Severe pain in my neck

[KatherineM]

Hi, I was diagnosed last January with acid reflux. I was put on Nexium and I felt much better.  However, within the last month, my neck has really started to hurt. I can't sleep.  It feels as if someone has put their hands around my neck and are choking me.  It's really scaring me.  I'm going to see an ENT this Tuesday but wanted some advise on what to do in the meantime.  I'm still taking the Nexium.  Can this be cancer?  I read some of the other articles and seem to be doing everything wrong. I didn't know I should be avoiding tomatoes and garlic, and tea.  I did know that soda and alcohol are bad, but my old ENT didn't even tell me to avoid those.  I'm seeing the new ENT Tuesday.

Thanks for your help.

Katherine

[Kevin Pho, MD]

Without examination, I cannot say for sure.  The cause can include a neck strain or spasm, as well as cervical disc issues - depending on where the pain is.  

If you feel that someone is choking you, the ENT evaluation is appropriate.  A laryngoscopy can be done to ensure there is no constriction of the vocal cords or swelling in the oropharynx.  

Regarding cancer - it would be possible but unlikely.  The ENT should be evaluating for any throat or mouth cancer during the initial visit.  

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
Medical Weblog:
kevinmd_b

[kwag]

if you are not having at least 2 bowell movements a day then reflux can result.  Take fiber daily like psyllium husks 500mg with lots of water a couple times a day.  Eat smaller meals more often.  NO POP or caffiene.  Eat a very healthy diet that is full of vegetables (preferrably raw).  Your diet has the most to do with this reflux.  Do not eat or drink within 2 yours of going to bed except maybe a bit of water.  Avoid wheat products for a while.  If wheat avoidance helps, continue it.

[yoshi]

how many adults have 2 bowel movement a day??
why is bowel movement important to acid reflux?
I have acid reflux,i can be fine all day but when nite falls,thats where the problem begin,and i dont eat for 3 hours or more before i go to bed.

[Biskie2]

Yoshi - have you tried a teaspoon of vinegar a day? Let me know what happens.

[yoshi]

what does vinegar do??
does it raise the acid level??