what did ENT say?

Thyroid Ultrasound & Biopsy Results
The ultrasound showed 2 lesions of 0.6cm & 0.5cm in the upper pole and a small nodule of 0.7cm x 0.4cm in the lower pole of my left thyroid. But they appear benign.

Occasional dizzy spells & falling sensation
Dr Ng did some physical tests on me. I was asked to stand with eyes closed, lie down, turn my head & so on. I think I "failed" the tests. He suspected I might have problem with my inner ear. He said this could be caused by radiation & explained that low blood pressure was not the cause but could make my condition worse. He prescribed Betahistine & Prochloperazine to stabilise my dizzy spells. I have to take this medication for the next 3 months before coming back to do Vestibular Battery Test (VBT) in Dec. The test will take 1-1.5 hours.

• Vestibular testing consists of a number of tests that help determine if there is something wrong with the vestibular (balance) portion of the inner ear.
• These tests can help isolate dizziness symptoms to a specific cause that can often be treated.
• If dizziness is not caused by the inner ear, it might be caused by the brain, by medical disorders such as low blood pressure or by psychological problems such as anxiety.

Choking Experiences
Occasionally I feel choked by a lump of "phlegm" in my throat. Breathing becomes difficult. I have to drain down the "phlegm" with lots of water. I notice that I often feel hungry too, even after a meal. From the symptoms I described, Dr Ng suspected I might be suffering from gastroesophageal reflux. He explained that it was not phlegm but acid that came back to my throat from the stomach.

• Stomach contents are normally acidic & are kept inside the stomach by a valve at the lower end of the esophagus (food tube or gullet).
• Gastroesophageal reflux is the term used when stomach acids come back into the esophagus or throat.
• Symptoms result from direct irritation by acid & stomach enzymes or by reflex tightening of throat muscles.
• The sense of a lump in the throat is called globus & may result from chronic reflux laryngitis or increased tension in the upper esophageal muscles behind the voice box.
• An increase in secretions in the throat results in habitual throat clearing. These secretions may be mistaken as post-nasal drip or "phlegm".
• A patient with night-time reflux may awaken with a sore, irritated throat & a gravely hoarse voice.
• Muscle tension in the larynx may lead to vocal difficulty, trouble swallowing & in severe cases to choking spells & airway obstruction.
• Heartburn is a typical symptom of gastroesophageal reflux.

Dr Ng put me on Omeprazole to decrease the amount of acid produced in my stomach. Omeprazole is used to treat symptoms of gastroesophageal reflux and other conditions caused by excess stomach acid.

Is my body slowly breaking down because of radiation? Did I inherit all these "diseases" from radiation? I sometimes joke that I may die from these symptoms but not from cancer!

I thank God that I can live each day by His grace, with or without cancer.

tsk tsk