Lump sensation

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Dr. Thomas, I have been diagnosed with Emphasyma. I painted cars for 42 years and smoked for the first 20. I always assumed the lump in the throat sensation that I expierence was related to dust and toxins. However I have been out of that enviroment for almost 2 years now. I have sang since Iwas a kid and remember for the most part constantly clearing my throat. I am presently seeing an oratologist whom seems sure my condition is related to reflux. After doubling the dose of nexium and then switching to a double dose of prilosec, I have saw minimum improvement.
I love music and currently do volunteer in Nursing homes. I have lost my voice to hoarsness a couple times on stage. This is to say the least embarrassing and taking away an outlet I really need. I think perhaps the stress of wondering if my voice will hold is making the problem worse. I think your explanation of lump sensation makes sense but somehow I don't think this doctor will aprreciate my self diagnoses. Although I constatly am clearing my throat during waking hours, I do not wake myself or my partner up at sleep clearing my throat. What can I do? Do you know any doctors in the Columbus Ohio area who would be willing to look further than acid Reflux?I would be most grateful! Jimmy
James P Thomas MD's picture
Submitted by James P Thomas MD on Sat, 2012-04-07 13:00

 
Dear Jimmy,
I list the doctors that I know on this website - http://www.voicedoctor.net/Physicians-0/index-000
if you aren't getting better on treatment, that can be because the diagnosis is incorrect. The only way to know what is the cause of losing your voice is to have a good examination. I also talk about how to evaluate the quality of your examination on this website - http://www.voicedoctor.net/Physicians-0/Choosing-your-doctor
Best wishes,
James P Thomas