Hi doctor,
16 months ago, I was exposed to fine dust from dry grinding/polishing of concrete (indoors) where I work. This went on for two workdays. My voice became coarse right away, and a cough started. Now, 16 months later, throat still irritated, voice is somewhat coarse. I have to clear my throat a lot. Still I have some cough. I saw an ENT a year ago, who said my vocal cords are wrong color and inflamed. I am still feeling the effects 16 months later. What do you think? What should I expect? What can I do? Will I get cancer? Please give me you are honest opinion. I am a nonsmoker.
Hello,
Welcome to icliniq.com.
I doubt very much that cancer is high on the concern list. So I would start by addressing gastroesophageal reflux disease since you are of an age when this starts, you have a chronic throat clearing cough (almost diagnostic for GERD), you are a nonsmoker, and have had your vocal cords looked at and no mass or ulceration was seen at the time. Bear in mind, if you follow my GERD (gastroesophageal reflux disease) recommendations and I am correct in the diagnosis, it might take up to four months before your cough and hoarseness resolve. Be patient with the process.
Age. Eating or drinking anything (even water) two hours before be or during the night.
Investigations to be done:See local ENT if no resolution in four months time.
Differential diagnosis:GERD. Other sources of dysphonia.
Probable diagnosis:GERD.
Treatment plan:Nothing, not even water, two hours before bedtime and during night. Put 4 inch bricks under the two legs at the head of the bed to elevate the head of the bed. This keeps your esophagus uphill from your stomach. Take 40 mg Omeprazole (Prilosec) daily for three months. Take two chewable gums just before going to sleep every night. This is to continue for at least a year or even longer if needed.
Regarding follow up:See local ENT if no resolution after four to five months.
GERD
Treatment plan:As specified before
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