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Port Orange, FL
A 23-year-old male asked:

chronic sore throat since weeks. have reflux but never had sore throat. endoscopy reveals mildly lax les. on protonix (pantoprazole) 40 twice a day. what now ?

3 doctor answers6 doctors weighed in
Dr. Alfredo Garcia
Pediatrics 56 years experience
GE reflux: Chronic sore throat can still be caused by reflux despite medication. If still sleeping flat on your back, try sleeping on a wedge or elevate head part of bed by 4-6 inches. Hope that helps.
Dr. William Culviner
ENT and Head and Neck Surgery 30 years experience
Give Rx time : You need to give the Protonix (pantoprazole) up to 8 weeks minimum to begin to see improvement. It certainly can take up to 6 months to achieve significant gains. If rx fails , sometimes a laparoscopic nissen fundoplication is necessary (surgical procedure). This will tighten the les and reduce or eliminate symptoms without rx ideally.
Dr. Shaban Faruqui
Specializes in Gastroenterology
No concensus on Rx: Above the Dx is LPR ,25% experience spontaneous symptom resolution and 50% have a chronic course with intermittent exacerbations and remission. PPI for 8-12 wks. is the first step in RX. . if no response , confirm Dx , Most useful Laryngeal signs for LPR are reported to be erythema, oedema, presence of a posterior commisure bar , cobble stoning. lifestyle Change & Behavioral change helps.

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Last updated Aug 18, 2019

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