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Dr. Hasan
Dr. Hasan, Doctor
Category: Medical
Satisfied Customers: 7346
Experience:  MBBS, FCPS, with experience in all fields of medicine and surgery
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I heard back from my ENT on what he observed in my throat -

Resolved Question:

I heard back from my ENT on what he observed in my throat - he said when he examined my throat I saw mild evidence of th laryngopharyngeal reflux int he past (mild swelling around the area of the esophageal sphincter).

As we discussed, I've had sinus drainage for about 3 weeks...whould this cause the mild swelling around the sphincter he noted? He looked in my throat using a mirror only.
Submitted: 11 months ago.
Category: Medical
Expert:  Dr. Hasan replied 11 months ago.

Dr. Hasan :

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.

Dr. Hasan :

Yes mild swelling at this site can be caused by LPR but on the other hand it can be caused by sinus drainage.

Dr. Hasan :

The point is how to differentiate?

Dr. Hasan :

If rest of the throat is normal and the swelling is just at sphincter then yes LPR is possible.

Customer:

is this swelling of concern?

Customer:

either way

Customer:

if i had LPR i would have other symthoms?

Customer:

right?

Customer:

I did have a mild reflux episode Friday night while sleeping - the first in several months that i can remember

Customer:

or that i am aware of

Dr. Hasan :

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.

Customer:

that is other symptoms...spelling issues

Dr. Hasan :

No it's not necessary to have other symptoms with LPR but usually hoarseness is there but not necessarily.

Dr. Hasan :

This one episode doesn't matter.

Dr. Hasan :

Even i get such episodes occasionally.

Customer:

No hoarseness....just the sinus drainage that we discussed

Dr. Hasan :

Sometime just your food can do this.

Dr. Hasan :

Yes i remember all details.

Customer:

in the middle of the night that awakens you with a burning sensation in your throat?

Dr. Hasan :

yes

Dr. Hasan :

i understand.

Customer:

you have that too?

Dr. Hasan :

It's just the reflux that comes up, many a times due to heavy meal or due to sleeping just after meal.

Customer:

yes

Dr. Hasan :

Yes sometime, but i know that sometime is normal.

Customer:

Would I have symptoms with Barret's Escophagus

Dr. Hasan :

OHHHHHHHHH, you are thinking too bad :)

Customer:

yes

Customer:

my mind goes places it shouldn't

Dr. Hasan :

Definitely yes you should have full blown symptoms with barret.

Dr. Hasan :

This is not something i will even think for in your case.

Customer:

thanks

Dr. Hasan :

:)

Dr. Hasan :

Your stomach is not too bad but you are giving a continuous tension to it by thing bla bla bla :)

Customer:

I feel find with the exception of the sinus drainage - which I've had for a couple of weeks

Dr. Hasan :

by thinking bla bla bla

Customer:

My stomach - yes

Customer:

It feels fine - I believe anyway

Dr. Hasan :

Sinus drainage needs treatment but nothing in your case should be attributed to anything serious.

Dr. Hasan :

Yes i believe too that you are perfectly fine.

Customer:

if my worrying / thinking / tension were causing stomach issues what would i see / feel

Dr. Hasan :

Actually stress increases acid reflux.

Dr. Hasan :

You feel stressed and you come up with acid reflux.

Customer:

reflux that you feel

Dr. Hasan :

Yes

Customer:

not silent reflix

Dr. Hasan :

One can have episodes of both silent and reflux that one can feel.

Dr. Hasan :

Feeling reflux sometime is normal and has no significance.

Customer:

I don't understand the silent reflux - how can you have this and not feel it

Dr. Hasan :

That is why it is called silent.

Customer:

when it happens to me in the middle of the night - i definitely feel it - it's like a choking feeling

Dr. Hasan :

If you feel it then it is not silent.

Customer:

i dont have a lot of heartburn - I have it, but not that much at all

Dr. Hasan :

Have you elevated your head end?

Customer:

So can you have both silent and the one you feel

Customer:

yes

Customer:

2 pillows and the bed

Dr. Hasan :

yes

Dr. Hasan :

it is possible.

Customer:

how much should you elevate the bed in inches?

Dr. Hasan :

but i think you don't have silent reflux, if you don't have hoarseness.

Dr. Hasan :

2 inch at least.

Customer:

i do not

Customer:

ok

Dr. Hasan :

You should not feel odd.

Dr. Hasan :

Just elevate till you feel ok.

Customer:

i ask my wife every morning - she says i have the said stupid voice as the day we met

Customer:

ok

Customer:

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

Dr. Hasan :

Voice has to be hoarse daily in morning with LPR.

Customer:

no voice issues

Dr. Hasan :

Yes sinus stuff can be equally responsible.

Dr. Hasan :

Yes i know that you don't have.

Customer:

sinus stuff can be equally responsible for?

Dr. Hasan :

minor voice change

Customer:

yes

Customer:

I feeling the sinus drainage running down my throat as we talk

Customer:

chat

Dr. Hasan :

ok

Dr. Hasan :

Yes sinus drainage is also contributing here.

Dr. Hasan :

Have you started the remedy?

Customer:

Yes...the one you gave me

Customer:

from your lab...

Customer:

: )

Dr. Hasan :

no prepared in your lab :)

Customer:

: )

Dr. Hasan :

instructed from my home pharmacy

Dr. Hasan :

LOL

Customer:

Based on what you know - is there any need for follow-up / additional work-ups?

Dr. Hasan :

NOT AT ALL.

Dr. Hasan :

I assure you

Customer:

I got concerned with the swelling he noted

Dr. Hasan :

You don't have swallowing difficulty so that swelling has no significance.

Customer:

i do not - correct

Dr. Hasan :

Significant swelling should cause swallowing problems.

Dr. Hasan :

yes

Customer:

he didn't say if my entire throat had inflammation, but it is sore from the drainage

Dr. Hasan :

ok

Customer:

is inflammation and swelling the same thing?

Dr. Hasan :

to some extent yes.

Dr. Hasan :

inflammation leads to swelling

Customer:

makes sense

Dr. Hasan :

:)

Customer:

I will try to let it go...relax and not worry about it

Dr. Hasan :

Yes i suggest the same to you my dear :)

Customer:

thanks so much for the way you explain things - it really really really helps

Dr. Hasan :

You are most welcome.

Dr. Hasan :

My pleasure

Customer:

No worries - right?

Dr. Hasan :

HAHA

Dr. Hasan :

Definitely no worries.

Customer:

Thank you

Customer:

Have a good day.

Dr. Hasan :

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.

Dr. Hasan, Doctor
Category: Medical
Satisfied Customers: 7346
Experience: MBBS, FCPS, with experience in all fields of medicine and surgery
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