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Ongoing problem nose/soft palate
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valgal47 posted:
I am still having a problem with the back of my nose and upper soft palate feeling irritated and/or swollen. I have had several scopes, 2 CT scans, endoscopy, barium swallow, I have been to my ENT 7 or 8 times here in Bremerton WA, have been to a specialist in Seattle. No one can "see" anything so have no idea what it is or suggest anything to help. This has been going on for 5 months. It feels a little gaggy when i swallow due to the back of the nose feeling swollen. It is pretty much the same 24 hrs a day. Occassionally is a little better or worse. It is driving me crazy, wondering if they have missed something. The specialist in Seattle suggested i stop my meds for a month, nexium, zocor, baby aspirin, metamuscil. Only still doing my Armour Thyroid med. It has been two weeks with no difference. He said if that didn't work he would send me to "someone else" and/or different tests. Any suggestions? It seems to help or distract me when i chew gum. My original ENT said my palate looked dry or chapped. Do you have knowledge of an irritated 10th cranial nerve possibly causing this kind of problem? Thank you
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Rod_Moser_PA_PhD responded:
No, I am very sorry but I do not have any profound insight to offer from my primary care perspective. As much as I would like to help you, I am at a loss for suggestions.

There are definite limits of medical science, and unfortunately, not all conditions can be adequately diagnosed or effectively treated, even after exhaustive tests and studies. Medical providers live with that reality every day. When specialists and diagnostic studies have not revealed a cause to your symptoms, it does not mean you do not have a problem. It just means that no one has been able to find it?thus far. These events are as frustrating to your medical provider as it is to you.

When you have a difficult-to-diagnose condition, I often recommend that you consider a high-level diagnostic assessment at a large, university-based medical center. It appears that you have done that. I don't know what your ENT is planning next, or who that "someone else" might be, but it does appear there may be more stones to overturn in your case. Is he sending you to a neurologist?
 
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valgal47 responded:
Thank you....is it at all possible that one of the scopes of my nose/throat was damaged or irritated? What about the lidocane irritation? that it is healing from one or the other? It has always seemed a bit more sore on the left side of my nose/throat. Have you knowledge of an irritated 10th cranial nerve? When i was searching the internet i came across an article by Stanley Rosenberg Institut called diagnosing chronic stress from an irritated 10th cranial nerve. Don't know who he meant by someone else. Thanks again
 
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Rod_Moser_PA_PhD responded:
Sure...scoping the sensitive tissue of the nose and throat can result in irritation, lidocaine or not. I did not know you had this procedure so recently.

Send me the link for the 10th cranial nerve irritation and I will take a look at it when I have time. This is not a diagnosis that I have made.....
 
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valgal47 responded:
stanleyrosenberg.com/english/articles/diagnosing_stress

Could the irritation last for several weeks? or be permanent?

Thank you very much
 
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chipmunk1948 responded:
The upper palate,right behind front teeth, has been swollen for about a month now. 3 days after getting crown from dentist, same evening after having ice cream and same day as bitten by a field mouse(ingrate,I was saving him from my cats!)...Very very itchy on gums upper lip and nose...a lot like allergy...never been allergic to latex...appears to be same area as cleft palate...where the hole would be if affected...Any ideas?? Thanks
 
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Wagnizzle responded:
Have you asked your doctor about the possibility that you may have an oral yeast infection (otherwise known as thrush)? I had a similar issue with my soft palate feeling irritated and dry and on occasions I would gag. This condition can occur when the normal balance of bacteria and yeast in your mouth is disrupted (sometimes from antibiotic use). Also, an oral yeast infection will not go away without treatment which may explain why you've had the issue for so long. The good news is that with a diagnosis of thrush your doctor can prescribe you an anti-fungal rinse called Nystatin which you swish, gargle and swallow 4 times a day for 10 days to kill the yeast colony growth. So far it's been working for me and my symptoms have disappeared.
 
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laxbro11 responded:
hi valgal, I believe that i have the same on going problem that you have. It bugs the hell out of me. My soft palate feels dry and there is nothing that seems to help it feel better. not water or throat drops or nose sprays, nothing. just something i have had to deal with the last few months. i too have been to the doctor and the ent and they said the same thing that yours said. they dont "see" anything so there must not be a problem. easy for them to say right. well i was just wondering if you have gotten any better since january when you posted this and if there was any way i could contact you id like to share information with you. if you still get on here post back. i dont want to give any of my personal info on here but ill just hope for a post back.
 
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skyliner44 responded:
Almost every year around this time I get an extreme sore upper throat/back side of soft palate and uvula. My uvula will start to get swollen. So for years I've been using a nasal rinse cup with warm saline solution and for me it has been a life saver. As soon as I feel the symptoms, I start using it.

