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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Throat Infection

I have a condition that causes me to clear my throat, sometimes morethan other times. I have taken several types of medicine, but nothing really works. So, I want to see an ear, nose and throat doctor. I have had this problem for over four years and would like to find out what is wrong.
Mon, 1 Dec 2014
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ENT Specialist 's  Response
Hi. Thank you for writing to HCM.

What you are describing is very characteristic of a condition known as LPRD or Laryngopharyngeal reflux disease. It presents with repeated throat clearing, bouts of dry cough and feeling of something constantly irritating or being stuck in the throat. This is because of tiny amounts of acid reflux leading to injury around the voice box region.

This has nothing to do with the regular acid reflux and it is not necessary for you to have symptoms of gastritis or other symptoms associated with acidity.

Unfortunately LPRD requires lifestyle changes such as avoiding stressful lifestyle, cessation of smoking and alcohol, reduction in tea/coffee consumption and avoiding to lie down immediately after meals (for at least 2 hours). It is also advised that you avoid consumption of spicy meals as well. Use of medicines such as antacids are only supportive and temporary. These reduce symptoms by 30-40% only. For complete recovery lifestyle changes as mentioned above needs to be applied for at least 12-18 weeks to see significant results. Oral antacids are recommended for 8 - 10 weeks.

Lack of compliance to such regimen often leads to an uncured status for many years. Expecting cure just from medications in this condition is a little farfetched.

Hope this information was helpful. Do let me know if you have any other concerns.
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Suggest Treatment For Throat Infection

Hi. Thank you for writing to HCM. What you are describing is very characteristic of a condition known as LPRD or Laryngopharyngeal reflux disease. It presents with repeated throat clearing, bouts of dry cough and feeling of something constantly irritating or being stuck in the throat. This is because of tiny amounts of acid reflux leading to injury around the voice box region. This has nothing to do with the regular acid reflux and it is not necessary for you to have symptoms of gastritis or other symptoms associated with acidity. Unfortunately LPRD requires lifestyle changes such as avoiding stressful lifestyle, cessation of smoking and alcohol, reduction in tea/coffee consumption and avoiding to lie down immediately after meals (for at least 2 hours). It is also advised that you avoid consumption of spicy meals as well. Use of medicines such as antacids are only supportive and temporary. These reduce symptoms by 30-40% only. For complete recovery lifestyle changes as mentioned above needs to be applied for at least 12-18 weeks to see significant results. Oral antacids are recommended for 8 - 10 weeks. Lack of compliance to such regimen often leads to an uncured status for many years. Expecting cure just from medications in this condition is a little farfetched. Hope this information was helpful. Do let me know if you have any other concerns.