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What should I do if I have heartburn, tenderness at the base of my throat?

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Posted on Thu, 12 Apr 2012
Question: It hurts when I swallow. I also feel a slight bit of heartburn. There is tenderness in the bone at the base of my throat (where the neck meets the chest.) What should I do?
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Answered by Dr. Naveen Kumar Nanjasetty (3 hours later)
Hi Parris

Thanks for the query

The throat pain you perceive is because of reflux of gastric contents into the throat. This is termed as ‘Laryngo pharyngeal reflux’.

This is a condition which happens whenever there is reflux of the gastric contents into the throat. The gastric contents are highly acidic in nature they cause inflammation in the upper part of the oesophagus and the throat as the lining mucosa is different from that of the stomach. As a result of this inflammation there is mild swelling in the upper part of the esophagus and the throat.

The path followed by the acid reflux from the stomach to the upper esophagus (reflux oesophagitis) induces “heart burn”. And above the level of the esophagus, the inflammation induced will cause throat pain. The swelling formed as a result of the inflammation of the mucosa will cause discomfort in the throat and difficulty in swallowing.

I would suggest you to drink plenty of water, avoid stress, smoking, alcohol, coffee, tea, spicy food and oily food for few days. Every day have food at the same time. You need to consult your ENT specialist for a thorough examination and management. You will require proton pump inhibitors (such as Omeprazole, Pantoperazole) and a prokinetic in order to reduce the acid secretion and shorten the gastric emptying time.

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

Regards
Dr. Naveen Kumar

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Naveen Kumar Nanjasetty

ENT Specialist

Practicing since :2001

Answered : 2515 Questions

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What should I do if I have heartburn, tenderness at the base of my throat?

Hi Parris

Thanks for the query

The throat pain you perceive is because of reflux of gastric contents into the throat. This is termed as ‘Laryngo pharyngeal reflux’.

This is a condition which happens whenever there is reflux of the gastric contents into the throat. The gastric contents are highly acidic in nature they cause inflammation in the upper part of the oesophagus and the throat as the lining mucosa is different from that of the stomach. As a result of this inflammation there is mild swelling in the upper part of the esophagus and the throat.

The path followed by the acid reflux from the stomach to the upper esophagus (reflux oesophagitis) induces “heart burn”. And above the level of the esophagus, the inflammation induced will cause throat pain. The swelling formed as a result of the inflammation of the mucosa will cause discomfort in the throat and difficulty in swallowing.

I would suggest you to drink plenty of water, avoid stress, smoking, alcohol, coffee, tea, spicy food and oily food for few days. Every day have food at the same time. You need to consult your ENT specialist for a thorough examination and management. You will require proton pump inhibitors (such as Omeprazole, Pantoperazole) and a prokinetic in order to reduce the acid secretion and shorten the gastric emptying time.

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

Regards
Dr. Naveen Kumar