Hello,
Thank you for posting your query at DoctorSpring.com
Nasophaynholaryngoscoy( NPLscopy) as done for you via nose gives better information for vallecula compre to upper GI scopy.
Veallecula is space between posterior part of tongue and voice box.
A fullness on one side if seen by upper GI, means same we should able to see by NPLscopy. So I suggest to repeat nplscopy by ENT again. This fullness can be due to cyst in vallecula, Same can cause problem in diff in swallowing.
If still normal, a CT neck with contrast can be done.
Your dose of nexium is doubled because you had ulcers.
Hope this helps
Best regards.
Dr. Sunil Jalan
MBBS, DLO,MS(CMC,VELLORE)DNB(ENT),DAA,MBA(HM)
Patient replied :
Thank you for your help. One final question - If Nasophaynholaryngoscoy comes out normal again, what would the CT scan with contrast be looking for?
Hello,
You have a clear symptom of difficulty In swallowing on left side which can't be ignored even endoscopy is normal. CT will rule out any external compression on food pipe.
Hope this helps
Best regards
Dr. Sunil Jalan
MBBS, DLO,MS(CMC,VELLORE)DNB(ENT),DAA,MBA(HM)