instruction: hello doctor I am a female of 32 years old I have a chronic issue of throat irritation a year ago I had taken treatment from the ent specialist he told me that everything is fine but some kind of air obstructs the throat unfortunately I lost the prescription I have been to doctors here but I am not satisfied one doctor gave me gastritis medicine and it does not work as per report my throat is fine I do not have tonsillitis or sinus problem but I am keep clearing my throat my current medication includes rabeprazole sandoz 20 my and motilium 10 my I am in a real trouble please help
output: hello we are happy to help you from the details you have provided regarding your symptoms and the previous consultations I can conclude with reasonable surety that you are suffering from a condition called reflux laryngitis this is a chronic condition characterized by symptoms like chronic throat irritation feeling of something stuck down the throat frequent clearing of the throat and excessive throat mucous it is because of local production of acid is produced in the stomach to aid in digestion the throat mucosa is not suitable to handle the acid when such local acid production occurs or the gastric acid contents rise up the esophagus they cause chronic irritation of mucosa and produce these symptoms they are seen typically as inflammation of the posterior larynx in endoscopy if you can search for your endoscopy report and share with us it will be helpful the treatment for this condition is to take a proton pump inhibitor like rabeprazole 40 my or pantoprazole 40 my twice daily half an hour before food for about a month also I advise to take a teaspoon of mucaine gel aluminium hydroxide after each meal and before bedtime at night for a week the proton pump inhibitor prevents acid production and the gel which is a combination of antacid and local anesthetic produces relief of symptoms consult your specialist doctor discuss with him or her and take the medicine with consent some additional care to be taken during this treatment are with these measures your condition will improve but it will be a gradual recovery if you do not recover then I would like to do some blood investigations to check if there is any other factor that is causing the throat issue also a repeat endoscopy can be advised to recheck the larynx hypopharynx and cervical esophagus for the throat irritation for further information consult an ent otolaryngologist online