Chronic Pharyngitis: Symptoms, Diagnosis, and Treatment Options - Otolaryngology

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Chronic pharyngitis is a condition characterized by persistent inflammation of the pharynx, which can lead to a variety of symptoms, including a dry or sore throat, difficulty swallowing, and a sensation of a lump in the throat. It can be caused by several factors, including gastroesophageal reflux disease (GERD), allergies, irritants (such as smoke or pollution), and infections.
In your case, it seems that your symptoms have been exacerbated by the presence of gastric acid in your throat, as noted by the ENT specialist during the endoscopic examination. The fact that you experience a dry and hot sensation in your throat upon waking suggests that you may be experiencing nocturnal acid reflux, even if you are not consciously aware of it while sleeping. This can occur when stomach acid travels up the esophagus and irritates the throat, particularly when lying down.

Regarding your treatment, the prescription of acid-reducing medications is a common approach to managing symptoms associated with acid reflux. These medications can help decrease the amount of acid produced by the stomach, thereby reducing irritation in the throat. If you have been taking the medication for 12 days and are still experiencing mild discomfort, it may be worth discussing your ongoing symptoms with your healthcare provider.
You mentioned concerns about whether to seek further medical evaluation or if you should wait until your symptoms worsen. While it is understandable to want to avoid unnecessary medical visits, it is crucial to monitor your symptoms closely. If you notice any significant changes, such as difficulty swallowing, persistent pain, or any new symptoms, it would be prudent to seek medical attention sooner rather than later.
As for your concerns about potential serious conditions like cancer, it is essential to remember that while chronic pharyngitis can be uncomfortable, it is not typically associated with cancer. However, persistent symptoms that do not improve with treatment warrant further investigation. A gastroenterologist can perform tests such as an upper endoscopy (esophagogastroduodenoscopy) or a 24-hour pH monitoring test to assess the severity of acid reflux and its impact on your throat.

If your local clinic lacks the necessary equipment for a thorough examination, it may be beneficial to seek out a facility that can provide comprehensive care. While it is true that ENT specialists focus on throat issues, they often work in conjunction with gastroenterologists to address conditions like GERD that can affect the throat.
In summary, chronic pharyngitis can be managed effectively with appropriate medical care and lifestyle modifications. It is essential to maintain open communication with your healthcare providers, follow their recommendations, and seek further evaluation if your symptoms do not improve or worsen. Additionally, consider lifestyle changes such as avoiding trigger foods, maintaining a healthy weight, and elevating the head of your bed to reduce nighttime reflux. These measures can significantly improve your quality of life and help manage your symptoms more effectively.