Medical

Have medical questions? Ask a doctor online!

Ask a Doctor,
Get an Answer ASAP!

I've had a problem with my throat and ears for years. Every…

Customer Question
Hello. I've had a...

Hello. I've had a problem with my throat and ears for years. Every morning when i wake up the very back of my throat is literally gooed shut. I cough and gag and hack up slim from the back of my throat. I usually get hacking so bad it kicks in my vomit reflex. If such a thing exists. Anyway i get nauseated. After several minutes of this embarrassing routine my throat clears and i feel better. I dont drink or smoke or really have any bad habits so whats wrong with my throat? A viral or bacterial infection? I had this for years and have mentioned it many times to my Dr.

Doctor's Assistant: How long have you been dealing with the cough? Are you having any other symptoms?

I dont have a cough or a sore throat.

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

My ears always feel pressured up which increases as i bend over.

Submitted: 8 months ago.Category: Medical
Show More
Show Less
Ask Your Own Medical Question
Answered in 5 minutes by:
8/1/2017
Doctor: Dr. Arun Phophalia, Doctor replied 8 months ago
Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 37,777
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
Verified

Hello! My name is***** to JustAnswer. I'm reviewing your question now, and will post back with the reply momentarily.

Ask Your Own Medical Question
Doctor: Dr. Arun Phophalia, Doctor replied 8 months ago

Your symptoms are suggestive of;

1) Acid reflux

2) Hiatal hernia.

An upper GI endoscopy and esophageal manometry is likely to diagnose it.

Following measures would help you:

1) antacids; Maalox

2) acid blocker; Prilosec

3) loosing weight, if overweight.

4) avoiding alcohol, citrus fruits and juices, chocolate, and tomato based products

5) avoiding large meals. Eat 5 small meals in a day.

6) wait three hours after the meal before you sleep.

7) elevate head end of the bed by 8 inches.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

Ask Your Own Medical Question
Customer reply replied 8 months ago
I take Pantoloc for acid reflux. Since i started on the pantoloc my acid reflux or heart burn and other symptoms have all vanished. But this throat goo persists
Doctor: Dr. Arun Phophalia, Doctor replied 8 months ago

Reflux laryngitis or laryngopharyngeal reflux or extraesophageal GERD, differs from traditional GERD in that it does not manifest as heartburn. This silent GERD can be present in as many as 80% of patients. The investigations to confirm it are;

1) Ambulatory 24-hour pharyngoesophageal pH monitoring
2) Barium esophagography
3) Laryngoscopy
4) Upper gastrointestinal endoscopy.

The other possibilities of the diagnosis are;

a) Chronic sinusitis; MRI of sinuses is advised.

b) Zenker diverticulum; barium swallow can diagnose it.

c) Post nasal drip.

It is privilege assisting you.

Ask Your Own Medical Question
Customer reply replied 8 months ago
I never seem to experience nasal or sinus problems. I somehow seem to think this is related to my ear issues.
Customer reply replied 8 months ago
I dont wish to phone you as i have a family Dr and also can afford any further medical advice,
Doctor: Dr. Arun Phophalia, Doctor replied 8 months ago

Apologies for any intrusion of those automatic offers for phone calls. These are produced by the website automatically and outside of my control.

Ask Your Own Medical Question
Customer reply replied 8 months ago
Cant afford
Doctor: Dr. Arun Phophalia, Doctor replied 8 months ago

The nerves of ear, sinuses and upper pharynx (behind the nose) have common nerve supply. So symptoms overlap.

Ear issues are very rare to cause these symptoms.

I am sure your primary care physician can be able to rule out ear issues and its association with these symptoms and refer you to an ENT specialist.

Ask Your Own Medical Question
Customer reply replied 8 months ago
Ok thank you for your time. Oh one other thing. I have such a over active gag relex i now have trouble even brushing my teeth without gagging. I gargle for 10 minutes every night before i go to bed with Listerine but it dont really help.
Doctor: Dr. Arun Phophalia, Doctor replied 8 months ago

You are very welcome.

Some people can have sensitive soft plate which may cause gag reflex easily. Unfortunately there is not much treatment for it.

You may also try these to decrease your early morning symptoms:

1) Nasal saline drop; decrease inflammation and open up obstruction.

2) Oral decongestants such as pseudoephedrine are often helpful.

3) Topical decongestant for short duration.

4) Antihistamines; use only if known allergies.

5) Steam vaporizer

6) Eucalyptus oil may help

7) Vitamin C

It is privilege assisting you.

Ask Your Own Medical Question
Doctor: Dr. Arun Phophalia, Doctor replied 8 months ago

Was this information helpful to you? I would be glad to answer any further questions.

It is privilege assisting you.

Please let me know if you have further queries or unanswered questions.
Please consider a positive 5 star rating if this interaction has been satisfactory, as this is the only way we experts are credited and compensated for the time and work. You are not charged again for giving a rating.

The rating button is on the left upper side of this thread.

Thank you.

Wishing you all the very best in life.

Ask Your Own Medical Question
Was this answer helpful?
Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 37,777
37,777 Satisfied Customers
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist

Dr. Arun Phophalia is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor

2,592 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Dr. Ketch

Dr. Ketch

Board Certified Physician

76 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Board Certified Physician

51,780 satisfied customers

Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.

