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Suggest Treatment For Chronic Belching Problem And Pressure In Chest

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Posted on Wed, 11 Mar 2015
Question: My son has chronic belching problems triggered weather changes. The problem we have identified as a supra gastric belch deriving from the throat he has not formal diagnosis. This issue goes away at night but comes back in the morning. Bit is debilitating enough that we have registered him in school as 504 plan and misses 30 days of school a year. The condition was onset August 2013 after a week of feeling poorly do to allergies. When exercising he has the problem and has to suppress the problem and as he describes he has pressure in his chest. He is currently on several meds Wellbutrin 200 mg, Flovent inhaler x 2, xyzal5 mg, aderol, metforman. He has been refused by mayo clinic. Went to UCLA for pulmonology, he has all the blood work done and has had an endoscopy and neurologist All test showed normal. Scanned copies of all his medical records are available.

We chose this sight to get as much exposure as possible hoping that a doctor has seen this unusual condition


Please find attachments; and the link to an article we believe is important.

http://www.medYYYY.com/viewYYYY/776875_2
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Answered by Dr. Sumanth Amperayani (1 hour later)
Brief Answer:
Vocal Cord dysfunction needs to be considered

Detailed Answer:
Hi...I have gone through your son's record and symptoms and all the attachments in detail.

I feel that this could be a vocal cord dysfunction and strongly feel that there is a psychological component attached to it.

The other possibilities I could suggest would be -

1. Gastroesohageal reflux disorder
2. Bronchial asthma (A possibility).

Regards - Dr. Sumanth
Above answer was peer-reviewed by : Dr. Shanthi.E
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Follow up: Dr. Sumanth Amperayani (31 minutes later)
Given your response, we agree with a psychological component, but how do we address the other issues and with whom.

The pressure pain and symptoms are real and are triggered not by a mental lapse but an environmental trigger.

Thank you
XXXXXXX
doctor
Answered by Dr. Sumanth Amperayani (10 minutes later)
Brief Answer:
I agree with you - discuss with a pulmonologist

Detailed Answer:
Hi...VCD (Vocal Cord Dysfunction) has got both allergy triggers and psychological component.

I suggest you consult your pulmonologist. Perhaps his current treating doctor can provide a referral. In my opinion, he requires -
1. A good pulmonary function testing (to be repeated).
2. A direct or video laryngoscopy.
3. Bronchoscopy to rule out other congenital airway anomalies.

Regards

Dr. Sumanth
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Sumanth Amperayani

Pediatrician, Pulmonology

Practicing since :2003

Answered : 8339 Questions

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Suggest Treatment For Chronic Belching Problem And Pressure In Chest

Brief Answer: Vocal Cord dysfunction needs to be considered Detailed Answer: Hi...I have gone through your son's record and symptoms and all the attachments in detail. I feel that this could be a vocal cord dysfunction and strongly feel that there is a psychological component attached to it. The other possibilities I could suggest would be - 1. Gastroesohageal reflux disorder 2. Bronchial asthma (A possibility). Regards - Dr. Sumanth