[32M] With throat discomfort and GERD symptoms

Certainly, Celso. Based on the information you've provided, here's some advice regarding your condition:

What might be happening

Your symptoms, including throat pain, difficulty swallowing, ear pain, and the sensation of a lump in your throat, could be related to a few conditions:

1. GERD and Hiatal Hernia: These conditions can cause acid reflux, leading to throat irritation, the sensation of a lump, and increased throat clearing after eating. The presence of a hiatal hernia can exacerbate these symptoms.

2. Laryngopharyngeal Reflux (LPR): This is a type of reflux that affects the throat and voice box, causing symptoms like throat clearing, hoarseness, and a lump sensation.

3. Postnasal Drip: Allergies or sinus issues can cause mucus to drip down the back of your throat, leading to throat clearing and irritation.

4. Cobblestone Throat: This finding suggests some irritation or postnasal drip, possibly related to allergies or GERD.

Your ENT has ruled out serious conditions like cancer, which is reassuring. The upcoming barium swallow test will provide additional insights into your esophagus and swallowing function.

What you can do

1. Dietary Changes: Avoid foods and drinks that trigger reflux, such as spicy foods, caffeine, alcohol, and acidic foods. Eat smaller, more frequent meals.

2. Stay Upright: Avoid lying down immediately after eating. Try to stay upright for at least 2-3 hours after meals.

3. Hydration: Drink plenty of water to help thin mucus and soothe your throat.

4. Manage Anxiety: Consider stress-reducing activities like deep breathing exercises, meditation, or gentle physical activity. Talk to friends, family, or a mental health professional about your concerns.

5. Use MDandMe: Journal your symptoms, track progress, and share insights with your healthcare provider. This can help identify patterns and triggers.

What you should look out for

1. Persistent or Worsening Symptoms: If your symptoms persist or worsen despite treatment, follow up with your healthcare provider.

2. Unexplained Weight Loss: If weight loss continues despite improved eating habits, seek medical attention.

3. Difficulty Breathing: If you experience any difficulty breathing or shortness of breath, seek medical attention immediately.

4. Severe Pain: If you experience severe or worsening pain in your throat or ear, get it checked out.

Remember, you're not alone in this, and there are effective strategies to help manage your symptoms. If you have any more questions or need further assistance, feel free to ask!