Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
You seems to suffer from -
GERD.The rise in the voice-increases intrathorasic pressure,which causes increased
acid reflux due to similar innervation as that of pharyngo-laryngeal region by Vagal nerves.
This leads to breath holding to avoid aspiration in airtrack.So breath holding is from GERD and not due to
MVP in your case.
Treat with-
PPI -prilosec(OTC) with domeperidone and treatment
of causes of GERD would resolve this difficulty in the breathing.
Consult with Physician and if need be ENT surgeon to treat this laryngopharyngeal breath holding caused from GERD with which to prevent mucus collection spillage in to air track, breath holding is reflexly done by you.
Hope this would help you to plan further care of this complex illness of yours.
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Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS