HELLO KIERAAN,
Throat choking during sleep, difficulty breathing during physical exertion or deep breaths, constant throat discomfort , history of GERD, ulcers, and severe gastritis and unsuccessful use of antibiotics, nasal spray, and reflux medications- this appears to be a complex interplay between upper airway irritation and chronic gastroesophageal issues, potentially involving-
1)LARYNGOPHARYNGEAL REFLUX(LPR)- silent acid reflux -acid vapours from your stomach travel up the oesophagus, irritating throat and larynx -SYMPTOMS- constant throat discomfort, globus sensation(something stuck in throat), cough, choking at night -Different from GERD- often no heartburn -may worsen in sleep(lying flat) or with deep breathing(irritated airway)
2)OBSTRUCTIVE SLEEP APNEA OR SLEEP RELATED LARYNGOSPASM -sudden choking during sleep may be from a spasm of vocal cords(laryngospasm), often triggered by acid reflux or nasal blockage -could be central or obstructive apnea if overweight or with nasal blockage, GERD
3)POST-NASAL DRIP/CHRONIC RHINITIS/ SINUSITIS -constant mucus drip into the throat , causing irritation and inflammation -may result from non-infectious causes- allergens, chronic inflammation -Xylometazoline can worsen rebound congestion over time
4)HIATAL HERNIA?PEPTIC ULCER+ GERD COMBO -the chronic reflux you’re experiencing may be worsened by anatomical issues like hiatal hernia, which keeps pushing acid upwards
TEST RECOMMENDED IF NOT DONE YET THEN 1) 24 HOUR PH MONITORING/IMPEDANCE TEST- confirms LPR/GERD severity 2)SLEEP STUDDY(POLYSOMNOGRAPHY)- rules out sleep apnea 3)LARYNGOSCOPY- visual check of throat and vocal cords 4)CHEST X-RAY/CT sinuses- Rule out anatomical causes or chronic sinusitis 5)H. PYLORI TEST- as ulcers and gastritis present 6)BARIUM SWALLLOW OR ENDOSCOPY= to rule out strictures, ulcers, hernia
From an Ayurvedic point of view, this condition is a complex tridoshic imbalance, mainly involving- -Urdhwaga Amlapitta- upward movement of acid, pitta dushti -Kapha avarodha + vata prakopa- Kapha blocking throat + vata causing sudden laryngospasm -Pranavaha+Annavaha srotas dushti- disorder of respiratory and digestive channels
INTERNAL MEDICATIONS PLANNED FOR YOU
1)AVIPATTIKAR CHURNA- 1 tsp with warm water before lunch and dinner= reduces acid, relieves constipation
2)SUTSHEKHAR RAS- 1 tab empty stomach morning= relieves hyperacidity, spasms
3)KAMDUGHA RAS with mukta- 1 TAB after meals= heals ulcers, balances pitta
4)YASHTIMADHU POWDE- 1/2 tsp in warm milk at night= soothes throat, heals mucosa
5)SHANKHA VATI- 1 tab after meals= controls gas, bloating reflux
6)SHITOPALADI CHURNA+ GODANTI BHASMA- 1 tsp + pinch of bhasma twice daily with honey= for throat irritation and dryness
ADVISED NASYA THERAPY -instill 2 drops of ANU TAILA in each nostril daily morning after steam on face= clears sinuses, improves breathing.
