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Ask Dr. Arun Phophalia Your Own Question

Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 29200
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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Thanks for the answers. I feel better about my trip. And

Customer Question

Thanks for the answers. I feel better about my trip. And that it's not likely serious. You were very professional, and knowledgeable.
Submitted: 7 months ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 7 months ago.

Thanks Brian for the comments and taking time for it. I really appreciate it.

 

Please let me how the trip went. Also feel free if you have any follow up questions.

 

Wishing you all the very best,

Customer: replied 7 months ago.
Will a physician hear anything with a stethoscope with bronchitis? Dr says lungs sound goi in addition to X-ray being clear.
Expert:  Dr. Arun Phophalia replied 7 months ago.

Yes Brian there can be physical examination findings as following;

1) pharyngeal (throat) erythema (redness)
2) localized lymph node enlargement (lymphadenopathy)
3) coarse rhonchi and wheezes (sounds heard on stethoscope) that change in location and intensity after a deep and productive cough.

 

Chest X-ray can be clear.

Customer: replied 7 months ago.
Could it still be bronchitis if lungs sound clear?
Expert:  Dr. Arun Phophalia replied 7 months ago.
Brain,

It is quite unlikely to be bronchitis if lung sounds are clear and there are no other findings mentioned above.

It is privilege assisting you.

Dr. Arun
Customer: replied 7 months ago.
Throat redness is the only constant symptoms in the ones mentioned above
Expert:  Dr. Arun Phophalia replied 7 months ago.
The throat redness alone is more likely due to reflux laryngitis and in the absence of any other symptoms and signs and physical exam finding, chance of bronchitis would be quite low.
Customer: replied 7 months ago.
And the reflux will cause soreness in the throat and chest,chest hurting off and on, and the shortness of breath at times? Just trying to research as much as possible. All the drs. Keep saying allergies, or chronic bronchitis. Didn't sound right to me. When they said that. Thank you
Expert:  Dr. Arun Phophalia replied 7 months ago.
You are most welcome, Brian.

Yes, reflux can cause all these symptoms; soreness in the throat and chest, hurting off and on, and the shortness of breath at times. Following would be helpful;

A. Herbs;

1) Cranberry
2) Peppermint

B. Homeopathy

1) Nux Vomica
2) Pulsatilla

C. Nutrition and supplements;

1) Multivitamin; vitamins A, C, E, the B vitamins, and trace minerals, such as magnesium, calcium, zinc, and selenium.
2) Probiotic supplement
3) Omega 3 fatty acid
4) Avoid; cookies, crackers, cakes, French fries, onion rings, donuts, processed foods, and margarine.5) Also avoid; white breads, pastas, and especially sugar, red meats,
6) Eat lean meats, cold water fish, tofu, beans, olive oil
Customer: replied 7 months ago.
And is reflux overly serious, other than discomfort ?
Expert:  Dr. Arun Phophalia replied 7 months ago.
No, reflux is not a serious issue, Brain. With proper treatment, you can resolve the symptoms and discomfort.
Customer: replied 7 months ago.
How confident do you feel ? I k ow u can't be 100 percent without examining me, But are my symptoms pretty cut and dry? Are you fairly certain it's a harmless reflux problem? It's just been hanging around for a month or so now. And it's kind of worked into my head thinking maybe there was somthing serious goin on.
Expert:  Dr. Arun Phophalia replied 7 months ago.
Brian,

I am quite confident that this is unlikely to be serious, especially with your pretty good work up by your doctor. This sounds quite likely to be reflux as we see lot many patients with the same symptom conglomerate as yours. Please read this Mayo clinic resource which says that one of the common cause of chest pain is reflux;

http://www.mayoclinic.org/medicalprofs/noncardiac-chest-pain-pudd0212.html
Customer: replied 7 months ago.
Ok. I understand. So. If the symptoms do not go away, how long should I wait to go back to my physician? Or is there anything I should be on the lookout for symptom wise that its getting better or worse?
Expert:  Dr. Arun Phophalia replied 7 months ago.
If the symptoms gets worse, that would be an indication of going to the doctor. Otherwise you may continue the treatment for 1-2 weeks.

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