[23F] Experiencing throat discomfort and moderate nasal congestion

What might be happening

Based on the symptoms you've described, here are a few possibilities:

• Gastroesophageal Reflux Disease (GERD): This condition occurs when stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus, causing symptoms like a burning sensation in your chest (heartburn), sensation of a lump in your throat, difficulty swallowing, and nausea.

  • Treatment typically involves lifestyle changes and over-the-counter medications. In some cases, stronger medications or even surgery might be needed.

• Postnasal drip: This is when excess mucus from your nose drips down the back of your throat. This can cause a sensation of something being stuck in your throat, along with nasal congestion and nausea.

  • Treatment usually involves addressing the cause of the excess mucus, such as allergies or a sinus infection.

• Side effect of medication: Some medications, including fluoxetine, can cause gastrointestinal symptoms like nausea and diarrhea, and can sometimes cause a sensation of something being stuck in the throat.

  • If this is the case, you should speak with your doctor about possibly adjusting your medication.

What you can do

While waiting for your doctor's appointment, here are some steps you can take to help alleviate your symptoms:

1. Avoid foods and drinks that can trigger heartburn, such as fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine.
2. Eat smaller meals.
3. Avoid lying down after a meal. Wait at least three hours.
4. Elevate the head of your bed if you regularly experience heartburn at night or while trying to sleep.
5. Try over-the-counter medications for heartburn.

What you should look out for

If you experience any of the following symptoms, seek medical attention immediately:

• Severe chest pain or pressure, especially if it radiates to your arm, neck or back
• Vomiting blood or black material (which could indicate blood)
• Black, tarry stools
• Difficulty breathing
• Sudden, severe pain in your abdomen

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.