DIET PLAN INCUDE -warm, light meals-khichri, moong dal, rice, ghee -cumin-coriander-fennel water all day -pomegranate,apple, lauki,etx -mung soup, bottle gourd, ridge gourd -Aloe Vera juice 30 ml in morning daily
AVOID COMLETELY -tea/coffee, chocolates, spicy food -fried food, tomato, tamarind, curd, citrus -ice cold water or drinks -eating after 8 pm -sleeping flat after meals
LIFESTYLE -SLEEP POSITION= elevate bed head by 6-8 inches, sleep on left side -AVOID LATE NIGHT MEALS= eat 2-3 hours before bed -AVOID VOCAL STRAIN=no loud talking or shouting -WALK AFTER MEALS= 20-30 min post lunch and dinner -BREATHING PRACTICE= anulom Vilom, ujjayi- avoid bhastrika or kapalbhati
NATURAL REMEDIES -gargle with warm turmeric+salt water every morning and evening -licrorice tea- boil yastimadhu powder in water and sip 2 times/day -fennel seeds+multethi mix= chew after meals -cow ghee- 1 tsp t bedtime
DO FOLLOW CONSITENTLY
HOPE THIS MIGHT BE HELPFULL
THANK YOU
DR. MAITRI ACHARYA
HELLO KIERAAN JI,
YOUR SYMPTOMS POINT TOWARDS LARYNGOPHARYNGEAL REFLUX, OFTEN SALLED SILENT REFLUX, WHICH IS RELATED TO YOUR GERD(GASTROESOPHAGEAL REFLUX DISEASE) BUT AFFECTS THE TROAT AND AIRWAY, ESPECIALLY DURING SLEEP.
KEYSYMPTOMS YOU MENTIONED -CHOKING SENSATION DURING DEEP SLEEP-CLASSIC FOR LPR OR OBSTRUCTIVE EVENT -THROAT THIGHTNESS AND DISCOMFORT ALL YEAR ROUND -CHOKING WITH DEEP BREATHING OR WHILE RUNNIG SUGGESTIVE OF REACTIVE AIRWAY OR CHRONIC INFLAMMATION -NO RELIEF DESPITE ANTIBIOTICS, NASAL SPRAY ETC
PROBABLE DIAGNOSIS- LARYNGOPHARYNGEAL REFLUX+CHRONIC PHARYNGITIS+SLEEP APNEA OR VOCAL CORD DYSFUNCTION
KINDLY GO FOR SOME INVESTIGATIONS -LARYNGOSCOPE -SLEEP STUDY -SPIROMETRY
MANAGEMENT FOR YOU
MORNING -KAMDUDHA RAS(WITH MUKTA)- 1 TAB WITH COLD WATER AVIPATIKAR CHURNA- 1 TSP BEFORE BREAKFAST WITH LUKEWARM WATER
AFTER MEALS- SUTSEKHAR RAS- 1 TAB WITH WATER TWICE DAILY
NIGHT- SHANKHA VATI+YASTIMADHU CHURNA- 1 TAB+1 TSP WITH LUKEWARM WATER
-AROGYAVARDHINI VATI- 1 TAB AT NIGHT
#NASYA AND GANDOOSH -ANU TAILA NASYA- 2 DROPS IN EACH NOSTRIL MORNING AFTER STEAMING -YASTIMADHU DECOCTION GARGLE- 2 TIMES DAILY -SITOPALADI CHURNA+HONEY- LICK SMALL QUANTITY- 3-4 TIMES/DAY
DIET ADVICED -AVOID- SPICY, FRIED, TEA/COFFEE, MILK AT NIGHT, LATE DINNERS -DO- EARLY DINNER(BEFORE 7PM), 20 MIN WALK AFTER DINNER DAILY -SIP CORDIANDER-CUMIN-FENNEL WATER WARM THROUGHOUT DAY
LIFESTYLE -SLEEP WITH HEAD ELEVATED -AVOID LYING DOWN IMMEDIATELY AFTER MEALS -PRACTICE PRANAYAM BEFORE SLEEP-BHRAMARI, SHEETALI
IF YOU EXPERIENCE SEVERE CHOKING WITH BLUE LIPS, DAYTIME FATIGUE, OR FREQUENT NIGHTIME AWAKENING RULE OUT SLEEP APNEA OR LARYNGOSPASM AS EARLY AS POSSIBLE
THANK YOU
DR. HEMANSHU MEHTA
Avoid chilled, dairy and bakery products. OroT gargle twice a day. Tab.Yashtimadhu 2-0-2 Sy.Bresol 15ml twice Avoid late night dinner.