Dr Basu

Dr Basu

Experienced Specialist

20,746 satisfied customers

MD

Dr. David

Dr. David

Board Certified Physician

224 satisfied customers

Treat children/young adults, former chief resident, multiple publications

Dr. D. Love

Dr. D. Love

Doctor

17,463 satisfied customers

Family Physician for 10 years; Hospital Medical Director for 10 years.

Dr Chip (M.D.)

Dr Chip (M.D.)

Doctor

14,592 satisfied customers

20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.

< Previous | Next >

Related Medical Questions
Getting concerned with my throat after I had sinusitis
Getting concerned with my throat after I had sinusitis surgery in Jan 3rd and an epistaxis in Jan 26th. Now my nasal and back of my throat are so dry. I drank lots of water and I put honey lozenges in… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor
37,777 satisfied customers
I'm wondering if sinusitis surgery can lead to aneurysm in
I'm wondering if sinusitis surgery can lead to aneurysm in the head? Been feeling some pressure in my head. I had terrible epistaxis from posterior artery outburst last Jan 26 after three weeks of the… read more
Edgar Rubio Villegas
Edgar Rubio Villegas
Emergency physician
Surgeon in Traumatology and Orthopedics
742 satisfied customers
I have had laryngitis for a month, I have taken steroids any
I have had laryngitis for a month, I have taken steroids any suggestions … read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,746 satisfied customers
What should a 5 year old be given as a antihistamine?
What should a 5 year old be given as a antihistamine? … read more
Dr Uzair
Dr Uzair
FCPS (R) General Surgery
M.B.,B.S. FCPS
3,788 satisfied customers
I have laryngitis w/hoarse voice, abnormal breath sounds at
I have laryngitis w/hoarse voice, abnormal breath sounds at end of inhalation but mostly at end of exhalation, cough with very little mucous production. When I have some production, it has a greenish … read more
Dr. A
Dr. A
Medical Degree
390 satisfied customers
I have had laryngitis for a month Now. I have a bad cough
I have had laryngitis for a month Now. I have a bad cough to. I don't feel sick. Is something seriously wrong with me? … read more
Dr Josh
Dr Josh
Doctor
B.A.M.S.
7,004 satisfied customers
If I am 170 pounds and take 30 mg of Pseudoephedrine, will
If I am 170 pounds and take 30 mg of Pseudoephedrine, will urinary concentration of pseudoephedrine ever exceed 150 ug/dl? … read more
Dr. D. Love
Dr. D. Love
Doctor
Doctoral Degree
17,463 satisfied customers
I had a cold and now seem to have laryngitis ( I am having
Hi - I had a cold and now seem to have laryngitis ( I am having trouble speaking, voice sounds weak). I have an important work meeting this evening. Is there anything I can take to help get my voice b… read more
Edgar Rubio Villegas
Edgar Rubio Villegas
Emergency physician
Surgeon in Traumatology and Orthopedics
742 satisfied customers
A few days ago, I started having laryngitis - I couldn't
Hello! A few days ago, I started having laryngitis - I couldn't talk at all in the morning and then only hoarsely the rest of the day. My throat didn't hurt. It was just dry and hoarse. Then yesterday… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor
37,777 satisfied customers
Can Reactine do anything for a cold? Plus I have laryngitis
Plus I have laryngitis that just started this morning. What, other than gargling with warm salty water can I come? … read more
Dr SS
Dr SS
Doctoral Degree
12,327 satisfied customers
I have laryngitis. Six days ago, I had a sore throat and it
I have laryngitis. Six days ago, I had a sore throat and it developed into laryngitis. It has now been four days in which I can only talk with a rasp. What is the appropriate procedure in dealing with… read more
Dr. Ravoof
Dr. Ravoof
Doctoral Degree
1,981 satisfied customers
Still up. Continue to have laryngeal spasm of the throat
Still up. Continue to have laryngeal spasm of the throat with heaviness in the mid chest area. Will This go away?… read more
DR MED MD
DR MED MD
CONSULTANT
Post-Doctoral Degree
1,579 satisfied customers
I have a cough left over from a bout with laryngitis. Over
I have a cough left over from a bout with laryngitis. Over the counter cough medicine isn't helping. I have lomotil. Could that help my cough?… read more
Dr. Scott
Dr. Scott
Doctor
1,110 satisfied customers
Looking for an antihistamine for a different reason - to
Looking for an antihistamine for a different reason - to assist in the coping with the withdrawal symptoms of using a benzo (valium) for six years per direction of my doctor - since that time a built … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,988 satisfied customers
I woke up today with Laryngitis and cannot get a doctor's
I woke up today with Laryngitis and cannot get a doctor's appointment until Tuesday. What can I do to treat it? I have Flonase and tussin.… read more
Onlinedoc
Onlinedoc
B.A.M.S.(Bachelor of Ayurveda Medicine & Surgery)
3,315 satisfied customers
I have a cold with severe laryngitis. What is a good over
I have a cold with severe laryngitis. What is a good over the counter medicine to get for this?? … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor
37,777 satisfied customers
Is laryngitis infectious. Dry throat that and only a raspy
Dry throat that and only a raspy voice. I have an occasional cough … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,988 satisfied customers
Trying to determine if this is a viral or bacterial
Trying to determine if this is a viral or bacterial infection. … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,988 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x