Discussions By Condition: I cannot get a diagnosis.

Chronic throat pain and more...

Posted In: I cannot get a diagnosis. 1 Replies
  • Posted By: wideeyewonder
  • January 6, 2009
  • 06:38 AM

My wife has had a sore throat for several months. She also complains of a burning sensation in her chest (esophagus) as well. She is 43, a non-smoker, and generally has been in excellent health in the 11 years I have known her. She makes beaded jewelry at home, so is not exposed to toxins, smoke, dust, etc.

Due to the length of the condition, a virus has been ruled out. The ENT specialist diagnosed it as acid reflux, which I have a hard time buying into since she never complains of indigestion and her diet, weight, and overall eating habits have not changed. As well, she had an upper GI test which showed normal results. She has had the following diagnostic procedures: A probe down nose and throat by ENT specialist, a chest Xray, blood work, upper GI, swabbing of the throat area, which all come back looking normal. She recently started taking a acid blocker, which was prescribed as a last hope by the ENT.

It is frustrating because after two visits and a phone call, the ENT specialist basically said they don't know what it is and "if we find out anything to let them know because they are always trying to learn." That is reasonable, however, when you are a patient and have been going through something for months, you would hope for something definitive.

We are at a loss aside from finding a doctor who, pardon the trite expression, can think outside the box and find the true cause of it.

If anyone can help, offer advice, recommendations, etc., I would greatly appreciate it.

Kindest regards :)

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1 Replies:

  • I think the ENT is right, that it is extraesophageal reflux, or reflux that affects the throat and not the stomach (heartburn). The acid from the stomach comes up as like a "mist" in some people, and this can irritate the throat. The problem is, that acid blockers do not always help this problem. And the usual tests for reflux do not pick it up. You can do several things-- raise the head of your bed up about 7-10 inches. Have your wife eat small meals, and lose weight if possible. Ask to take the highest dose of acid blockers. I have this too, and the only thing that works for me is to keep to a strict diet of mostly fruit and veggies and everything else in small portions. When I keep weight off, it gets better. Get her tested for celiac disease & food intolerance. This can cause reflux. Try a probiotic, regular yogurt is fine with live culture (this is listed on the label), or in pill form if yogurt isn't for her. Best of luck.
    aquila 1263 Replies
    • January 7, 2009
    • 09:17 PM
    • 0
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