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What Causes Uncomfortable Swallowing,tightness Beside Prominentia Laryngea?

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Posted on Thu, 25 Jun 2015
Question: I have uncomfortable swallowing (not when eating). Tightness on the right side of XXXXXXX apple. sometimes my XXXXXXX apple area feels deviated and uncomfortable on the right side? 24 yrs old chewing tobacco user.
doctor
Answered by Dr. Shoaib Khan (1 hour later)
Brief Answer:
Do you have any other symptoms like listed below sir?

Detailed Answer:
Hello sir and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. I strongly suspect either one of the conditions sir:

+Either an upper respiratory tract infection which will result in inflammation of the tonsils resulting in tightness in the throat, but will also present with other symptoms like cough, pain in the throat, sputum/phlegm production, fever at times, etc.

+Acid reflux: Acid reflux can result in the following symptoms -
-Feeling of something in the throat
-Bitter taste in the mouth at times
-Regurgitation of food or drink
-Abdominal bloating at times
-Loss of appetite (not always)
-Heart burn
-Chest pain
-Reaction especially to spicy food, fatty food, smoking, alcohol intake, oily food

Please do write back to me with a response to which of these two conditions matches your description better, as treatment would depend on that. I would love to hear your response to help you further. Please do not hesitate to write back to me for any further clarifications or with any extra information that can help me to diagnose you better.

Best wishes sir.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan (26 minutes later)
I do not believe it is an upper resp. Infection I have no flem or pain. I do get heartburn daily and acid reflux does run in the family. I don't have chest pains but I do get short of breath sometimes after consuming caffeine or high sugar content which has been recent. My throat is the main concern it feels like the right side of my XXXXXXX apple is larger than the left but when I feel my throat I can't feel any issue or difference in size. It is mostly outter XXXXXXX apple discomfort? Mostly I am afraid it is related to chewing tobacco but I'm not sure thank you for your time
doctor
Answered by Dr. Shoaib Khan (27 minutes later)
Brief Answer:
Avid reflux seems more likely sir, other causes seem less likely

Detailed Answer:
Hello once again sir.

Your presentation does resemble acid reflux more than any other cause. But if you have any doubts about this being due to the tobacco chewing, then an oral biopsy should be conducted. And it goes without saying sir, you are a young man and have your entire life ahead of you; you should be thinking about getting rid of the habit so you can live a healthy and stress-free life.

While at the doctors office also request for a 24-hour acid pH monitoring conducted to confirm the acid reflux and initiate treatment. A few other suggestions will help:

+Eat small meals
+Do not over eat
+Avoid smoking
+Avoid alcohol
+Avoid spicy, oily, fatty, fried food
+Avoid carbonated drinks
+Drink plenty of water
+Avoid or at least begin to reduce the tobacco chewing
+Avoid tea or coffee
+Do not starve for long periods of time
+Avoid stress
+Use antacids like ranitidine, omeprazole, pantoprazole, lansoprazole, etc.

Best wishes sir.
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shoaib Khan

General & Family Physician

Practicing since :2009

Answered : 9409 Questions

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What Causes Uncomfortable Swallowing,tightness Beside Prominentia Laryngea?

Brief Answer: Do you have any other symptoms like listed below sir? Detailed Answer: Hello sir and welcome. Thank you for writing to us. I have gone through your query with diligence and would like you to know that I am here to help. I strongly suspect either one of the conditions sir: +Either an upper respiratory tract infection which will result in inflammation of the tonsils resulting in tightness in the throat, but will also present with other symptoms like cough, pain in the throat, sputum/phlegm production, fever at times, etc. +Acid reflux: Acid reflux can result in the following symptoms - -Feeling of something in the throat -Bitter taste in the mouth at times -Regurgitation of food or drink -Abdominal bloating at times -Loss of appetite (not always) -Heart burn -Chest pain -Reaction especially to spicy food, fatty food, smoking, alcohol intake, oily food Please do write back to me with a response to which of these two conditions matches your description better, as treatment would depend on that. I would love to hear your response to help you further. Please do not hesitate to write back to me for any further clarifications or with any extra information that can help me to diagnose you better. Best wishes sir.