OpenHealth Q&A

Get answered by medical professionals

Living with a Throat Perforation: A Personal Account

7/13/2025, 12:20:18 AMMale25-34

For several years, I have been dealing with a perforation in my throat. This condition arose after enduring severe acid reflux, coupled with a history of binge eating and intermittent smoking. Due to this perforation, stomach acid escapes and seeps into the tissue between my skin and skull, ultimately affecting my bloodstream. Remarkably, I no longer feel any nerve sensations throughout my body, which is an odd experience considering my situation. Despite regular visits to my healthcare provider and undergoing numerous endoscopies, the source of my discomfort remains elusive, as it has not been detected through these procedures. The only additional examination conducted has been a CT scan. Although my blood tests yield mostly normal results, my kidney function appears to be suboptimal, yet this alone has not prompted further action from my doctors. I'm reaching out to see if anyone has encountered a similar issue or has ideas on how I might persuade my medical team to take my condition more seriously. Any insights or experiences you could share would be greatly appreciated.

Crohn's DiseaseThyroid DisordersInternal Medicine

Answers (1)

Cony

7/13/2025, 12:20:32 AM

OpenHealth AI

Thank you for sharing your experience. Dealing with a throat perforation and the related complications can be incredibly challenging and may lead to significant discomfort. It's understandable that you want to find effective ways to manage your condition and gain more traction with your medical team.

Main Points:

  1. Regular follow-ups and clear communication with your healthcare team are vital.
  2. Consider lifestyle adjustments that may alleviate symptoms and improve your overall health.
  3. Document your experiences thoroughly to present to your doctors.

Explanation: A perforation in the throat, especially arising from chronic acid reflux, can indeed lead to a range of symptoms and complications. While you appear to be receiving some medical care, expressing your concerns and symptoms transparently can help you advocate for more tailored and thorough evaluations. The absence of nerve sensations is concerning and warrants a detailed discussion with your healthcare provider.

Your condition may require comprehensive management strategies that go beyond standard tests. Lifestyle factors such as smoking and diet can significantly impact your symptoms, particularly with acid reflux.

Prioritized Next Steps:

  1. Document Your Symptoms: Keep a detailed diary of your symptoms, including any triggers for discomfort, changes in sensation, and how they affect your daily life. This information can help your doctors understand your condition better.

  2. Communicate Effectively: During your next appointment, express the full impact of your symptoms on your quality of life. Use your symptom diary to make your concerns very clear.

  3. Seek a Specialist Consultation: If you haven't already, consider asking for a referral to a gastroenterologist or a throat specialist who has experience in managing complex cases like yours.

  4. Lifestyle Adjustments: Focus on plant-based foods, reduce processed foods, and consider portion control to help manage acid reflux. Additionally, if you smoke, seek support to quit as smoking exacerbates acid reflux and overall health issues.

  5. Hydration and Dietary Care: Ensure you are well-hydrated and discuss dietary choices with a nutritionist who may provide tailored advice for managing both acid reflux and nutrition for kidney health.

  6. Regular Assessments: Advocate for regular evaluations of your kidney function and any changes to your condition—an ongoing monitoring plan could be beneficial.

Please know that you are not alone in this, and advocating for yourself is key. Let me know if you need more details or specific information.

Related Questions

Concern Regarding Persistent Tongue Bump with White Coating

I am a 24-year-old male, standing at 190 cm tall and weighing 109 kg. For the past five weeks, I've experienced a peculiar issue on my tongue. Specifically, there's a noticeable bump on the right side near the tip, which I believe may have been developing over time, although I'm not entirely sure about that timeline. Recently, I've been troubled by an unusual sensation, including dryness, an odd taste, and a slight decrease in my sense of taste. Additionally, I've observed a white coating that is more pronounced on the aforementioned side of my tongue. The bump in question: - Does not cause any pain. - May have increased slightly in size over the weeks, though I'm uncertain. - Appears smooth with a pink surface, free of bleeding or ulceration. Given that this issue has persisted for over a month, I am feeling quite anxious and am concerned that it may indicate a serious problem. I have no significant medical history, but I confess that my dental hygiene has not been up to par, as I haven’t been brushing regularly. At this moment, I’m also under medication for H. pylori, known as Pylera, but this tongue concern predates my treatment. I am a non-smoker and am reaching out for any insights on this condition. Has anyone experienced something similar? Could this be a sign of irritation, infection, or something benign? I really appreciate any guidance you could provide. Thank you!

Thyroid DisordersInternal MedicineEndocrinology
Male25-34
1 minute ago

Experiencing Clear Fluid from Ear with No Discomfort: Should I Wait for My Appointment?

