question-icon

Suggest treatment for sore throat and cough

default
Posted on Fri, 20 Feb 2015
Question: Hi doctor,i have been suffering from sore throat for 2.5 months,sometimes my voice becomes clear and sometimes my throat soreness comes up,largely after meals,and clearing throat makes
Out cough or sputum (sticky)....i took rabeprazole,cetrizine,some antibiotics at some respective times,rabeprazole continuing according to physician but condition persisting..(i have a acidity problem since 2009)....i had lost healthy appetite 5 years ago.BMI 17.7,(weight constant)
doctor
Answered by Dr. Abubakar Siddiqh (20 minutes later)
Brief Answer:
seems to be GERD (gastroesophageal reflux disease).

Detailed Answer:

Hi,


I have gone through your question and understand your concerns that you are having sore throat.


Based on your clinical details, it appears to be GERD (gastroesophageal reflux disease.

GERD (gastro-esophageal reflux disease) with acid reflux can cause Pharyngitis (sore throat), laryngitis (voice box), lung infection (cough with sputum).


I suggest the following measures to overcome your hyper-acidity.


1. stop smoking or alcohol (if you are with this habits).
2. take small frequent 6 meals, instead of large 3.
3. keep 3 hours interval between dinner and sleep.
4. sleep in head elevated position, with extra pillows to prevent regurgitation of food.
5. stop consuming junk/spicy diets, carbonated beverages.
6. try with combination rabiprazole (ppi inhibitor) with prokinetic domperidone for 6-8 weeks (rabikind-dsr).
7. regular exercise.
8.stress free life style.


In persistence of symptoms, needs to see ent surgeon, to rule out other causes.


Hope this answers your question, if you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.


Wishing you good health.


Above answer was peer-reviewed by : Dr. Raju A.T
doctor
default
Follow up: Dr. Abubakar Siddiqh (52 minutes later)
doctor,
1.small meals means how much? and I am sure that lunch causes a major problem to digest(cooked rice),breakfast(chappatis,milk,protinex) is digested(within 3-4 hrs)
2.there is bowel movement, but constipation is there...the stools type changes day to day and sometimes metronidazole helps...how to cure it?
3.sometimes cramps occur ,resulting in tight ,inflated belly,and it after 2 to 3 mins to stop paining gradually ...THATS WHEN I PUT PRESSURE LYING ON STOMACH.HOW TO CURE IT?
4.is GERD PERMANENT a disease? thanking you
doctor
Answered by Dr. Abubakar Siddiqh (38 minutes later)
Brief Answer:
gerd is curable.

Detailed Answer:


Hello again,


Thanks for considering my answer and for your follow up.


Answers for your queries.


1. 9am, 2am, 9pm -meals. 11am,5pm- snacks.
2. Have plenty of fruits,vegetables, plenty of water 2-3 liters to prevent constipation. Metrogyl causes constipation (it is indicated in infective diarrhea).
3. Looks like IBS (irritable bowl syndrome), gastroenterlogist opinion needed.
4. No, it is not permanent.


Hope, I have answered your query.

Take care.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Abubakar Siddiqh

ENT Specialist

Practicing since :1994

Answered : 2038 Questions

premium_optimized

The User accepted the expert's answer

Share on
Suggest treatment for sore throat and cough

Brief Answer: seems to be GERD (gastroesophageal reflux disease). Detailed Answer: Hi, I have gone through your question and understand your concerns that you are having sore throat. Based on your clinical details, it appears to be GERD (gastroesophageal reflux disease. GERD (gastro-esophageal reflux disease) with acid reflux can cause Pharyngitis (sore throat), laryngitis (voice box), lung infection (cough with sputum). I suggest the following measures to overcome your hyper-acidity. 1. stop smoking or alcohol (if you are with this habits). 2. take small frequent 6 meals, instead of large 3. 3. keep 3 hours interval between dinner and sleep. 4. sleep in head elevated position, with extra pillows to prevent regurgitation of food. 5. stop consuming junk/spicy diets, carbonated beverages. 6. try with combination rabiprazole (ppi inhibitor) with prokinetic domperidone for 6-8 weeks (rabikind-dsr). 7. regular exercise. 8.stress free life style. In persistence of symptoms, needs to see ent surgeon, to rule out other causes. Hope this answers your question, if you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.