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Q&A

Answered by Dr. Bindia

At 45, what is causing my gastric reflux issues?

Hello,Welcome to icliniq.com.I read your query and can understand your concern.Your symptoms appear to go beyond simple globus sensation and may require more advanced esophageal physiology testing rather than repeated routine endoscopy or continued acid-suppressing therapy alone. Your symptoms likePersistent swallowing difficulty.Throat tightness.

May 14, 2026

Can chemotherapy or Tamoxifen worsen nasal polyps?

Hello, Welcome to icliniq.com ` I have read your query and understand your concerns. Nasal polyps arise from chronic inflammation and are not directly worsened by hormone-positive breast cancer treatment such as Tamoxifen. However, chemotherapy-related immunosuppression can increase inflammation or infection risk, which may aggravate nasal symptoms. Nasal steroid sprays are generally safe, effective in reducing polyp size and congestion, and have no known contraindication with Tamoxifen. Your raised eosinophil count and mucosal thickening indicate ongoing inflammatory activity contributing to the persistence of the polyp.

April 9, 2026

Why do my tonsils hurt and stay inflamed for months?

Hello, Welcome to icliniq.com. I have read your query and can understand your concern. Persistent throat and tonsil discomfort can be due to chronic or recurrent tonsillitis. Still, it is equally common for long‑standing throat symptoms to come from non-infectious causes like chronic pharyngitis (a persistent throat inflammation causing dryness, soreness, scratchiness, cough, and mucus, lasting weeks or months, often due to irritants like smoke, dry air, allergies, acid reflux, or mouth breathing, and sometimes underlying conditions), allergy, or acid reflux (stomach acid is rising into your foodpipe), so it does need an examination rather than self‑treatment.​ Given that your symptoms have lasted around two months, an in‑person evaluation is advisable, even if they are mild, to look at the tonsils, posterior pharyngeal wall, nose, and larynx.

March 30, 2026

What could cause raspy and weak voice while singing?

Hello, Welcome to icliniq.com. I can understand your concern. The symptoms, raspy or weak singing voice, mild throat soreness, phlegm sensation, and intermittent tenderness over the larynx suggest that your voice-producing structures, vocal cords, and surrounding tissues have been irritated for a prolonged period, possibly by a chronic inflammatory or mechanical cause rather than an acute infection. Likely causes include chronic laryngitis, laryngopharyngeal reflux, vocal strain or misuse, and localized laryngeal tenderness. Pain over the larynx on palpation can reflect minor muscle tension, mild inflammation, or irritation from repeated coughing or throat clearing.

March 30, 2026

How to manage migraine and chest pain in a female?

Hello,Welcome to icliniq.comChest pain associated with migraine can sometimes be related to the headache itself and may improve once migraine control is achieved. However, in young females, chest pain should not be ignored and requires evaluation to rule out cardiac or other causes, such as cardiac cephalgia.Symptoms like tinnitus, eye pain, and fatigue are commonly seen in migraines. That said, the presence of new or worsening symptoms along with chest pain is concerning and needs urgent medical attention. If there is sudden worsening of pain, vision changes, weakness, confusion, or shortness of breath, immediate evaluation in the emergency room is strongly advised.

March 26, 2026

Why does my uvula swell and hang down when I’m sick?

Hello, Welcome to icliniq.com. I have read your query and can understand your concern. A uvula that drops and touches the tongue or throat during infections is usually due to uvulitis or uvular edema (swelling), which can be triggered by viral/bacterial infections, allergies, reflux, snoring/OSA (obstructive sleep apnea, a common sleep disorder where your upper airway repeatedly collapses or becomes blocked during sleep), or, less commonly, angioedema (sudden swelling in the deep layers of the skin and mucous membranes). For many patients, optimizing these factors (allergies, reflux, snoring) plus short courses of anti‑inflammatory treatment during infections significantly reduces the frequency/severity of uvular crises and may avoid surgery. Uvulectomy or partial uvulectomy is generally reserved for: Clearly elongated uvula (often visible even when you are well) that chronically causes cough, throat irritation, choking with swallowing, or nocturnal breathing disturbance.

March 19, 2026

My son has allergic rhinitis. Are sublingual tablets better?

Hello, Welcome to icliniq.com. I understand your concern. For your 15-year-old son with severe allergic rhinitis significantly impacting his quality of life, there are several newer treatment options beyond traditional antihistamines and nasal steroids. Newer second-generation antihistamines such as Fexofenadine (Allegra), Desloratadine (Clarinex), and Levocetirizine (Xyzal) are less likely to cause drowsiness and may provide better control of nasal congestion symptoms compared to older antihistamines. Among these, Levocetirizine (Xyzal) has shown higher effectiveness in allergic rhinitis symptom relief with a lower sedative effect compared to first-generation drugs.

March 18, 2026

Why do I have a ringing sound in the ear post-tympanoplasty?

Hello,Welcome to icliniq.comRinging in the ear after tympanoplasty (a surgical procedure to repair a perforated eardrum) is a common and usually temporary symptom. The ringing sound, a feeling of fullness in the ear, and a mild wet sensation due to the dressing can all be part of the normal healing process. These symptoms often persist for a few days to weeks and occur because of postoperative swelling, the presence of packing material, and changes in middle ear pressure. However, they usually improve gradually as healing progresses.During tympanoplasty, the ear canal is commonly packed with Gelfoam or similar absorbable material soaked in antibiotic ear drops.

March 17, 2026

I am 28, male. How do I manage a ruptured eardrum?

Hi, Welcome to icliniq.com. I understand your concern. Tympanoplasty done using a stitch-less, endoscopic or laser-assisted technique is a valid option and, in experienced hands, can have a very high graft success rate. However, it is not automatically safer or more successful than a well-performed conventional tympanoplasty. The final success rate and hearing outcome depend more on the condition of the ear and the surgeon’s expertise than on the use of a laser itself.

March 16, 2026

What causes hoarseness with white chalky deposits?

Hello, Welcome to icliniq.com. I understand your concern. The presence of a gap during vocal cord movement in a patient with hoarseness, scarred vocal folds, and white chalky deposits suggests significant glottic insufficiency, often referred to as a phonatory gap. This occurs when the vocal folds fail to close completely during phonation, resulting in a breathy, weak voice and impaired vocal quality. Vocal fold scarring, whether post-surgical or due to chronic injury, causes stiffness and reduces pliability.

March 16, 2026

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