instruction: hello doctor for the past week I have been experiencing a scratchy feeling on just the left side of my throat right below my adams apple region now it feels as though whatever it is has transformed into a feeling of paralysis from my voice box up to behind my left nasal passage I am also experiencing shortness of breath
output: hello can you send me a picture of your throat clear one I want to see if your posterior pharyngeal wall or tonsils are infected are you a diabetic what problem do you have in your nose is it like a nose block shortness of breath can be due to nose block as well do you have any posterior nasal drip any coarseness of voice or cough while eating or drinking these symptoms are suggestive of vocal cord paralysis do you consume alcohol or do you smoke any problem of acid reflux