Dr. Vivek Chail
General Practitioner
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hello doctor,
I am a 37-year-old male. I had brief nausea before five months. I visited a general physician who suspected GERD and put me on Motilium for GIT and later Pan 40 then Ranitidine for three months. I vomited only once but had been having a burning sensation in my chest.
The burning chest has long stopped. I even had an OGD done which was normal. The pain, however, moved to my throat, and I had a feeling of something in my throat ever since though I have no swallowing problems. I have this persistent pricking pain in my throat that does not go away, and also the back of my tongue on the right side feels kind of inflamed (not sure about this. But the tongue feels sore-ish).
Throat pain and tongue discomfort are always present. My general physician later recommended to do a neck MRI which I did and was told looked fine. So I am stuck on what exactly could be wrong with me. I do exercise (treadmill and gym) regularly, I am an active person though I must admit I worry too much about my health and it stresses me.
Hello,
Welcome to icliniq.com.
I viewed your MRI images of the neck and chest area (attachment removed to protect patient identity).
Neck findings, there are few small mucosal cysts in the right maxillary sinus. There is a small lobulated cyst like area anteriorly in the floor of the mouth to the left of the midline and is a benign lesion. The findings are incidental and not of any serious cause. The oropharynx, hypopharynx, and cervical esophagus are normal. There is no luminal obstruction.
Chest MRI findings, there is no significant abnormal findings in the chest. It is sometimes possible for anxiety to cause soreness of the tongue. You can have a follow-up visit with your doctor after a month if the soreness is still there.
I agree that finding a serious cause can make you stress-free. However, you are lucky to have no serious findings in the images and can continue to be in good health. Please avoid alcohol or any food that can irritate the oral cavity for a few days.
Patient's Query
Thank you doctor,
Do you recommend any antibiotics that I can use for now? I am feeling a lot of discomfort in the base of my tongue and right side of the neck which is making me uncomfortable. Is there something you can recommend to reduce or get rid of it? Sometimes I honestly feel like it is constricting my throat into a potential choking position.
My doctor had suspected a continued GERD bout and had recommended the following,
1. Tablet PAN-D 1 before food.
2. Tablet Librax 1 bid after food.
3. Tablet Alprax 0.5 at night.
4. Liquid Sucralfate 10 ml three times daily.
Hello,
Welcome back to icliniq.com.
Your doctor has given three medicines to control the acid in the stomach, PAN-D (Domperidone, Pantoprazole), Librax (Chlordiazepoxide and Clidinium) and Sucralfate. Alprax (Alprazolam) is to decrease anxiety.
As endoscopy is normal and you do not have any pain or fever, so no antibiotics are needed. You can take a few measures that will benefit your health like,
1. Avoiding fasting.
2. Take small amounts of food every three to four hours.
3. It is summer, and you might be sweating a lot and one of the reasons for a dry sensation in the throat. Please drink water or juices every two to three hours to keep yourself cool.
4. Avoid going out in the hot sun.
5. Add curds to your food.
Please do let me know if you have any doubts after viewing my reply.
Patient's Query
Thank you, doctor, for the reply,
I continue to experience the same pain in my throat on the left side. I am unsure if it originates from the base of my tongue towards the throat or within the throat itself, but it has persisted since I began writing to you and remains present. Additionally, for the past two days, I have vomited approximately an hour after supper, including tonight. Is there a specific test you would recommend? I still feel constant pain on the right side of my tongue or throat. Perhaps another examination of my MRI images could reveal any underlying issues contributing to this discomfort.
Thanks in advance for your answers as always.
Hello,
Welcome back to icliniq.com.
Since you have mentioned that the endoscopy results are normal, I will focus on potential causes within the neck area that could be contributing to your discomfort. Your ENT (ear, nose, and throat) doctor may perform a comprehensive examination, including a complete oral cavity and indirect laryngoscopy, to identify any small areas of injury or discoloration that could indicate a mild infection. Additionally, they will assess the health of your salivary glands and tonsils to determine if there are any underlying issues.
I hope your queries are resolved, and any further queries are welcome.
Thank you.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
General Practitioner
Related Questions
I have throat pain. What do I do?
MRI shows 'intermediate signal intensity lesion in endometrial cavity.' What is it?
I had throat pain after singing, is that due to vocal strain?
What to take for pain when urinating after sex?
Can milk or lactose intolerance cause acid reflux?
MRI spine showed intramedullary mass at T4. Is it a cyst or malignancy?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
