Hello doctor, I have been diagnosed with granular pharyngitis and tonsillitis, but I do not have any post-nasal drip or cold. I have pain while swallowing certain oily and spicy food. What should be the treatment? In the last three months, I have got tonsil infection a couple of times.
Hi. Granular pharyngitis occurs because of chronic irritation to the pharynx. It is commonly seen in patients with chronic rhinosinusitis, smokers, and nowadays, one of the most common cause for granular pharyngitis is laryngopharyngeal reflux disorder. The usual symptoms of laryngopharyngeal reflux disorder are a mild burning type of throat pain, especially, on swallowing, foreign body sensation in lower part of throat, constant throat clearing, and sometimes early morning voice change. There may not be any symptoms of gastroesophageal reflux disorder, such as heartburn and abdominal pain. It is common to have recurrent attacks of throat pain which mimic bacterial pharyngotonsillitis in patients with laryngopharyngitis reflux disorder. I suggest taking anti-reflux medications, at least for three weeks. You can take tablet Pan D (Pantoprazole and Domperidone) 40 mg twice daily for three weeks. For more information consult an ENT otolaryngologist online -->