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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Occasional Dysphagia, Tightness In Throat. GERD And Taking Nexium Tab. Long Bronchitis Cough. Problem?

Hi, I am a 65 year old non-smoking male with 3 week onset of occasional dysphagia.......a feeling of tightness in the throat that follows eating something solid, also sometimes when drinking something, and even out of the blue when talking. The sensation almost seems like a "spasm" or immediate tightening in the upper throat when I start to eat but then it goes away. I do have GERD and am on 40 mg Nexium daily. This started the day after I had completely recovered from a long bronchitis type cough. Probably just a coincidence. I had an ENT exam in January 2013 for something unrelated and it was unremarkable. Also had an endoscopy in April 2010 that noted esophagitis and a "twisted" esophagus at the bottom. The throat tightening symptoms come and go...but when occurring, they are triggered by eating, drinking, or talking. What could this be?
posted on Wed, 9 Oct 2013
Twitter Wed, 9 Oct 2013 Answered on
Twitter Wed, 9 Oct 2013 Last reviewed on
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ENT Specialist,  's  Response
Hi

Welcome in H.C.M.

I read your query carefully and after co-relating all facts it appears as you are having LPR (laryngopharyngeal reflux disease)

This is particularly associated with hyper acidity and is always felt in throat as a choking. As your endoscopy and examination by ENT doctor favors for esophagitis and no local pathology had been detected as neoplasm.

Therefore you may take-

1- Antacid with PPI.

2- Avoid spicy food.

3- Take adequate fluid.

4- Take sound sleep at night.

This will help you.

Regards.
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Occasional Dysphagia, Tightness In Throat. GERD And Taking Nexium Tab. Long Bronchitis Cough. Problem?

Hi Welcome in H.C.M. I read your query carefully and after co-relating all facts it appears as you are having LPR (laryngopharyngeal reflux disease) This is particularly associated with hyper acidity and is always felt in throat as a choking. As your endoscopy and examination by ENT doctor favors for esophagitis and no local pathology had been detected as neoplasm. Therefore you may take- 1- Antacid with PPI. 2- Avoid spicy food. 3- Take adequate fluid. 4- Take sound sleep at night. This will help you. Regards.