Persistent hoarseness, throat-clearing, short breath & mucus drainage
56 yr old, 180 lb. 6' 1", Caucasian male. Overall good health. Exercise 4-5 days per wk. Caught a cold Nov 09; nasal/post-nasal drainage, sore throat, hurt to swallow, cough, fatigue. Took standard OTC meds. 3 wks later no better. Got Azithromycin 6 tabs x 250 mgs, Cheratussin & Benzonatate 200 mg; I had never taken codeine; had a pretty severe nighttime anxiety attack after taking these meds; dr suspected codeine; took me off all meds above, prescribed Xanax, Lexapro, Claritin and later an inhaled steroid to open up sinus & avoid BP problems taking a decongestant; all symptoms left except post-nasal drainage, hoarseness and shortness of breath; not much coughing;referred to an ENT dr last week; laryngoscopy was normal--no nodules, cysts etc.; dr theorized acid reflux and/or stress requiring speech therapy; prescribed Nexium. I'm dubious. I rarely have heartburn. Been on Nexium 3 days, still hoarse & can't seem to get a full breath. I just don't buy the acid / stress diagnosis. I'm a part-time college prof and part-time minister, public speaking only 3 times a wk. Thinking about a 2nd ENT opinion.
It's always hard to argue against a 2nd opinion (particularly when this won't result in a financial burden). Having said that, I would encourage you to give the 1st ENT doc's diagnosis more consideration. Do a little investigation into "Laryngopharyngeal Reflux" or "Silent Reflux". Not having the symptoms that people normally associate with classic heartburn is a big hurdle in getting patients to go along with this diagnosis. Most patients with LPR do not have any symptoms other than the symptoms you described. Other possible causes for this are allergies and food intolerances.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.