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Throat irritation chronic
Throat irritation is followed by coughing, choking and breath feels uncleared. Uncomfortable; may feel I could collapse, but settle. No chest pain/wheezing. Started in Bangalore in 2020 and continued in Jamshedpur. Some days are symptom-free. Mainly mornings, before 2 PM. I often feel sputum stuck in my throat and clear it. It is thick, sticky, white and hard to expel; similar material comes out during intense coughing/choking. Episodes sometimes occur outdoors/balcony, especially near trees; I may remain fine indoors, windows closed. May be more common in cloudy/rainy/humid weather. Today I woke well; after washing my face/mouth, throat irritation started. After tea, coughing/choking occurred, then settled. Morning tooth-brushing can trigger it; night brushing usually does not. Used inhaler once. Symptoms stopped in a closed AC restaurant; unsure if AC triggers. No blood/fever/weight loss. HRCT Thorax done Sept 2020; report shared. Main concern: breath does not clear, causing choking.
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After wake up do gargle with luke warm water with pinch of salt
For further evaluation consult me
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You need proper assessment, please consult a physician physically.
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Your history fits reflux-related throat irritation with an allergic post-nasal drip much more than any lung disease - normal HRCT with no fever or weight loss is reassuring. Morning sticky sputum, throat clearing after tea, and flares in humid weather or near trees all point the same way. The choking feeling is an irritated larynx, not your chest closing down. This settles well once reflux and the allergy part are treated together.
Next Steps
Start a 6-8 week trial of an anti-reflux medicine before breakfast plus a non-sedating antihistamine at night, keep dinner light and 3 hours before sleep, and do saline nasal wash daily. If choking episodes or morning sputum persist beyond that, we should relook with a fresh chest exam and spirometry. Consult me on Practo with your HRCT report and I will set the exact regimen for you.
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Evaluation needed
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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A proper consultation is needed to assess and guide treatment.
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Ms. Bhagyasree Mondal
General Physician
2 yrs exp
Kolkata
Have you tried gargling with lukewarm saline water or steam inhalation??Get yourself checked by a professional for detailed clinical examination...you might need sputum culture and sensitivity testing
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