What are the possible causes of tightness in the throat and excessive burping?

Hi,

Welcome to icliniq.com.

I understand your concern.

The most common reason for having tightness and a lump in the throat can be a feature of chronic silent GERD (gastroesophageal reflux disease) with LPR (gastroesophageal reflux with laryngopharyngeal reflux). Even though you might be asymptomatic or have never had gastric issues 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 cells that release hydrochloric acid, thus keeping the gastric environment acidic. Your 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. Still, once this compensation wears out, you start developing symptoms that you have mentioned. Please try to follow the advice discussed 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. Instead, empty your stomach and have regular intermittent light food like fresh-cut fruits between significant meals.

5. Salt water gargles eight to 10 times daily 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.

Treatment plan:

1. Take tablet Pan D (Pantoprazole) 40 mg once in the morning before breakfast for one month.

2. Take syrup Mucaine gel one tablespoon thrice a day 20 minutes before meals for one month.

3. Ensure you follow the precautionary measures as much as possible, as medications would not fetch long-term relief.

4. Please understand that it typically takes four to six weeks for things to normalize and for symptoms to subside, and it chiefly depends on how much you have been able to follow the precautions mentioned above, as 80 percent of the treatment lies there.

There is absolutely nothing that you need to worry about, as this is a treatable entity, and things will be fine.

I hope this information will help you.

Thanks.