Dr. Shyam Kalyan. N
Otolaryngology (E.N.T)
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I have a weird sensation in my throat. It feels as if a pill is stuck in my throat, but I can eat and drink normally. The sensation is not there when I eat or drink. I try to cough to clear the sensation, but it does not work. I have had a steroid shot and antibiotic. I do not see a difference. Some days, the sensation is not very noticeable. This feeling has been there for almost a month. What could this be? Please help.
Hello,
Welcome to icliniq.com.
I can understand your concern.
Most likely, this could be a product of reflux. But for confirmation, can you send a picture of the back of your throat with an open mouth? Also, kindly let me know about the following:
Please let me know about these, so that I can guide you further.
Thank you.
Patient's Query
Hi doctor,
Thank you for the reply.
I do not have diabetes or high blood pressure. I do not smoke or drink. There is no difficulty while swallowing. It is just that I feel the sensation. I do see an endocrinologist, and my thyroid levels are good. I do know that I have nodules on my thyroid.
Hello,
Welcome back to icliniq.com.
Glad to have you back.
The picture of your throat shows nothing worrisome (attachment removed to protect the patient's identity). The weird sensation is due to reflux laryngitis, also known as LPR (laryngopharyngeal reflux). You do not require steroids or antibiotics for this. I suggest you take a tablet of Esomeprazole 40 mg, before breakfast for two weeks, and a tablet of Fexofenadine 120 mg in the evening for two weeks. Avoid spicy and oily foods. Do not drink or smoke. Eat regularly, and do not fast. Do not lie down immediately after taking any meal. Do not drink a lot of water immediately after any meal. Follow these for two weeks and then revert to me.
I hope this helps. Do get back if you have any further queries.
Thank you.
Patient's Query
Hello doctor,
It has been two weeks since I started taking the prescribed medications. I am not sure if I could notice an obvious change. I feel better on some days and on other days, I feel very uncomfortable. I am not sure if those bad days were due to foods that did not agree with me. Now the sensation does not really feel like a pill, but it seems to be more like a mucus plug stuck in my throat, but it does not feel like it contains phlegm. I have also tried using Mucinex, but it offers only temporary relief. Can you please suggest a remedy for this?
Hi,
Welcome back to icliniq.com.
If the medicines, along with Guaifenesin (Mucinex) has given you even a mild improvement, then it means that it is reflux and you need to continue the medicines for another two weeks and follow strict dietary and lifestyle changes as elucidated in the last answer. If you feel there is no improvement, then we need to do a laryngoscopy and check. During COVID times, it is advisable to avoid laryngoscopy. Guaifenesin (Mucinex) can be taken occasionally. The sensation of the presence of mucous down the throat is typical of reflux laryngitis. We can increase the frequency of the proton pump inhibitors (PPI) if this therapy does not provide adequate relief.
I hope you had a pleasant experience at icliniq.
Thank you.
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Otolaryngology (E.N.T)
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