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Throat infection, itchy throat, discomfort, obstruction while swallowing. Suggest what is wrong with me.

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General & Family Physician
Practicing since : 1992
Answered : 47 Questions
Hello Dr,
I am suffering from a throat related infection from past 5,6 years. Have been using many medicines but of no big use. I frequently(once in a month) feel severe itching sensation in the throat for 2,3 days continuously(During those 3 days it would be like hell. I will not be able to eat or drink properly due to this itching sensation). In such a situation when i consult a dr they say its just a normal throat infection and give me some medicines, but i feel no difference. For temporary relief i use TUSQ lozenges along with strepsils. When ever i sleep late or get up early or take cooldrinks this problems intensifies. Apart from this regular itching sensation, daily i feel quiet uncomfortable with my throat. I feel that there is something in my throat which is kind of obstructing and i try to swallow it(but there would be nothing)......i keep clearing my throat....and my throat becomes dry within 10-15 min of drinking for every 10-15min i have to drink water, otherwise i get this itching sensation......Please suggest me what might be wrong with me........
Posted Mon, 23 Apr 2012 in Ear, Nose and Throat Problems
Answered by Dr. James M. Schwartz 22 minutes later

Thanks for the query. I am happy to help you with your question.

Your description is not at all consistent with a throat infection. Recurrent, identical bouts of pain of 2-3 days duration at approximately monthly intervals is not how throat infections behave. Furthermore, infections do not typically itch. I would ask whether your treating doctors performed any throat cultures to document the infection?

If I were your treating physician, I would investigate then possibility of GERD (gastroesophageal reflux disease), which could cause symptoms similar to yours. I see you are already on acid reducing medication, so presumably you already have GERD. However, not all GERD is completely treated with acid reducing medications. A hiatal hernia might cause persistent reflux symptoms despite gastric pH control. Also, with your description of itching, I would entertain the possibility of allergies and indeed, I see you are on antihistamine medication as well.

I would start with a study to see if you have a hiatal hernia. This can be diagnosed with a contrast barium x XXXXXXX (barium swallow), CT or by endoscopy. I would request a throat culture prior to prescribing more antibiotics, as chronic use of antibiotics can be XXXXXXX Finally, I would ask that your doctor consider chronic sinus infection, which can persist even through multiple short courses of antibiotics.

I hope I have answered your query. I will be available to answer any follow up regarding this query. Once you are satisfied with all my answer, please accept it.

Best regards,
Dr. Schwartz
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