THE WORKWEEK.
JEN, OVER TO YOU.
THANK YOU VERY MUCH,
RICHARD.
SO MANY PEOPLE SUFFER FROM SORE
THROATS WITH THE WEATHER, BUT
FOR SOME PEOPLE IT COULD BE A
SYMPTOM OF SOMETHING MUCH MORE
SERIOUS, THEY COULD HAVE WHAT IS
KNOWN AS SILENT REFLUX.
JOINING ME NOW TO EXPLAIN WHAT
IT IS.
GOOD MORNING TO YOU, HAPPY NEW
YEAR, I HAVEN'T SEEN YOU SINCE
THE HOLIDAYS.
SILENT REFLUX WHAT IS THAT?
WE'VE ALL HEARD OF ACID REFLEX,
IT S IT THE SAME THING IF.
IT IS BASICALLY THE SAME
THING BUT TRADITIONAL ACID
REFLUX WILL HAVE ACID INTO THE
ESOPHAGUS HAVING HEARTBURN.
IN THIS REFLUX PEOPLE HAVE
DIFFERENT SYMPTOMS, DIFFICULTY
SWALLOWING, FEELING LIKE THEY
HAVE TO A THROAT CLEAR SOMETHING
IN THEIR THROAT OR HAND AROUND
THEIR THROAT, THE SYMPTOMS ARE
LITTLE BIT DIFFERENT.
DO THOSE SYMPTOMS THEN
PERSIST OR THEY'RE JUST ONE DAY
AND BASED ON WHAT YOU'RE EATING
OR COME BACK ANOTHER DAY?
WHEN DO YOU DECIDE THAT YOU NEED
TO GO SEE SOMEBODY ABOUT IT.
USUALLY IT IS PERSISTENT, THE
PEOPLE THAT COME SEE ME WILL
HAVE THEM FOR SEVERAL WEEKS OR
MONTHS.
DO CHILDREN GET THESE KINDS
OF SYMPTOMS ALSO?
DO THEY FREQUENTLY GET THEM?
THEY CAN, BUT I THINK IT MAY
BE MORE UNDERDIAGNOSED IN
CHILDREN BECAUSE THEY DON'T GIVE
AS GOOD A HISTORY AS ADULTS TO
DO.
THE SYMPTOMS CAN BE SIMILAR
TO HEARTBURN.
HOW WE KNOW THE DIFFERENCE
IS MOSTLY BECAUSE YOU'LL HAVE
DIFFERENT SYMPTOMS.
YOU WON'T JUST GET A DRANSIENT
HEARTBURN SYMPTOM, YOU'LL IS
PERSISTENT SYSTEMS LIKE THE
THROAT CLEARING THE DIFFICULTY
SWALLOWING, THINGS THAT DON'T GO
AWAY.
AT THAT POINT WE NEED TO DO
FURTHER EVALUATION.
TALKING ABOUT THAT
EVALUATION THERE IS A TREATMENT
YOU CAN DO WHICH IS BASICALLY
SENDING A CAMERA RIGHT DOWN THE
SOMEONE'S THROAT TO LOOK.
WE HAVE VIDEO OF YOU DOING THIS
BECAUSE SOME PEOPLE THINK, A
CAMERA, DO YOU PUT ME TO SLEEP.
SOME MIGHT SAY FORGET IT IS TOO
OVERWHELMINGS AND THIS IS A GOOD
OPPORTUNITY TOKES PLAIN TO THEM
IT IS NOT AS BAD AS YOU MIGHT
THINK.
IN THIS VIDEO WE HAVE A
PATIENT THIS CAME INTO THE
OFFICE FOR ACTUALLY HE CAME IN
FOR ACID REFLUX AND A POLYP
REMOVED FROM HIS VOCAL CORDS.
WE WERE DOING THIS TO MAKE SURE
THAT EVERYTHING WAS RESOLVING
AND JUST VERY COMFORTABLE, VERY
CALM.
YOU KNOW, HE'S AWAKE AND IT TOOK
LITERALLY ABOUT 30 TO 45
SECONDS.
WHAT ARE YOU LOOKING FOR THEN?
HOW DO YOU KNOW THE DIFFERENCE.
WHAT I CAN SEE IS AREAS OF
THE VOCAL CORDS, THERE COULD BE
REDNESS, SWELLING, THERE COULD
BE CUCUS COLLECTING SO WE SEE
SHINES THAT TELL US THAT THIS IS
IS.
HE DOESN'T AT ALL
UNCOMFORTABLE.
WHAT IS -- IS THERE WHAT ARE
THE IDGESZ CONSEQUENCES IF YOU
LET THE GO AND DON'T REACH OUT
THE A DISWROOCTING THE
CONSEQUENCES IT TYPICALLY WILL
GET WORSE OVER TIME IF LEFT
UNTREATED.
ALSO, WETHIORIZE IT COULD LEAD
TO CANCER.
REFLUX ON THE LOEHR RINGS OVER
AND OVER NOT ONLY WILL YOU
BECOME MORE SYMPTOMATIC OVER
TIME YOU DON'T WANT CELLS TO
CHANGE RESULTING IN
PRE-CANCEROUS CONDITIONS.
AND MOST OF ALL IT MAY BE
SOMETIMES PEOPLE ARE TOLD THIS
ISES AIVITY REFLUX BUT NOBODY
HAS ACTUALLY LOOKED.
YOU WANT TO MAKE SURE YOU'RE
LOOKING AND IDENTIFYING PROPERLY
WHAT THE PROBLEM IS.
TYPICALLY I TALK TO PATIENTS
ABOUT DIET MODIFICATION, BECAUSE
THAT IS JUST NUMBER WYNN.
LET'S NOT DO THE THINGS THAT
AGGRAVATE IT.
THAT WOULD BE SMOKING, CAFFEINE,
SPICY FOODS AND ALCOHOL.
THOSE ARE THE THINGS THAT
AGGRAVATE IT.
IN ADDITION, SOMETIMES THAT IS
NOT ENOUGH AND WE MAY THERE TO
PRESCRIBE A MEDICATION TO REDUCE
THE ACID EXPOSURE.
COULD THAT JUST BE TEMPORARY
THEN?
ELIKE TO THINK IT IS
TEMPORARY BECAUSE IF I TALK TO
PATIENTS ABOUT DIET MODIFICATION
WE CAN LEAVE THEM ON MEDICATION
FOR A LITTLE WHILE.
SO FRIED FOODS AND THING?
THAT WILL DO IT.
OR SPICY FOODS.
ALL OF THOSE THINGS, I
RECOMMEND A BLAND DIET WHILE
WE'RE GETTING THIS UNDER CONTROL
SO PEOPLE CAN GET BACK TO A
BASELINE, GET IT UNDER CONTROL
BECOME ASYMPTOMATIC AND WE CAN
WEEN DOWN THE MEDICATION AS
NECESSARY.
THANK YOU VERY MUCH.
DO APPRECIATE IT.
IF YOU'D LIKE MORE INFORMATION
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