaining fixed or identical meal timings every day
7. Maintaining fixed or identical sleep timings every day
8. To maintain an upright posture for up to 2 hrs after meals. Avoid lying down immediately after meals.
9. Raise the head end of your bed. Avoid raising the height of the pillow.
10. Voice rest for 48 hrs

Please do keep me posted on your recovery. Will be happy to follow up and modify medications based on your response since many times doses/durations/choice and combinations of antacids can vary from patient to patient and may need to be tailored for you specifically.
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What Causes Bumps In Throat?

Hi. The little bumps in your throat resemble the description of what is called a granular pharyngitis. That would explain why it feels a little sore or as if something is stuck ( like a hairball). Most granular pharyngitis start as viral infections and are easily treatable. A good oral rinse and gargle with betadine or an antiseptic mouthwash before and after meals for 3 days should take care of this. If you start developing pain, difficulty in swallowing or fever then have yourself started on an antibiotic and anti-inflammatory medications by your ENT surgeon. The other common reason for for your symptoms is seen in a condition called LPRD or Laryngopharyngeal Reflux Disease. In this condition small amounts of acid from the stomach create injury and inflammation around the voice box leading to swelling in the interarytenoid region (posterior portion of the voice box). This is what causes the sticking feeling in the throat and the acid irritation can sometimes lead to dry cough. LPRD is different from GERD or Gastroesophageal Reflux Disease and therefore may not be associated with symptoms of gastritis such as burning chest pain, stomach pain and gas. Management of this condition involves keeping the LPRD under control and allowing the voice box to heal (2-3 weeks). This is a challenge because there is more effort required from the patients in the form of lifestyle changes and little support provided by medications. At the least you need an ENT evaluation to follow up with you to review improvement and Pulmonology evaluation to manage the Asthma. Antacids and lifestyle changes may need to be followed for 6 months or more for complete cure. Here are some recommended lifestyle modifications 1. Reduce/ avoid spicy and fried food 2. Reducing intake of tea/ coffee/ carbonated drinks 3. Reducing/ stopping smoking and alcohol consumption 4. Reducing stress/ anxiety related to work or family 5. Taking plenty of fluids : 1.8 to 2.5 litres of water per day 6. Maintaining fixed or identical meal timings every day 7. Maintaining fixed or identical sleep timings every day 8. To maintain an upright posture for up to 2 hrs after meals. Avoid lying down immediately after meals. 9. Raise the head end of your bed. Avoid raising the height of the pillow. 10. Voice rest for 48 hrs Please do keep me posted on your recovery. Will be happy to follow up and modify medications based on your response since many times doses/durations/choice and combinations of antacids can vary from patient to patient and may need to be tailored for you specifically.