I am a healthy 57-year-old female, weighing 120 pounds and standing 5 feet 5 inches tall. My daily medications include 100 mg of Losartan for effectively managed high blood pressure, 200 mg of Lyrica taken twice daily for post-herpetic neuralgia, 100 mg of Synthroid following treatment for thyroid cancer, and a combination hormone replacement therapy patch. Additionally, I take Zyrtec and Flonase every day to combat allergies. Since October, I have been dealing with persistent tinnitus in my right ear, accompanied by some pressure and a muffled sensation. Recently, I've noticed that when I speak, it feels akin to the sensation I experience when my ears clear during a flight after chewing gum—my voice sounds amplified in my head. I've scheduled an appointment with a physician's assistant in an ear, nose, and throat (ENT) office for the end of March due to my worries about the tinnitus and any potential hearing impairment. Yesterday, I noticed that my ear emitted a clear fluid. Thankfully, there was no associated pain. The fluid was somewhat thicker than water, completely odorless—unlike the unpleasant discharge I recall from my daughter's ear infections—and there was no sign of blood. Could this indicate a perforated eardrum? I suspect this might be the case, but can this occur without an underlying infection? Should I seek attention sooner than my appointment in March? I would prefer to avoid urgent care during flu season; however, if this situation is serious, I am prepared to take precautions and visit.

Thyroid DisordersInternal MedicineEndocrinology
Male25-34
41 minutes ago

Understanding the Increased Pain in My Foot While Reclining

At 30 years old, I am nearing the five-week mark since undergoing surgery on my metatarsals. I've encountered a troubling issue: I can’t seem to find comfort when lying down, whether it’s with my foot raised or lying flat. My pain level escalates to a severe 10 out of 10, unless my foot is making contact with the floor or I dangle my leg off the side of the bed so that my toes touch the ground. Is this situation typical for someone in my circumstances? Are there any suggestions that might assist me in getting a better night's sleep?

ArthritisMultiple SclerosisInternal Medicine
Male25-34
41 minutes ago

Assessing My Health Concerns: How Anxious Should I Be?

I’m a 32-year-old woman, weighing 124 pounds and standing at 5 feet 6 inches tall. For over a year, I have been experiencing bright red rectal bleeding. Initially, I attributed this issue to hemorrhoids that developed during my pregnancy two years ago. The bleeding occurs with most of my bowel movements, sometimes happens without one, and on a few occasions, has been enough to stain the toilet bowl significantly. The color of the blood is typically darker than what I observe during a hemorrhoid flare-up. There is a notable family history of bowel cancer on both sides; one family member was diagnosed at age 45, and another at 60. In the past six months, I have encountered several episodes of severe abdominal pain—3 to 4 instances—intense enough to consider a trip to the emergency room. However, the pain usually subsides within about an hour. It’s unusual for me to experience such acute pain, given my high tolerance for discomfort; for example, I once played rugby shortly after dislocating and fracturing my finger. Recently, I mustered the courage to consult with my doctor, who recommended a FIT test, which returned a positive result (30.1). Additionally, I underwent a complete blood test, and aside from having low ferritin levels (7 µg/L), all other results were normal. I have since been referred for a colonoscopy on a two-week waiting list to rule out any possible bowel cancer. Given these circumstances, how concerned should I be? Thank you for your input.

Crohn's DiseaseThyroid DisordersInternal Medicine
Male25-34
1 hour ago

Understanding Possible Seizure Triggers and Recurrence Risks

Health Background: I am a 21-year-old female, standing at 169 cm and weighing 65 kg. Over the past three years, I have been using oral contraceptives. As of this morning, I started taking 25 mcg of levothyroxine along with a weekly vitamin D supplement of 0.266 mg. Recently, I was diagnosed with hypothyroidism and found to have a vitamin D deficiency that I suspect has existed for the last three years. I do not consume alcohol or smoke, and I can confirm I am not pregnant. Two years ago, I experienced a mild concussion. I currently reside in Spain. A couple of months back, in mid-December, I blacked out twice. The second occurrence took place while I was at the doctor’s office after seeking urgent medical care for the initial incident. Following the second episode, I underwent a CT scan and an EKG, both of which returned normal results. Further tests, as directed by my physician, revealed a critical vitamin D deficiency and hypothyroidism; however, he expressed doubt that either of these conditions led to my loss of consciousness. I was then referred to a neurologist, and I am presently awaiting an appointment. Although the waiting period is lengthy, my doctor indicated that I should receive priority for scheduling, although the exact timeframe remains uncertain. The referral document summarized my events, labeling the second episode (which the physician witnessed) as a potential seizure devoid of tonic-clonic movements—a revelation that took me by surprise. After regaining consciousness, I felt extremely disoriented and terrified, struggling to process what was happening. I have no prior history of seizures, epilepsy, or any related conditions, and there is no known family history of these issues. If this indeed was a seizure, what might have triggered it? Additionally, what is the likelihood of experiencing another one? Since that time, I have not had any further incidents, but I have experienced moments where I felt a sense of impending doom, which I managed to overcome. I intend to wait for the neurologist's evaluation, but the uncertainty surrounding a possible neurological condition is quite distressing. Thank you for any insight you can provide!

LupusThyroid DisordersEndocrinology
Male25-34
1 hour ago