About twenty years ago this started and my uvula swelled up very large and was touching my tongue so I was continually swallowing which was extremely painful, plus I had a fever. I went to my doctor and was told I had a form of sinusitis and that area was infected. He gave me amoxicillin and after several days I started getting better. Another issue I had was it felt like there was a glob of material/mucus "caught" on the back side of my soft palate. After talking to several people about this, someone mentioned the nasal rinse cup. I bought one and started using it. Within a day or two the material that was in fact hardened mucus, loosened up and came out and the affected area healed. I've never been scoped but others have told me perhaps I have some scar tissue on the backside of my soft palate that catches mucus and bacteria during cold and flu season and becomes infected if not flushed out early. The nasal rinse may or may not work for you, but it's worth a try as they're not that expensive.
 
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TAT2Entertainment responded:
Hi
I have had the same problem, and i am still somewhat bateling with it, but it i improving. Itis a transperent thick slime that is sitting in your sinus cavity.Mine has come out before after quiting smoking for a month, then i started again and it just trigered this transperent thick slime to come out.I went to the docktor for treatment o flue, and he prescribed a drug called Pulmison, what this drug does, it encurages this thick transparent slime to come out of your sinus cavities. I findtat taking it for three weeks will work, but im just waiting for money, then i will b doing it again. This drug offers emediate effect. You will have to help this slime come out, or it will probabley come out by itself.The thing is that it will go down into your throaght, and beleve me, it will come out ofyour longs with a bang.After that, it's heaven on earth when you sing.I am a singer, and this has been a huge setbck for me for the last 4 years, and no docktor could help me this solution just came by chance. Please let me know if this works for you. Our website is launshing soon TAT2-Entertainment.com, please support us and spread the news.
 
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Rod Moser, PA, PhD replied to TAT2Entertainment's response:
This is not a drug that is used in the U.S., unless it is a generic name. I am suspect this is a mucolytic, like a U.S. product called Mucinex.

What part of the world do you live?
 
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RandallBW replied to Rod Moser, PA, PhD's response:
I have been suffering from a very similar condition to that of valgal 47 and TAT2 and for almost 3 years now. I am training to be a classical singer so this has created a lot of problems for me. I have recently been contemplating giving up singing altogether. I will give you a brief run-down of my symptoms and every remedy tried.

Each morning I wake up with a sore, dry, soft-patate. When I breathe in, especially at night, laying down, I can feel a gentle stinging as the air passes over the back side of my soft palate. During the day my soft palate eventually starts feeling better until I begin talking or singing, and then my soft palate becomes sore again. When I sing I can feel a mucus-like build up interfering with ability to produce a consistent sound.

I have tried treating my condition for acid reflux, alergies and sleep apnea, all to no avail. Like the others, there are no visible signs that my ent's can see.

I have tried nasal rinses and I sleep with a steam humidifier everynight. I have gone for days, up to a week at a time,of not speaking or singing and have felt no improvement.

One ent prescribed a short, two-week prescription of nasonex that did not seem to have much effect.

TAT2's use of Pulmison is very interesting to me. The active ingredient in Pulmison is Prednisone, and seeing this is likely some kind of chronic inflammation, using a powerful corticosteriod like Prednisone would likely provide short-term relief, although it may not cure the root cause and symptoms may recur shortly after coming off it. The problem I would have is convincing a doctor to prescribe Prednisone for something 'minor' like this.

Any advice or help would be greatly appreciated. I am getting very desperate at this point, as giving up my dream of being an opera-singer would be devestating...
 
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Rod Moser, PA, PhD replied to RandallBW's response:
Talk to your voice coach or someone in opera business. Voice issues are not uncommon problems, so many will know an ENT that has helped them...an ENT with experience with singers. See if you can find one....
 
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Nicolo1219 replied to Rod Moser, PA, PhD's response:
I too have had that condition for a year know and ENTs don't see anything... i was in college studying to be a singer and had to leave it because of the pain... I am starting to get seriously depressed. I became a vegetarian a week ago because one doctor said that it was probably because i was having a bad response to animal products. the condition has not changed but i am keeping up the diet in hopes that it might later on... I'm also taking allergy shots but I guess you can never know if they worked until about six months have passed.?

I am seriously desperate and beg for anyone who knows anything to let me know

my condition is very similar: persistent pain around the soft palate and a constant feeling of dryness that can not be bettered with water. cough drops do help temporarily however.

please please help me ?
 
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Rod Moser, PA, PhD replied to Nicolo1219's response:
As much as I would like to help you, Nicolo, it is very difficult to get a grasp on your particular case over the Internet. I do not know anything about you, your medical history, or have any way of examining you. This lack of information that can only be obtained first-hand during an examination.

When you have a medical condition that has, so far, been undiagnosable, your only option is to seek a high-level consultation at a large, university-based medical center ENT department. The collaborative resources at these large research and teaching institutions will offer you the best chance of being diagnosed and treated.


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