Q. I am scared about the white patch on the back of my throat with complex symptoms. Kindly help.

Hi,

Welcome to icliniq.com.

Constant irritation in the throat with throat clearing and burning sensation can be due to two primary reasons as follow;

• There are allergic issues in the nose, wherein there is some irritative substance entering, and the nose initially produces a sneezing reflex to remove the offending agent. In addition, the nasal mucosa produces mucus to trap the offending agent so that it does not go into your lungs along with your breath. Irritative substances usually include dust, smoke, fumes, and pollen, and you need to take adequate precautions by wearing an n95 mask.

You can also consider the following;

1) Tablet containing Acetyl Cysteine, twice daily for ten days.

2) Tablet containing Fexofenadine with Levocetirizine twice daily for ten days.

3) Saltwater gargles for eight to ten times a day for one month.

4) Keep sipping on boiled warm water every two hours for one month.

5) Duonase nasal spray (Fluticasone Propionate and Azelastine) two puffs in each nostril twice daily for one month.

The other co-existing problem could be,

• Chronic silent GERD with LPR (gastroesophageal reflux disease with laryngopharyngeal reflux) where acidic gastric contents reflux back into your throat, causing inflammation, irritation, and often a laryngospasm. This often causes a foreign body sensation in the throat.

You can consider the following advice for GERD;

1) Keep a strict diet and eat on time.

2) Avoid oily, spicy food and beverages.

3) Reduce the quantity of each meal and increase the frequency of your meals.

4) Keep a gap of two hours between meals and going to bed or exercise.

5) Try to maintain a left lateral position when you lie down.

6) Take syrup containing antacid one tablespoon before food thrice daily for one month.

7) Take tablet Pan-D (Pantoprazole and Domperidone) one tablet in the morning before breakfast for the next one month.

Please try to follow all the precautionary measures as much as you could for maximum benefit.

This typically takes around three to five weeks for things to subside. If preventive measures and medications are followed correctly, I am pretty sure that you will recover.

I hope I have answered your query in detail. If there is anything more you need to know or enquire, please do let us know.

Please take care.

Warm Regards.

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Bhadragiri Vageesh Padiyar

Experience: 11 + Yrs

Otolaryngology (E.N.T)

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