Thank you for your query at DoctorSpring.com.
I can understand your concern.
You have difficulty in swallowing saliva since the past 5 months and have found some improvement with Pantocid.
As your endoscopy (Laryngoscopy) and X-ray are normal, there is no obvious
pathology in throat. Since you are young and are getting benefit with anti-reflux treatment(Pantocid), it is most likely that you have GERD (Gastro-Esophageal Reflux Disease).
I have the following suggestions.
-You can continue with the same medication, Pantocid, minimum 30 minutes before a meal, for 1 to 3 months.
-For GERD, you need to strictly follow the following lifestyle modifications :
Avoid excessive spicy food, cold drinks, fast food, smoking and alcohol.
Avoid coffee, maximum 2 cups of tea in a day.
Drink plenty of fluids including water.
Undertake physical activity like walks every morning and evening.
Don’t lie down immediately after lunch or dinner. You can lie down only 2 hours after any meal.
Head end of bed should be elevated by keeping a pillow underneath the head end of mattress.
If your symptoms are not improving you may need to consult a gastroenterologist for Oesophagoscopy(Upper GI scopy).
If you do not any other symptoms of hypothyroidism including weight gain/
excessive sleepiness, constipation, cold intolerance, pigmentation of skin then we
can consider it as subclinical hypothyroidism. If you have any of these
symptoms, then we can start low dose of Eltroxin 25 micrograms, once in the morning and
can repeat TSH after 3 months. You can take the opinion of an endocrinologist
for the same.
Hope this helps. Feel free to ask queries.
Dr. Sunil Jalan,
MBBS, DLO, MS, DNB (ENT), DAA, MBA (HM).