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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes pressure in ears and throat?

I ve been having a horrible pressure in my ears and throat for months which has, in the past three weeks, turned into pain and soreness. It is a constant thing and is only dimmed by taking Ativan. After an examination, my ENT suggested TMJ and put me on muscle relaxants. They did not help at all. He then took a look into my throat with a small scope and said that the very bottom of my throat looked red and puffy; he put me on acid blockers. First proposed, then nexium. They did not help either. He then suggested a gastro dr. I will be going to have an upper endoscopy in two weeks. The pain is fairly bad now, and oddly enough, only Ativan helps. Any ideas. I do have hpv, in case that s important.
Wed, 22 Jul 2020
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General Surgeon 's  Response
Hi,

Fullness in ears indicates about a possible Eustachian dysfunction which may in turn be due to URTI that is upper respiratory tract infection. Secondly, pressure in throat may be due to hypertrophied mucosa in general or as granular pharyngitis as it is persistent for such a long time. May need a long course of anti-inflammatory like Serratiopeptidase, oral steroids in tapering doses, local Povidone Iodine gargles and as would be advised.

Nexium works if there is GERD that is gastro-esophageal reflux disease that causes irritation of throat and esophagus causing heartburn in some patients. Upper GI Endoscopy will help to prove or rule out GERD, hyper acidity or such problems that can cause local throat problems. Additional treatment with Domperidone and antacids will help you further if this is a finding. Also, get H pylori test.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. T. Chandrakant, General Surgeon
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What causes pressure in ears and throat?

Hi, Fullness in ears indicates about a possible Eustachian dysfunction which may in turn be due to URTI that is upper respiratory tract infection. Secondly, pressure in throat may be due to hypertrophied mucosa in general or as granular pharyngitis as it is persistent for such a long time. May need a long course of anti-inflammatory like Serratiopeptidase, oral steroids in tapering doses, local Povidone Iodine gargles and as would be advised. Nexium works if there is GERD that is gastro-esophageal reflux disease that causes irritation of throat and esophagus causing heartburn in some patients. Upper GI Endoscopy will help to prove or rule out GERD, hyper acidity or such problems that can cause local throat problems. Additional treatment with Domperidone and antacids will help you further if this is a finding. Also, get H pylori test. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, General Surgeon