The pulmonologist deserves credit for identifying this as a laryngeal/vocal cord problem and not a lung problem, including asthma. And, the examinations, treatment and follow-up of the ENT indicate that you are receiving very good care. The ENT’s assertion that you are experiencing reflux laryngitis is probably correct, notwithstanding the opinion of your GI consultant.
There is increasing evidence that GERD causes laryngeal signs and symptoms. Symptoms of reflux laryngitis include hoarseness, throat clearing, dysphagia, increased phlegm, and globus (feeling of lump in one’s throat) sensation.
Despite suspected epidemiologic reports, there is still controversy about the prevalence of GERD-related laryngeal signs and symptoms. Studies have shown that 24-hour pH monitoring may not be the perfect test for diagnosing atypical GERD. Overall, only 50% of patients with laryngoscopic signs of GERD associated laryngitis have abnormal esophageal acid exposure regardless of the location of the pH probe. Despite this, pH probe testing may prove to be informative.
There are currently no accepted protocols for the most cost-effective treatment of patients with GERD and laryngeal signs and symptoms but proton-pump inhibitor drugs, such as Protonix, appear be more effective than H2 blocker drugs and should most likely be the first line of therapy when GERD-related laryngitis is suspected. Initial aggressive therapy with twice-daily dosing followed by tapering to once-daily in patients showing response to therapy is the treatment approach currently recommended. It may take a several weeks before optimum benefit from the Protonix is achieved.
My advice is that you continue to see and follow the advice of the ENT. His/hers is a logical approach to your problem. At your first opportunity, ask the ENT what is the differential diagnosis for swelling and/or inflammation of the cords. That is, what other disease states might cause the abnormal findings observed by laryngoscopy. Specifically, might the cause of your problem be on an allergic basis.
To answer your question, anything that impedes airflow through the larynx can cause a “suffocating feeling.”
Good luck
Im sorry I have had the same thing been to so many Drs and still no answers.I have been in the Hospitial 3 times,Pulmonary drs,no one can figure me out I have been sent to Baylor Dallas i think maybe the are figuring out whats wrong find you a good Pulmonary Dr.