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What causes pain in windpipe while swallowing the saliva?

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Posted on Wed, 18 May 2016
Question: i'm a 37 year old healthy male with no history of illness or hospitalization. Recently I have felt saliva going down my windpipe four times in the last 3 months. This has happened for no reason at all while I am awake and neither drinking or eating anything. What could be causing this. Should I be concerned
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Answered by Dr. Noble Zachariah (25 minutes later)
Brief Answer:
Likely to be Laryngotracheal reflux

Detailed Answer:
Hello,

Welcome and thanks for your query.
I understand your concern.
You have a condition called Laryngotracheal Reflux ( LPR)
The main cause is a lax lower esophageal sphincter which leads to reflux of the acid content into the esophagus. Unlike GERD, you would not have symptoms like heart burn in most cases and the main symptoms are usually cough, sore throat, wanting to clear throat frequently and hoarseness.
You can get relief by life style changes like losing weight if you are overweight,quit smoking, if you are a smoker,avoid alcohol,chocolate, mints, fats, citrus fruits, carbonated beverages, spicy food and caffeine.
Stop eating at least three hours before going to bed.
Elevate the head of the bed about 4 to 6 inches.
Avoid wearing tight-fitting clothes around the waist.
You may also require to use medicines like Omeprazole which decrease acid production.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Noble Zachariah (9 minutes later)
Thank you doctor.
I don't smoke nor am i overweight so what would you say is the cause for this?
doctor
Answered by Dr. Noble Zachariah (5 hours later)
Brief Answer:
Welcome.

Detailed Answer:
It's likely to be due to a lax lower esophageal sphincter, the reason for which may not be clear.
Try the suggestions given before and you are likely to improve.
Wish you good health and a great day.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Noble Zachariah

Internal Medicine Specialist

Practicing since :1974

Answered : 2324 Questions

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What causes pain in windpipe while swallowing the saliva?

Brief Answer: Likely to be Laryngotracheal reflux Detailed Answer: Hello, Welcome and thanks for your query. I understand your concern. You have a condition called Laryngotracheal Reflux ( LPR) The main cause is a lax lower esophageal sphincter which leads to reflux of the acid content into the esophagus. Unlike GERD, you would not have symptoms like heart burn in most cases and the main symptoms are usually cough, sore throat, wanting to clear throat frequently and hoarseness. You can get relief by life style changes like losing weight if you are overweight,quit smoking, if you are a smoker,avoid alcohol,chocolate, mints, fats, citrus fruits, carbonated beverages, spicy food and caffeine. Stop eating at least three hours before going to bed. Elevate the head of the bed about 4 to 6 inches. Avoid wearing tight-fitting clothes around the waist. You may also require to use medicines like Omeprazole which decrease acid production.