Why do I have redness and feel like something is stuck at the back of my throat?

Hi,

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Thanks for the briefing regarding the problem in concern. The most common reason for having this irritation in the throat with a feeling of a lump or something obstructing while swallowing saliva can be a feature of chronic silent gastroesophageal reflux disease (GERD) with laryngopharyngeal reflux (LPR). The red spots in the throat form due to chronic irritation from acid reflux. Even though you might be asymptomatic or never have gastric issues in between, the inflammation in the throat often exists in the hidden form and can resurface when adequate care is not taken. So why does hidden acid reflux become so problematic? As you know, the stomach usually has cells that release hydrochloric acid and thus keep the gastric environment acidic. Your entire mucosal lining from the mouth, throat and food pipe (esophagus) is not meant to handle anything acidic. The throat is the most sensitive of the three structures 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 or 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. Salt water gargling eight to ten times a day for 15 days. 6. Avoid alcohol and smoking as it can potentiate reflux. 7. Try to maintain a left lateral position while sleeping to reduce the chance of reflux. I suggest you the following medications: 1. Tablet Pan-D (Domperidone 30 mg and Pantoprazole 40 mg)once in the morning before breakfast for one month. 2. Syrup Mucaine (Oxetacaine 10 mg, Aluminium hydroxide 0.291 mg, and Milk of Magnesia98 mg) gel one teaspoon three times a day twenty minutes before meals for one month. Consult your specialist doctor, discuss with them and take medicines with their consent. Make sure you follow the precautionary measures as much as possible, as mere medications would not provide long-term relief. Please understand that this typically takes four to six weeks for things to normalize and for symptoms to subside and chiefly depends on how much you have been able to follow the precautions mentioned above, as 80 % of the treatment lies there. Nothing you need to worry about as this is a treatable entity, and things will be fine. I hope I have answered your query in detail if there is anything more you need to know or enquire about. Warm regards.