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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Suggest treatment for pulmonary aspiration

Answered by
Dr.
Dr. Kaushal Bhavsar

Pulmonologist

Practicing since :2008

Answered : 14619 Questions

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Posted on Mon, 29 Aug 2016 in Digestion and Bowels
Question: my questions regarding "feeling my throat close up" and small bites of food coming back up surrounded by phlegm? The doctor that answered insisted this was acid reflux and this is Not acid reflux. I am taking Pantoprazole for acid reflux. There is no burning when this food comes back up and each individual food bite is surrounded by phlegm. I suggested that this is something coming from my stomach. Could I have a food allergy?
doctor
Answered by Dr. Kaushal Bhavsar 12 minutes later
Brief Answer:
You are having aspiration.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Phlegm suggested that you are mostly having aspiration of food particles in lungs which are coughing out.
So possibility of aspiration is more in your case.
Aspiration is commonly seen with neurological diseases in which swallowing is hampered.
So please let me know if you are having any neurological diseases or not.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 23 hours later
The last 8 years of my life I have both knees replaced, both hips replaced, two cataract surgeries and back surgery. I have always had trouble with acid reflex. The last time I had surgery, two months ago, on my left knee I was given a different type of blood thinner and I believe it caused my stomach to bleed. I no longer take the blood thinner and my doctor has put Pantaloc for sixty days to take care of my acid reflux, that was so painful I could not even sleep.

I don't understand what is making me have this phlegm and causing my throat to close. I ate a bowl of oatmeal or breakfast and I was fine but last night I tried to eat chicken XXXXXXX I had to excuse myself and go to the bathroom and get rid of the two small bites I had eaten. This food coming back up is not at all like vomit the small food bites are not dissolved and they are covered in a frothy phlegm. I never know what is going to cause this closing of my throat.

When I was having trouble with my nerves the doctor prescribed me Lorazapam. I was wondering if this is a "nervous thing" and that perhaps if I took a Lorazapam 30 minutes before my meal if this would help keep my throat from closing?

I read what you asked me Dr. regarding neurological diseases but I know of nothing I have been diagnosed with that is neurological. How do I keep food from going into my lungs? This is extremely upsetting. Thanking you in advance for your help in this matter. Sincerely, XXXXXXX L. XXXXXXX
doctor
Answered by Dr. Kaushal Bhavsar 42 minutes later
Brief Answer:
Do you have stressful life?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
No need to worry much as you are not having any neurological diseases.
In my opinion, your symptoms are due to reflux disease only.
Lorazepam will help only if you are having stressful life.
So please let me know if you are having stressful life.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 12 hours later
I am 62 years of age. I remarried 8 years ago to a Scottish/Canadian. My husband has a very bad temper and I have felt like such a burden due to my surgeries that I try so very hard not to upset him. We live in Canada 6 months of the year and in Florida 6 months of the year. When we are in Canada we are "on board" to help care for my husband's 93 year old father. He is extremely stubborn and refuses to use a cane and his skin is so thin that when he falls he causes even very slight scrapes to bleed profusely. He lives by himself but XXXXXXX and I check in on him every day, getting him groceries, taking him to doctor appointments, etc. etc. This can be stressful because the man is very hard to deal with. Alex's son is 36 years old and he "still lives at home". He has a job but he contributes absolutely nothing to our household financially. My nerves get bad when the two of them argue which is almost daily. I worked for over 35 years and raised three children on my own, and I thought that was stressful but I was young and today I wonder how I ever did what I did. I am extremely independent but because of my needed surgeries I have had to be so very dependent on my husband. My goal is to walk without a cane and to be able to go out on my own and develop friendships here in Canada that I have never gotten the chance in all of our married life to do. I am trying desperately to exercise and get the muscles built back up in my legs and I am making progress but now I have this choking on my food issue and I am at my "wit's end". Please if you could give me an idea of a medication that I could ask my family doctor for I would be so appreciative. Having this condition is so very embarrassing. I am so hungry but there are times that after two bites I am sick and cannot go on with my meal. This happens almost every day. Thanking you in advance for any help you can possibly give me Doctor. I am just miserable trying to heal from my knee surgery and get back on my feet again. Sincerely, XXXXXXX L XXXXXXX YYYY@YYYY
doctor
Answered by Dr. Kaushal Bhavsar 2 hours later
Brief Answer:
Are you consulting psychiatrist?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
In my opinion, due to excessive stress, anxiety you are having reflux disease and which is causing such symptoms.
Instead of plain pantoprazole, you're should take combination of pantoprazole and levosulperide.
This will be help you more.
Please let me know
1. Are you consulting psychiatrist?
Please reply me answer of above asked question, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 10 hours later
Dear Dr. Bhavsar,
I am not seeing a Psychiatrist and really have no desire to see a Psychiatrist. I am a spiritual person and I am in hopes that once I am able to walk again I can find a church that I enjoy, close by, that I can be actively a part of. I watch my religious programs every Sunday and I have a daily devotional that I read and make notes in every single day. The Good Lord is my Psychiatrist.

What exactly will this drug levosulperide do for my reflux that Pantaloc hasn't? Do you feel this drug will stop with the forming of the phlegm and the closing of my throat?

Again, thanking you in advance for any help you can give me Doctor.
Sincerely, XXXXXXX L. XXXXXXX
doctor
Answered by Dr. Kaushal Bhavsar 2 hours later
Brief Answer:
Levosulperide is pro kinetic drug.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Well, levosulperide is pro kinetic drug.
It increases gastric emptying. So fullness in stomach can be reduced. So reflux from stomach can be reduced.
So phlegm and food symptoms can be reduced.
So try this combination (pantoprazole and levosulperide). You will mostly improve.
And counseling by psychiatrist plays very important role in controlling stress and anxiety.
It's OK if you don't want to consult psychiatrist but discuss about starting pantoprazole and levosulperide with your family doctor.
Hope I have solved your query. If you are not having further queries, then please close the conversation and rate my answer. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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