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Is My Throat Condition Related to GERD or Something Else?

6/20/2025, 7:30:22 PMMale25-34

Hello everyone! I’m a 19-year-old male and about a month ago, I experienced some symptoms that I suspect were linked to silent reflux or gastritis lasting for about a week. During that period, I decided to examine my throat and noticed something unusual. Does anyone think what I see looks like cobblestone formation possibly caused by GERD, LPR, or postnasal drip? I will share a comparison image of my throat from then and now. Additionally, I've noticed a left posterior cervical lymph node, which seems to be palpable. It’s painless and feels somewhat firm but isn’t rock-hard. This lymph node has been present for around 7 to 8 years without any noticeable change in size. My white blood cell count appears to be within normal limits according to my latest full blood count test. Thank you for any insights or opinions you may have! I often deal with health anxiety, which heightens my concerns about these issues.

AgingFamily MedicinePreventive Medicine

Answers (1)

Cony

6/20/2025, 7:30:43 PM

OpenHealth AI

It sounds like you're experiencing a mix of symptoms that could be related to conditions like GERD (gastroesophageal reflux disease) or the effects of postnasal drip. Let's break this down to better understand your situation.

Main Points:

  1. Possible Causes: Symptoms like throat irritation or cobblestone-like appearance can be linked to GERD, LPR (laryngopharyngeal reflux), or postnasal drip.
  2. Lymph Node: The presence of a firm but painless lymph node that has remained stable for years is often a normal finding, especially in younger individuals.

Explanation:

Throat Symptoms: The "cobblestone" appearance in the throat can be a sign of irritation or inflammation, often caused by acid reflux or mucus accumulation from postnasal drip. GERD can lead to symptoms such as a sore throat, hoarseness, or a sensation of something stuck in your throat.

Lymph Node Concerns: A lymph node that has been stable and painless for several years is less likely to be concerning. Lymph nodes can be reactive to various factors like allergies or infections. Since your white blood cell count is normal, this suggests there is no active infection currently.

Next Steps:

  1. Monitor Symptoms: Keep an eye on your throat symptoms. Consider if they change after eating certain foods, lying down, or if you experience other symptoms like heartburn.
  2. Lifestyle Adjustments:
    • Avoid foods that trigger reflux (e.g., spicy, fatty foods, chocolate, caffeine).
    • Try to eat smaller meals and avoid eating close to bedtime.
    • Elevate the head of your bed to reduce nighttime reflux.
  3. Hydration and Warm Fluids: Staying hydrated and drinking warm fluids can help soothe throat irritation.
  4. Manage Anxiety: Consider techniques for managing health anxiety, such as mindfulness or speaking to someone you trust about your concerns, as anxiety can amplify health worries.

If symptoms persist or worsen, especially if you develop new issues like difficulty swallowing or significant changes in the lymph node, it may be prudent to seek further evaluation.

Feel free to reach out if you have specific questions or need further guidance!

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