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Good morning, I am Dr Elliot. Thank you for the picture. Please could I ask your age, medications you take, and how long have you had a hoarse voice?
Sorry, the telephone call is offered automatically, messaging is perfect for this.
Thanks, ***** ***** a smoker? Also have you had a sore throat?
There shouldn't be an additional charge for this
If it has, I will flag this to check and refund, but I cannot do that until we have finished the conversation if that is okay
Okay thanks. So one of the main causes to a hoarse voice is acid reflux, this does not have to be painful (silent reflux). Smoking can certainly be an irritant to it. You can manage potential reflux by reducing alcohol, large meals, caffeine and also try a medication called Esomeprazole - you can get this from a pharmacy (Nexium). If after 2 weeks there is no improvement, and you have had an occasional hoarse voice for more than 2 months, you will need to be seen by an ENT surgeon to do a straight forward camera test to look at the vocal chords (this is a 2minute check which is done through the nose and very well tolerated.
The image of your throat however is not concerned, some of the bumps can be normal, but any of these can be aggravated by reflux
So I would trial the esomeprazole, and if no improvement, will need to contact your GP
Of course, and sensible to consider it, however sounds reflux related. But no response, then a simple camera test is sensible to exclude a more sinister cause
Please could you kindly rate my response, I will then be able to flag up for customer services to check what you have been charged.
Great, thank you. I will flag it now. If you have not heard anything in 7 days, please follow this up with them. Best of luck