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Constant sore throat, swollen neck. History of hiatus hernia, severe IBS, reflux of regurgitation. Solution ?

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Orthopaedic Surgeon
Practicing since : 2011
Answered : 5143 Questions
I am 49 year old female who has an ongoing history of stomach problems.I have haetus hernia ,severe reflux with regurgitation at night (40mg omeprazole daily for the last 8 years)severe ibs /ongoing stomach pains especially upper stomach under sternum(D)cholysystectomy 2008 which made all my stomach issues much worse.8 weeks ago I had a chest infection cough and wheezing which my gp thought might be the result of reflux.Since then the last few weeks I felt that I had something stuck in my throat and was unable to eat solid foods(poss due to the reflux?)now I have a constant sore throat which feels like cut glass and this soreness goes into my chest my glands in my neck are also swollen it hurts when I eat solid foods and I also have a pain radiating from my neck to my right shoulder blades in my upper back area.I have attended gp several times and been sent away again as they think this is reflux related which it could well be however I have never had these symptoms before and my throat is so painful I am in tears much of the time for the last few days.I am going to a private gp today to get some blood tests done do you have any suggestions why I may have this soreness like cut glass feeling in my throat neck and chest area and I am hoarse when I talk after eating and walking in the morning.thank you
Posted Sat, 16 Jun 2012 in Digestion and Bowels
Answered by Dr. Aashish Raghu 7 hours later
Hi there.

Thanks for the query.

According to your history it appears you may be suffering from respiratory tract infection which is causing pharyngitis.

It could also be tonsillitis, since tonsillitis can sometimes be associated with pharyngitis or inflammation of the throat which makes swallowing even fluids painful and a grainy sensation like cut glass as you feel.

This could be the result of a possible Strep throat or other infections.

I would suggest you follow the following remedies which will definitely give good benefit.

Eat soft food of moderate temperature. Also avoid hot or cold fluids to drink.

Drink 1-2 litres of water daily. You may consume water in sips if it is painful to drink in a gulp.

Do salt water gargling 4 times a day to relieve you of the pain and swelling in the throat.

Perform steam inhalation 2-3 times a day as required as this will reduce some pain and swelling in the pharynx area as well as clear any nasal blockage.

Regarding reflux, you need to follow precautions like avoiding lying down immediately after food but rather after half an hour or more. Avoid spicy food, oily and fatty food, hot food, smoking, alcohol. Eat small, frequent meals to prevent reflux. Eat more of diary products like milk and curds which will soothe the inflammed areas in your food pipe and stomach.

The hiatus hernia needs to be corrected by a Surgical Gastroenterologist especially if severe and causing increased discomfort and suffering.

I hope I have answered your query. I will be available to answer your follow up queries.

Kindly follow up with me regarding your progress.

Wishing good health.

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