Experiencing a sensation of a foreign body in the throat after meals could be a sign of gastroesophageal reflux disease (GERD)?
Hello Doctor: Recently, I often feel a sensation of a foreign body in my throat (like having phlegm) and discomfort in my abdomen after meals.
I consulted a doctor who prescribed Omeprazole 20mg and Sulpiride 50mg (for a 7-day course).
After taking them for three to four days, my abdominal pain has significantly improved, but the sensation of a foreign body in my throat after meals has not resolved.
1.
Are these symptoms indicative of gastroesophageal reflux disease (GERD)?
2.
If so, how long might it take for the symptoms to improve?
Ricky, 20~29 year old female. Ask Date: 2018/12/22
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Gastroesophageal reflux disease (GERD) typically requires a treatment course of 2 to 4 months, and it is a condition that is prone to recurrence.
Reply Date: 2018/12/22
More Info
Experiencing throat discomfort after meals can indeed be a sign of gastroesophageal reflux disease (GERD), commonly known as acid reflux. This condition occurs when stomach acid flows back into the esophagus, leading to symptoms such as heartburn, regurgitation, and the sensation of a lump in the throat (often described as a feeling of having something stuck or phlegm).
In your case, the throat discomfort you are experiencing, particularly the sensation of an object in your throat, could be attributed to acid reflux. This is especially plausible given that you have also reported abdominal discomfort, which often accompanies reflux symptoms. The medications prescribed to you, Omeprazole and Sulpiride, are commonly used to manage these symptoms. Omeprazole is a proton pump inhibitor (PPI) that reduces stomach acid production, while Sulpiride is an antipsychotic that can also help with gastrointestinal motility, potentially aiding in the reduction of reflux symptoms.
1. Is this symptom indicative of acid reflux?
Yes, the symptoms you describe, particularly the throat discomfort after meals and abdominal discomfort, are consistent with GERD. The sensation of having something in your throat can be due to irritation caused by acid exposure. It is important to note that while these symptoms are suggestive of acid reflux, a definitive diagnosis often requires further evaluation, including an endoscopy or pH monitoring, especially if symptoms persist despite treatment.
2. How long will it take for symptoms to improve?
The duration for symptom improvement can vary significantly among individuals. Many patients begin to notice a reduction in symptoms within a few days of starting treatment with PPIs like Omeprazole. However, for some, it may take several weeks to achieve optimal relief. If you have been taking the medication for three to four days and have noticed improvement in abdominal pain but not in throat discomfort, it may be beneficial to continue the medication as prescribed for the full course.
In addition to medication, lifestyle modifications can play a crucial role in managing GERD symptoms. Here are some recommendations:
- Dietary Changes: Avoid trigger foods that can exacerbate acid reflux, such as spicy foods, citrus, chocolate, caffeine, and fatty foods. Eating smaller, more frequent meals rather than large meals can also help.
- Posture: After eating, try to remain upright for at least two to three hours. Lying down can promote reflux.
- Weight Management: If applicable, losing weight can significantly reduce symptoms of GERD, as excess weight can put pressure on the abdomen and promote reflux.
- Avoid Smoking and Alcohol: Both can worsen reflux symptoms and should be avoided.
- Elevate the Head of Your Bed: Sleeping with the head elevated can help prevent nighttime symptoms.
If your throat discomfort persists despite these measures and the prescribed medication, it is essential to follow up with your healthcare provider. They may consider adjusting your treatment plan or conducting further investigations to rule out other potential causes of your symptoms.
In summary, while your symptoms are suggestive of acid reflux, the timeline for improvement can vary. Continuing your medication, making lifestyle changes, and maintaining open communication with your healthcare provider will be crucial in managing your condition effectively.
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