Gagging Nervousness Post Nasal Drip Acid Reflux for 8 yearsDear Doctor,
For the past 8 years I've had nose problems that would affect my throat. I'm a male, 23, Asian. Whenever I'm nervous (which is very often, even little things like going to karaoke or meeting friends) I gag/heave and cough up either mucus or nothing. I feel irritation on my upper throat, and I think it all stems from my nose, because when I'm nervous I feel that something from my sinuses is opening or allowing flow of whatever is in the nose to drip onto my throat. This makes me nervous and when I'm nervous I gag (and sometimes even vomit from the gagging) because of this, so it's a vicious cycle. It seems to happen in the morning too, but more because of something physical I think. In the morning I sit up and go on my laptop and even though I'm not nervous, I still gag up phlegm or gag saliva out, and have no appetite to eat breakfast so I can only eat very little since everytime I try to swallow, after a few bites I always feel the urge to gag. Then in the afternoon I feel somewhat better, but when I eat I think I have acid reflux. As the day progresses I get better and better, so that by the nighttime I can eat almost as much as I want. So out of my own examination I think it's a combination of post nasal drip (causing it in the morning), acid reflux (explains why I feel gaggy like 15 minutes after I eat), and nervousness.
I've gone to the doctors but they don't seem to know what's wrong. I've had xrays for my stomach to see if it was acid reflux, but I don't think they found anything. however, on a separate xray they did find that i had a serious nose infection, however my insurance expired by then and i wasn't able to follow up. I've taken acid reflux medicine and they haven't worked. Neither have some anti-depressants when I went to the psychiatrist. I do think it's half psychological, but that the main reason is something physical, which is why the anti-depressants didn't help my anxiety and therefore didn't help cure my symptoms. I've gone to multiple doctors (~10 doctors) and none of them have given me anything that works, just dumb antibiotics. because of school, lack of money, and no insurance i have not been able to find any answer, but i read a similar post to mine and feel that you have more knowledge. Others like me seem to have no answer either.
Here's a list of when my gagging comes up. usually i just cough up mucus or nothing at all:
-when i have a stuffy nose. like during the winter. usually something like a hot shower where i can blow everything out makes me feel better.
-in the mornings. i feel like maybe i have some sort of mental hormone problem in the morning... i am nervous in the mornings and can barely consume food. mornings are the worst.
-when i eat sweet stuff (chocolate, anything with sugar), or stuff that is sticky. My throat seems to be irritated even before I swallow or even before I put food in my mouth.
-when i eat anything. it gets progressively better as the day goes by. so in the morning i can't function, but at night i have an appetite
-when i eat too full. i feel like my stomach sticks out abnormally when i eat until i'm full.
-whenever i exercise. the first hour will be really bad, but towards the end my throat eases and I can exercise normally.
-whenever i lay down on my bed and talk or just lay down on my bed without the purpose of sleeping.
-****when i'm nervous. this is a big one. i can't do public speaking or interviews because i gag so bad beforehand. however most of the time when the moment comes to actually have to speak, my mind eases, but i have gagged during the big moment before.
please let me know if there's any diagnosis. i'm suffering really bad and it's affecting my job search because i avoid anything that requires presentations.
UPDATE: Doctor Kadwa prescribed to me Argentum Nitricum 200C 'Please take Argentum Nitricum 200 in the morning and evening for 2 days and see how that affects in next 10-15 days.' However, it was uneffective. I bought Gelsemium and still have a lot of Argentum Nitricum left. What should I do?
kingofhearts on 2012-06-14
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