Hello doctor, I am a 37-year-old male. I had brief nausea before five months. I visited a general physician who suspected GERD and put me on Motilium for GIT and later Pan 40 then Ranitidine for three months. I vomited only once but had been having a burning sensation in my chest. The burning chest has long stopped. I even had an OGD done which was normal. The pain, however, moved to my throat, and I had a feeling of something in my throat ever since though I have no swallowing problems. I have this persistent pricking pain in my throat that does not go away, and also the back of my tongue on the right side feels kind of inflamed (not sure about this. But the tongue feels sore-ish). Throat pain and tongue discomfort are always present. My general physician later recommended to do a neck MRI which I did and was told looked fine. So I am stuck on what exactly could be wrong with me. I do exercise (treadmill and gym) regularly, I am an active person though I must admit I worry too much about my health and it stresses me.
Hello. I viewed your MRI images of the neck and chest area (attachment removed to protect patient identity). Neck findings, there are few small mucosal cysts in the right maxillary sinus. There is a small lobulated cyst like area anteriorly in the floor of the mouth to the left of the midline and is a benign lesion. The findings are incidental and not of any serious cause. The oropharynx, hypopharynx, and cervical esophagus are normal. There is no luminal obstruction. Chest MRI findings, there is no significant abnormal findings in the chest. It is sometimes possible for anxiety to cause soreness of the tongue. You can have a follow-up visit with your doctor after a month if the soreness is still there. I agree that finding a serious cause can make you stress-free. However, you are lucky to have no serious findings in the images and can continue to be in good health. Please avoid alcohol or any food that can irritate the oral cavity for a few days.