I feel choking with swelling and irritation in the tongue. Please help.

Hello,

Welcome to icliniq.com.

Having read through your symptoms I think, if any of doctors could not find any particular cause it might be what we call as burning mouth syndrome with globus sensation. It may be due to certain local conditions like ill fitting dentures, jagged sharp or carious teeth. It may occur due to acid reflux or in disease like diabetes. Even post nasal drip due to sinusitis can cause burning in mouth.Prolonged intake of any medicine can cause this. However, do you have any of these? Of these gastric acid reflux is often the most important cause. Do you smoke? Can you attach a picture of your throat and tongue lesions.

Hello,

Welcome back to icliniq.com.

It will be really helpful if you could attach a picture of your tongue and throat. One more thing I would like to ask is if there is any swollen lymph node in the neck? What about the difficulty in swallowing? Is it progressive or intermittent? Is it for solids, liquids or both? How is your voice? Did your doctor did an indirect laryngoscopy i.e. examination of the throat with mirror or fiberoptic laryngoscopy? If everything is normal then it is most likely due to reflux. Pantoprazole 20 is inadequate you need Pantoprapole 40 plus, Domperidone 30 combination. You will also need to avoid taking heavy meals at night. Avoid hot and spicy, oily, and fried foods. Also, try elevating your head end of the bed by using extra pillows if it does not cause discomfort. Do you snore?

Hi,

Welcome back to icliniq.com.

To be honest your tongue seems fine to me. (attachment removed to protect patient identity). It is not swollen. You might have a feeling but it is not. You most likely are suffering from globus pharyngeus since dry swallow is more problematic than swallowing actual fluids and solids. And at times it can be severe. I would suggest you stop taking pain medications it can worsen your reflux and globus sensation. If at all the feeling of tingling and pain is severe use topical medicines for tongue like Dologel (Choline salicylate plus Lidocaine) topical ointment to be applied to the tongue. Take Pantoprazole and Domperidone twice a day half an hour before meals. Use Chlorhexidine mouthwashes after each meal twice or thrice a day. Also, you can try lozenges like Cofsils, Strepsils or whatever you get. To me, it does not seem to be sinister unless you actually develop shortness of breath or effortful breathing or any difficulty or pain swallowing? Further, you also have to control your anxiety. It is important to understand that our brain reinforces our feelings. If you have any urge to cough you try it to avoid it because it often causes more cough. Take plenty of water. Do not let your mouth and throat to dry.

Hi,

Welcome back to icliniq.com.

It will. Have patience. Trying too many GPs will not help. They will run a battery of tests which may not be even required. Bring changes in your diet, lifestyle, and maintain an overall active lifestyle. This will go.