Hi,
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There are two problems out there. 1. Eustachian tube catarrh: the eustachian tube basically ventilates the nose and the ear. In a situation where it does not function, a negative pressure develops in the side of the ear leading to feeling of vaccum, ringing sounds, feeling of fluid in the ear and sometimes decreased hearing as well. This can be treated by attempting to open the tube by the following advice. 1. Using decongestant nasal drops containing Oxymetazoline or Xylometazoline three drops thrice daily for one week. 2. Take tablet containing a combination of Phenylephrine and Levocetirizine one tablet twice daily after food for one week. 3. Doing Valsalva exercises. 4. Taking steam inhalation three to four times a day. Any associated allergic issue has to be treated in a proper manner, other wise the symptoms will recur. 2. GERD with LPR (gastroesophageal reflux with laryngopharyngeal reflux). Even though you might asymptomatic in between, the inflammation in the throat often exists in the hidden form and can resurface when adequate care is not taken. Why does hidden acid reflux become so problematic? As you know, the stomach usually has got cells which release hydrochloric acid and thus keep the gastric environment acidic in nature. Your entire mucosal lining from the mouth, throat and food pipe (esophagus) is not meant to handle anything acidic. Of the three structures the throat is the most sensitive due to its rich nerve supply. If in a given situation, your mouth, throat or food pipe chronically comes in contact with acidic contents, an inflammation starts which the body initially takes care of, but once this compensation wears out, you start developing symptoms that you have mentioned. Please try to follow the advice mentioned below: 1. Maintain a strict diet, eating on time. 2. Avoid spicy, oily, and cold food/drinks. 3. Keep a gap of two hours between meals and going to bed. 4. Do not overeat, rather keep your stomach half empty and have regular intermittent light food like fresh cut fruits in between major meals. 5. Saltwater gargling 8 to 10 times a day for 15 days. 6. Avoid alcohol and smoking as it can potentiate reflux. Treatment plan: Take tablet Pan D 40 mg (or its equivalent) once in the morning before breakfast for one month, syrup Mucaine gel (or its equivalent) 1 tablespoon three times a day 20 minutes before meals for one month. Make sure you follow the precautionary measures as much as possible as mere medications will not fetch long term relief. This typically takes two to three weeks for things to normalize and for symptoms to subside. There is absolutely nothing that you need to worry about as this is a treatable entity and things will be fine in a few weeks duration. I hope this helps.