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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for throat irritation

Hello Doctor, when i get up in the morning , i feel tightness in my throat, as if something is stuck. So i cannot have my breakfast in morning properly. It feel like Gas is accumulated in my throat. Some times i even vomit whatever eaten. I feel weak....can u help please?
Mon, 22 Sep 2014
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Diabetologist 's  Response
Hi, welcome to our site. I am Dr Saumya Mittal, MD.

Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query

The thing is that I feel you dont have throat complaint. What you have in fact seems more like a stomach problem. Here is how-

I feel you have a form of gastritis or acidity in simple terms. the acid that is produced in the stomach is stopped from coming out side by a small valve like feature that is actually incomplete (in the sense that it is not an actual valve, just a muscle fold). Therefore it may be possible for acid to come out of stomach into the food pipe- something called as GERD.

The acid basically comes up in your throat and collects there in small quantites causing burning of the area affected. The affect is the pain and heaviness and difficulty in swallowing.

The acidity increases typically in the early hours of every morning, and therefore when you wake, this excess acid causes nausea and retching and sometimes even vomitting.

You could always have an endoscopy done to see what it is.

The solution would be to avoid things like coffee, and tea, especially before bed time. avoid spicy and oily foods and give a gap of 2-3 hours between dinner and sleep.
Raising the head end of your bed may also help keep the acid away from the throat.

You may also try medicines like proton pump inhibitors. Now these medicines like esomeprazole are taken once daily- in your case I would suggest taking them just 1/2 hour before dinner. They are quite safe and devoid of major side effects. So try a course of them. If it helps, your treatment is the same, and your diagnosis is confirmed as well.

I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further.

I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you.

Please do understand that some details could be extracted from a detailed history and examination.

Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further.
(If the answer has helped you, please indicate this)
Best of luck.
Dr Mittal.
MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology)
Consultant Physician and Diabetologist
JS Hospital
Ex Apollo Hospital, Delhi
Ex Kailash Hospital, Noida
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Emergency Medicine Specialist Dr. R.A. Singh's  Response
Hi,
Thanks for writing your query.
After reading your post, I would advise that you should get yourself clinically examined and investigated by an ENT specialist.

You can take an antacid like Omeprazole 40mg once a day before meals along with Domperidone 30mg for relief from your symptoms of gas.

I hope this is helpful to you.
Thanks.
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