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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Sensation In Throat Like Presence Of Lump. Have Chronic Sinusitis And Reflux. Help

i have a sensation in my throat that feels like a lump is always there. I have been to the ent about it like four months ago. he said i have chronic sinusitis with post nasal drip and possibly some reflux . i have been a user of smokeless tobacco for about 7 years. i have also had a periods during those 7 years where i would smoke regularly. i would smoke cigarettes and cigars and inhale both of them. i have quit all forms of tobacco as of six days ago. this sensation in my throat that feels like a lump has been there since the day i quit. i m just very worried that it could be cancer. i went to my dentist monday and did a cancer screening and found nothing, but i have not been to my ENT yet to have him scope my throat. any thoughts???
Wed, 17 Oct 2012
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Pulmonologist 's  Response
The feeling of lump in the throat could be because of chr sinusitis and post nasal drip as well as reflux disease but it cannot be ignored in view of history of smoking as well as chewing. You must visit an ENT specialist as soon as possible who can perform indirect or direct laryngoscopy to rule out any cancer. Once that is ruled out you may then be treated for sinusitis and reflux disease.
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Allergist and Immunologist Dr. Sujoy Khan's  Response
Hello,
I am not sure of your age but given your symptoms it is best to exclude a serious pathology given your long smoking history.
I hope those tests will be normal, and then it is likely you have house dust mite allergy that was not helped with your smoking habit.
A skin prick test or a specific IgE blood test can let you know whether you have the allergy.
Long acting antihistamines with nasal sprays is the treatment, and those who fail medical treatment are offered the immunotherapy option.
Thanks.
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Sensation In Throat Like Presence Of Lump. Have Chronic Sinusitis And Reflux. Help

The feeling of lump in the throat could be because of chr sinusitis and post nasal drip as well as reflux disease but it cannot be ignored in view of history of smoking as well as chewing. You must visit an ENT specialist as soon as possible who can perform indirect or direct laryngoscopy to rule out any cancer. Once that is ruled out you may then be treated for sinusitis and reflux disease.