Throat Pain: Is It Acid Reflux or Something Else? - Gastroenterology and Hepatology

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Hello Dr.
Yang, I have a long-standing issue that I would like to consult you about.
My throat often feels painful intermittently, as if someone is burning it with fire! However, this symptom tends to improve a bit after I drink some water.
Could this be acid reflux? Should I go to the hospital for an examination? Thank you!

mido, 20~29 year old female. Ask Date: 2003/04/08

Dr. Yang Peizhen reply Gastroenterology and Hepatology


Hello: A sore throat usually indicates inflammation near the larynx, and there can be many causes, including viral or bacterial infections, gastroesophageal reflux, and food irritation.
It is advisable to first visit an otolaryngologist for a thorough examination.
If gastroesophageal reflux disease is suspected, an upper gastrointestinal endoscopy may be necessary.
Best wishes for your health from Dr.
Yang Pei-Zhen, Gastroenterology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2003/04/08

More Info


Hello! Thank you for reaching out with your concerns about throat pain. Based on your description, it sounds like you are experiencing a burning sensation in your throat that improves somewhat with drinking water. This symptom can indeed be associated with acid reflux, but there are several other potential causes to consider as well.

Acid reflux, or gastroesophageal reflux disease (GERD), occurs when stomach acid flows back into the esophagus, which can lead to irritation and a burning sensation in the throat. This is often accompanied by other symptoms such as heartburn, regurgitation, and difficulty swallowing. The fact that drinking water alleviates your symptoms somewhat suggests that the discomfort may be related to irritation in the throat, which can be caused by acid reflux.

However, there are other conditions that could also cause similar throat pain. For instance, post-nasal drip, which occurs when mucus from the sinuses drips down the back of the throat, can lead to irritation and a burning sensation. Allergies, infections (such as viral or bacterial pharyngitis), or even environmental factors like dry air or smoke can also contribute to throat discomfort.

Given the chronic nature of your symptoms, it would be advisable to consult with a healthcare professional for a thorough evaluation. A doctor may recommend several diagnostic tests, such as an endoscopy, to visualize the esophagus and throat, or a pH monitoring test to assess acid levels in the esophagus. These tests can help determine whether acid reflux is indeed the cause of your symptoms or if another underlying condition is present.

In the meantime, there are several lifestyle modifications and over-the-counter treatments you can consider to help manage your symptoms. Here are some suggestions:
1. Dietary Changes: Avoid foods and beverages that are known to trigger acid reflux, such as spicy foods, citrus fruits, chocolate, caffeine, and alcohol. Eating smaller, more frequent meals instead of large meals can also help.

2. Elevate Your Head While Sleeping: If you experience symptoms at night, try elevating the head of your bed by 6 to 8 inches to prevent acid from flowing back into the esophagus while you sleep.

3. Over-the-Counter Antacids: Medications like Tums, Rolaids, or other antacids can provide quick relief by neutralizing stomach acid. H2 blockers (like ranitidine or famotidine) and proton pump inhibitors (like omeprazole) can also reduce acid production and may be helpful if you have frequent symptoms.

4. Stay Hydrated: Drinking plenty of water can help soothe the throat and dilute stomach acid.

5. Avoid Smoking and Alcohol: Both can exacerbate acid reflux and throat irritation.

6. Manage Stress: Stress can worsen symptoms of acid reflux, so consider incorporating relaxation techniques such as yoga, meditation, or deep breathing exercises into your routine.

If your symptoms persist despite these measures, or if you experience additional symptoms such as difficulty swallowing, persistent cough, or weight loss, it is crucial to seek medical attention promptly. A healthcare professional can provide a tailored treatment plan based on the specific diagnosis and your individual health needs.

In summary, while your symptoms may suggest acid reflux, it is essential to consult with a healthcare provider for a comprehensive evaluation and appropriate management. Take care, and I hope you find relief soon!

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