Our expert says:
It is very difficult to make a diagnosis without an examination, but the following comes to mind:
LPR is controversial as some academics feel that it can not exist in the absence of GERD, but as the diagnosis of a hypotensive lower sphincter was made, one can assume that some form of reflux may exist.
LPR can be assumed if certain changes are noted in the larynx, such as redness in the posterior part of the larynx, changes in the laryngeal wave during phonation (causing the symptom of hoarseness ) and alteration of the actual vocal fold.
Your symptom of hoarseness may be due to the fact that your job requires long hours of talking, and that you are therefore not having enough periods of voice rest, and some of your medication (trepiline) is known to cause dryness of the mucous membranes, creating a dry mouth.
The glandular fever will cause a sore throat, and even after the initial infection, one may even have relapses. If your doctor suspects this, one can repeat the bloodtests to check for another relaps.
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