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Chronic Throat Dryness
I have been experiencing a throat problem for the past few years. After speaking continuously for 15–30 minutes, my throat becomes dry, heavy, and eventually chokes up, making it difficult to continue speaking. This significantly affects my work, as I regularly conduct meetings and presentations.
I consulted two ENT specialists, underwent endoscopic examinations, and tried allergy treatment, inhaled medication, Ayurvedic treatment, and Panchakarma. Despite spending nearly ₹1 lakh, I have not found a lasting solution.
I am looking for a specialist with experience in diagnosing and treating similar voice or throat disorders related to prolonged speaking, as previous evaluations have not identified the underlying cause.
Since structural causes have been ruled out by endoscopy, two conditions that are commonly missed deserve urgent investigation. First: Laryngopharyngeal Reflux (LPR/silent reflux) â acid reflux that reaches the throat without causing heartburn, causing dryness, heaviness, and choking after extended use. A 2-month trial of a PPI (like pantoprazole 40mg before breakfast) can both diagnose and treat this. Second: Muscle Tension Dysphonia (MTD) â the muscles around the larynx become overworked and tense during prolonged speaking, causing exactly the symptoms you describe. This is a functional disorder not visible on regular endoscopy and needs a laryngologist (voice specialist ENT) and a speech-language pathologist (voice therapist) who can diagnose and treat it with specific vocal exercises. I would strongly recommend consulting a laryngologist with a voice clinic, and a speech therapist experienced in voice disorders â this combination is most likely to give you the lasting solution you've been seeking.
Next Steps
Consult a laryngologist (voice specialist ENT) at a voice clinic â not a general ENT. Simultaneously consult a speech-language pathologist for voice therapy. Try a 2-month PPI course for LPR. Stay well hydrated during speaking. Consult me on Practo for further guidance.
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