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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Blocked Throat, Difficult To Breath, Constant Burping. Diagnosed Acid. On Omeprazole. Gastroenteroscopy Normal. No Relief. Advise?

24year old, weight 95kg, As from last year end of March,i started having a "Blocked throat" it began by feeling like a cloath of syliver was stuck on my throat and needed clearing. First attempt was to eat dry bread and see if it suck it down as i swallow but it didnt work. I then consulted my GP who at that stage notice my tonsilis were swollen once again. Tonsils is one of the condition i used to suffer approximately 3 times a year. My GP manage to control the tonsils but unfortunately the throat issue was never resolved. i returned back wherei was given post-nasal medication as assue it was sum residues from the tonsils. going back the 3rd the my GP had given up and decided to refer me to the ENT dep at the hospital where they examined my tonsils and find everything ok there, they put me on different tablets for nasals which i had to take for three month and follow-up thereafter of which i did. When i went for a follow-up, the ENT Dr put on a long black cable with a light through my news, her finding were tha i had too much acid and needed to take the following Tablets for sometime "Omeprazole 20g Capsules" i kept taking these capsules ever since end of January 2013. She also requested that i come back for a follow-up when a specialist would be present, when i returned, the special checked me and concluded it has nothing to do with the ENT, and that i should see Gastroscopic Dept. Last month i had an appointment at the Gastroscopic at the hospital and the Dr there after putting a pipe down through my throat pumping air all the that process nothing not normal was discovered and he adviced me to go back to the ENT of which i am still waiting for my appointment in June. Late the burping is so severe and putting pressure on my throat and chech and making it difficult to even breathe at times, i have to burp every 5min not overexagurating but it has become a major concern for me as no one or nothing had been concluded that will help me from here...Dr i will apprciate your help in this, this hasnt been comfortable for me at all as i am a receptionist at work and this burping is so uncomfortable and embarassing as clients and colleagues come and go my my front desk.

Thanking in you
Phaksi Cape Town
Mon, 24 Jun 2013
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ENT Specialist 's  Response
hi dear,
taking hints by the history you have provided , i believe you may be suffering from gastroesophageal reflux disease.i would need important relevant data regarding your height , dietary habits , alcohol consumption ,snoring during sleep and working hours for further evaluation. however in the absence of this piece of information , i can advise you to reduce your weight if you are obese, quit smoking if you smoke, avoid fatty and spicy food stuff , elevate the head end of your bed by about 30 degrees before sleeping, gargle regularly with warm saline water thrice a day for 5 min each time and of course continue your omeprazole capsule. as for the problem of belching,i believe you have become too conscious of your problem and may have become habitual of belching by yourself.
just try to get rid of this habit by using a sugar free chewing gum when at the desk. if too much flatulence is present with foul odor , it may be worthwhile to undergo a routine stool examination with culture sensitivity test.
good luck and god bless.
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Blocked Throat, Difficult To Breath, Constant Burping. Diagnosed Acid. On Omeprazole. Gastroenteroscopy Normal. No Relief. Advise?

hi dear, taking hints by the history you have provided , i believe you may be suffering from gastroesophageal reflux disease.i would need important relevant data regarding your height , dietary habits , alcohol consumption ,snoring during sleep and working hours for further evaluation. however in the absence of this piece of information , i can advise you to reduce your weight if you are obese, quit smoking if you smoke, avoid fatty and spicy food stuff , elevate the head end of your bed by about 30 degrees before sleeping, gargle regularly with warm saline water thrice a day for 5 min each time and of course continue your omeprazole capsule. as for the problem of belching,i believe you have become too conscious of your problem and may have become habitual of belching by yourself. just try to get rid of this habit by using a sugar free chewing gum when at the desk. if too much flatulence is present with foul odor , it may be worthwhile to undergo a routine stool examination with culture sensitivity test. good luck and god bless.