Have Medical Questions? Ask a Doctor Online!
HI, Thanks for your question. My name isXXXXX and I am here to help you today. I will be happy to help you with your follow-up questions also.
Yes mild swelling at this site can be caused by LPR but on the other hand it can be caused by sinus drainage.
The point is how to differentiate?
If rest of the throat is normal and the swelling is just at sphincter then yes LPR is possible.
is this swelling of concern?
if i had LPR i would have other symthoms?
I did have a mild reflux episode Friday night while sleeping - the first in several months that i can remember
or that i am aware of
No this swelling is not something to be worried for because it must be a smooth and diffuse swelling so no significance regarding anything serious.
that is other symptoms...spelling issues
No it's not necessary to have other symptoms with LPR but usually hoarseness is there but not necessarily.
This one episode doesn't matter.
Even i get such episodes occasionally.
No hoarseness....just the sinus drainage that we discussed
Sometime just your food can do this.
Yes i remember all details.
in the middle of the night that awakens you with a burning sensation in your throat?
you have that too?
It's just the reflux that comes up, many a times due to heavy meal or due to sleeping just after meal.
Yes sometime, but i know that sometime is normal.
Would I have symptoms with Barret's Escophagus
OHHHHHHHHH, you are thinking too bad :)
my mind goes places it shouldn't
Definitely yes you should have full blown symptoms with barret.
This is not something i will even think for in your case.
Your stomach is not too bad but you are giving a continuous tension to it by thing bla bla bla :)
I feel find with the exception of the sinus drainage - which I've had for a couple of weeks
by thinking bla bla bla
My stomach - yes
It feels fine - I believe anyway
Sinus drainage needs treatment but nothing in your case should be attributed to anything serious.
Yes i believe too that you are perfectly fine.
if my worrying / thinking / tension were causing stomach issues what would i see / feel
Actually stress increases acid reflux.
You feel stressed and you come up with acid reflux.
reflux that you feel
not silent reflix
One can have episodes of both silent and reflux that one can feel.
Feeling reflux sometime is normal and has no significance.
I don't understand the silent reflux - how can you have this and not feel it
That is why it is called silent.
when it happens to me in the middle of the night - i definitely feel it - it's like a choking feeling
If you feel it then it is not silent.
i dont have a lot of heartburn - I have it, but not that much at all
Have you elevated your head end?
So can you have both silent and the one you feel
2 pillows and the bed
it is possible.
how much should you elevate the bed in inches?
but i think you don't have silent reflux, if you don't have hoarseness.
2 inch at least.
i do not
You should not feel odd.
Just elevate till you feel ok.
i ask my wife every morning - she says i have the said stupid voice as the day we met
I cough up a lot of sinus "stuff" every morning - have for a very long time - can't remember not doing this especially in the fall months
Voice has to be hoarse daily in morning with LPR.
no voice issues
Yes sinus stuff can be equally responsible.
Yes i know that you don't have.
sinus stuff can be equally responsible for?
minor voice change
I feeling the sinus drainage running down my throat as we talk
Yes sinus drainage is also contributing here.
Have you started the remedy?
Yes...the one you gave me
from your lab...
no prepared in your lab :)
instructed from my home pharmacy
Based on what you know - is there any need for follow-up / additional work-ups?
NOT AT ALL.
I assure you
I got concerned with the swelling he noted
You don't have swallowing difficulty so that swelling has no significance.
i do not - correct
Significant swelling should cause swallowing problems.
he didn't say if my entire throat had inflammation, but it is sore from the drainage
is inflammation and swelling the same thing?
to some extent yes.
inflammation leads to swelling
I will try to let it go...relax and not worry about it
Yes i suggest the same to you my dear :)
thanks so much for the way you explain things - it really really really helps
You are most welcome.
No worries - right?
Definitely no worries.
Have a good day.
Same to you, I wish you good luck that you get well soon, please ask if you have any question because our discussion always remains open so you can always ask more till you are satisfied, You can click the smiley to rate the answer. You can come back here to ask anything even after you have rated the answer. I will be glad to help you always.