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Mysterious Sore Throat
Topic Started: May 15 2010, 07:57 AM (4,762 Views)
RosemaryTwo
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HOLY CARP!!!
I would call the doctor back.

Drink tea also -- maybe camomile -- not too hot.
"Perhaps the thing to do is just to let stupid run its course." Aqua
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kenny
HOLY CARP!!!
Finally reached a doc.
(Not mine - apparently they assign weekend duty to another doc.)
He says finish Azithromycin today and tomorrow, and see him Monday.

If I develop a fever, cough or can't eat or drink go to ER or an Urgent Care clinic.
This is not an emergency.
Thanks guys.
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BeeLady
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Middle Aged Carp
Gargle some with salt water, drink lots of fluids....xxoo
"My wheel shall sing responsive to my tread,
And I will spin so fine, so strong a thread
Fate shall not cut it, nor Time's forces break"
"Distaff and Spindle: Sonnets by Mary Ashley Townsend" 1895
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Mikhailoh
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If you want trouble, find yourself a redhead
kenny
May 15 2010, 12:45 PM
Beacon Chris
May 15 2010, 12:38 PM
Kenny,

do you have any sort of history with canker sores or cold sores? Do you have one now?
I do not have a cold sore but have got them in the past.

Do you think it may be a cold sore in the back of my throat?
I'll try to check with a flash light and a mirror.
Pictures please.

I'd go with a digestion thing, especially is you have apnea.
Once in his life, every man is entitled to fall madly in love with a gorgeous redhead - Lucille Ball
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Lisa
Junior Carp
I'm not a doc, and don't play one on TV, but I have lots of experience with GERD (I was a parent counselor for the pedicatric reflux association) and IMO, Apple was right on. As soon as you said that for years, when you don't eat dinner, you have a sore throat the next day, I knew. When you said it's worse when you lie down to sleep, I was even more positive.

When you don't eat, the acidity of your stomach changes - it becomes more acidic because you don't have food in there to temper it. It is possible (actually, quite common) to have "silent reflux" where the stomach acid slides up the esophagus and burns your throat. You don't necessarily have to have heartburn or be burping up or feel nauseated for this to happen. And it is very common for it to happen during sleep because there is no gravity to keep the acid down in the stomach where it belongs. My guess is that when you don't eat dinner, you've got more stomach acid, and when you lay down, it backs up your esophagus and spends the night burning your throat. Because your throat has an "acid burn," eating acidic foods like citrus, etc. irritates it more.

A lot of doctors don't think of this because they think you need to have heartburn pain or be burpy in order to have reflux. But that isn't true. My guess is that if you had an upper gi done, the docs would clearly see your stomach contents up in your throat as soon as they tipped you back on the table.

Before you go back to the doc, I'd get some over the counter zantac or prevacid and give it a shot for a week or so. I'm pretty sure you'll notice a big difference within 3 days or so. Take it round the clock, not just when you're feeling the symptoms. If you're worried about safety, I can tell you that both my kids were on these drugs as babies and my 6 year old has been on the maximum dose of zantac for his weight since he was about 6 weeks old. The docs assured me that zantac is especially safe (prevacid/prilosec are newer drugs without the 40 year track record of zantac). And left untreated, this sort of silent reflux can lead to all sorts of nasty stuff (barrett's esophagus or esophageal cancer). So if you find the drugs help, you will probably want to stay on them for as long as you are on this diet, if not longer.

The good news is that reflux like this can be aggravated by being overweight -- so as you lose weight, you may become less likely to reflux!
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RosemaryTwo
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HOLY CARP!!!
Hmm. Lisa's advice sounds good. I would try it.
"Perhaps the thing to do is just to let stupid run its course." Aqua
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