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Having gerd and LPR and tonsillitis
Male 37, having diabetes around 2 years, having GERD 6 years. Six years back and Two years back had gi endoscopy. Took h pylori eradication course. Had FESS in 2017. Often getting throat infection now a days. Had vlscopy last week in ent hospital, identified with LPR and tonsillitis. Took one week of antibiotics medicines. No improvement. While lying down feel like something stuck in throat, after gargling it is better, moreover night time feeling breathing trouble sometime, sleeping is good but daytime tiredness. Taking PPIs nearly 5 years. Had habit of drinking tea 3 to 4 times, now reduced to one time for the past one month. Weekly once eat nonveg outside. Should I continue PPIs and antacids lifelong, already taking diabetes, hypertension medicine. This throat infection and breathing issue making me worse. How to manage this, will it cause any complications because of diabetes. Attached scopy report and medication. i am not interested in sleep study. I won't get sleep in other place
Your symptoms are due to LPR (acid reaching throat), not ongoing infection; antibiotics won’t help unless clear bacterial signs are present.
PPIs are not always lifelong.we will use them in a proper dose and duration, then try step-down with strict lifestyle changes.
Next Steps
early dinner, no lying down for 3 hours after meals, head-end elevation, avoid tea/coffee, spicy, oily food, late meals, and throat clearing
Health Tips
there is progressive breathing difficulty, true choking at night, weight loss, blood in saliva, or voice change then consult immediately
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Repeated throat infection and tonsillitis with LPR, try to avoid outside food spicy food, antacids have to be continued as of now and physical activity is very very important.
For repeated tonsillitis you might need tonsillectomy
A sleep study is essential even after all these above measures fail to relieve you from breathing difficulty and throat infections
Next Steps
Physical activities
Be very careful with your diet
Breathing exercises
Continue your antacids
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