take alserex tab 1-0-1 arogyavardhini vati 1-0-1 chitrak hareetaki 1/2 tsf
avoid spicy and processed food avoid dairy products
This is a Symptom of GERD, or high pitta dosh . Ayurvedic medicine and diet restrictions can help you- Start with- 1.Avipattikar Churna 100g 2.Yashtimadhu powder 100g 3.Sitopaladi Churna 60g Total per month — (from brands like Baidyanath, Zandu, Patanjali)
Avoid Completely:
Tea/coffee
Tomato, onion, garlic, fried food
Spicy/oily foods, pickle, citrus, curd at night
Late meals (no food after 8 PM)
Cold water or cold milk
Start pranayam - anulom vilom(10 min ,twice a day)
To prevent throat chocking, try sleeping on sides( right side or left side) prevent sleeping on your back. Take yastimadhu churan 1tsp twice daily before food with water Kamdudharas moti yukta 1-0-1 after food with water Take steam inhalation twice daily Nasal drops anu tel 2drops in both nostril once daily Gargle with plain warm water twice daily
Hello, What is your age? what is the duration of the issues? what to do you eat for dinner and at what time? Answers to the above questions will help to plan the treatment more precisely. Till then you can follow the below said: 1. Consume your dinner at least 2 hours before going to bed. 2. Let the dinner be light like(if you are meat eater, please avoid the same for dinner) 3. Consume freshly cooked for the dinner. 4. Walk for 30 minutes after dinner. 5. Lie on your sides. 6. Start doing pranayama. 7. See and fix if there are any stressors(psychological). 8. Start drinking warm water throughout the day. 9. Avoid all processed and uncooked food. 10. follow a strict sleep timings.
Ayurveda medicines: 1. Syp. Ulsant D 1 tsp 3 times a day 30 minutes before food. 2. Yashtimadhu ksheerapaka in the empty stomach in the morning.
Take care. Kind regards.
*Avoid late night dinner. *Avoid oily spicy and heavy meal in dinner. *post dinner sit in vajra asan for 10 min. *There should be 2 hrs gap between dinner and bed time. * 10 min walk after 2 hrs of dinner. * Try to sleep on left side of body. *Tab: Digestwin 2 tablets after food 2 times in a day.
Throat choking as what you have mentioned and as per the history given of PPI you must be in GERD We have very fine and effective treatment for gerd in ayurveda First of all you have to change your lifestyle Take small meals in small intervals Avoid fried spicy and caffeine alcohol
Start Avipattikar churan 1tsf bd with lukewarm water Kamdugdha Ras 1 tab bd with amla juice Mulethi powder 1/2 tsf mixed with water empty stomach
Try these medicines and change your lying posture Try to sleep left side Avoid prolonged fasting
Experiencing throat choking, particularly during sleep or while exerting yourself, can be alarming. Given the history of severe gastritis, ulcers, and GERD, it’s likely these factors contribute to your symptoms. The Ayurvedic approach considers these symptoms as possible imbalances in the Pitta dosha, often aggravated by poor Agni (digestive fire).
Firstly, it’s crucial that if these symptoms are severe or worsening, you consult a healthcare provider promptly. Choking, especially during sleep, could indicate conditions like sleep apnea which require medical attention. That said, here are some Ayurvedic recommendations you might find beneficial, integrated with your ongoing treatment.
1. Diet: Favor cooling and soothing foods. Avoid spicy, oily, and overly sour foods that can aggravate Pitta. Incorporate more sweet, bitter, and astringent tastes. Include cooked vegetables, whole grains, and lean proteins. Drink aloe vera juice, a well-known Pitta pacifier, before meals.
2. Daily Routine: Practice eating your meals at the same time each day to regulate Agni. Avoid lying down immediately after eating; wait at least 2-3 hours before doing so. Elevating the head of your bed might help reduce reflux during sleep.
3. Herbal Remedies: Consider triphala, taken with warm water before bed to aid digestion and detox. Licorice root (Yashtimadhu) tea can soothe the throat and balance Pitta.
4. Mindful Breathing: Practice Pranayama, such as Nadi Shodhana (alternate nostril breathing) to calm the nervous system and improve respiratory function, but avoid deep or rapid breathing exercises that could trigger symptoms.
5. Avoid Stimulants: Minimize caffeine and nicotine, which can worsen reflux and throat discomfort.
Track symptoms and adhere to prescribed medications as advised by your physician. If symptoms like choking persist or are accompanied by chest pain, seek immediate medical attention. Balancing modern treatment with these practices can support your condition but consulting a healthcare professional remains vital.
