Hello Doctor, About three months ago, I started experiencing throat discomfort with a lump-like feeling and mouth ulcers/irritation. I first consulted an ENT specialist, who prescribed antibiotics and anti-allergy medicines, but my symptoms did not improve and in fact became worse. On a follow-up, he suspected GERD and gave me basic gastric medicines. Later, I consulted a gastroenterologist who prescribed acid-reducing tablets twice daily. While I had some temporary relief, my symptoms returned after stopping the medication. At present, whenever I eat spicy or hot food, I experience significant throat irritation and discomfort. Last month, I underwent an endoscopy which showed a lax LES. I would like to know if this could be the cause of my throat lump sensation and irritation. Every morning I also wake up with throat burning, and at times notice blood-stained sputum. Kindly advise further. I have attached my endoscopy report for your review.