instruction: hello doctor my question is about my throat at the back of my throat I can feel that there is a gas coming and it feels warm also it has a bad smell I tried everything but nothing provides a solution to my problem I have tried using chlorhexidine mouthwashes but it did not resolve my issue I have already consulted an ent specialist I have been experiencing occasional tonsil stones but he did not advise anything other than removing them manually so far upon inspection there are no stones present is it possible to have esophageal outpouchings I do not experience vomiting or painful swallowing I have occasional hyperacidity which resolves by taking prazoles my problem is bothering me especially when I talk people say that my breath stinks also I am uncomfortable with a gassy feeling behind my throat I have good oral hygiene and have already visited the dentist and ruled out oral problems as the cause I am also thinking of pnd every morning when I gargle there is a thick mucus on the back of my throat I am desperate for a solution please help
output: hi welcome to iciniq com the most probable problem out there would be a chronic herd with lor chronic gastroesophageal reflux disease with laryngopharyngeal reflux let me explain what exactly is happening your stomach contains contents that are acidic in nature and is only meant for the stomach if these content reflux or have a reverse entry into your food pipe esophagus or throat which is not meant to handle this acidic oh this can lead to a chronic inflammation leading to chronic ulcers giving a feeling of something stuck on the throat or the floaty feeling repeated belching or even bad odor in your breath yes esophageal diverticula outpouchings are a differential diagnosis and have to be checked with contrast barium swallow the probability of having these outpouchings are less considering as you do not have vomiting or difficulty in swallowing please follow some instructions maintain a strict diet schedule and eat on time avoid oily spicy and cold food items beverages keep a minimum gap of two hours between your last meal and going to bed try to sleep in the left lateral position eat frequently but in little quantities never over eat salt water gargles at least to 10 times a day for one month keep sipping on warm fluids as much as possible avoid exposure to dust by wearing an n95 mask you can consider the following treatment take tablet pantoprazole with domperidome combination once in the morning for 20 days syearup gelusil or mucaine gel one teaspoon three times a day 20 minutes before food the treatment schedule includes more precautionary measures rather than drugs themselves I hope this helps