Some gassy feeling in the throat is causing bad breath. Is it esophageal outpouching?

Hi,

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The most probable problem out there would be a chronic GERD with LPR (chronic gastroesophageal reflux disease with laryngopharyngeal reflux). Let me explain what exactly is happening. Your stomach contains contents that are acidic in nature and is only meant for the stomach, if these content reflux or have a reverse entry into your food pipe (esophagus) or throat which is not meant to handle this acidic pH. This can lead to a chronic inflammation leading to chronic ulcers giving a feeling of something stuck on the throat or the bloaty feeling, repeated belching, or even bad odor in your breath. Yes, esophageal diverticula (outpouchings are a differential diagnosis and have to be checked with contrast barium swallow). The probability of having these outpouchings are less considering as you do not have vomiting or difficulty in swallowing. Please follow some instructions: 1. Maintain a strict diet schedule, and eat on time. 2. Avoid oily, spicy, and cold food items/ beverages. 3. Keep a minimum gap of two hours between your last meal and going to bed. 4. Try to sleep in the left lateral position. 5. Eat frequently but in little quantities, never over eat. 6. Salt water gargles at least 8 to 10 times a day for one month. 7. Keep sipping on warm fluids as much as possible. 8. Avoid exposure to dust by wearing an n95 mask. You can consider the following treatment. Take tablet Pantoprazole with Domperidome combination once in the morning for 20 days, syrup Gelusil or Mucaine gel one teaspoon three times a day 20 minutes before food. The treatment schedule includes more precautionary measures rather than drugs themselves. I hope this helps.