Conversation: The conversation between human and AI assistant.
[|Human|] It feels like something has been stuck in my throat for several months.  I also have a lump in the back of my neck, very close to my skull.  Had a PHT and calcium test, PHT was trending high, but still in normal range, the calcium was normal.  I have hemachromatosis.  Also not sure if swollen, itchy thumbs might be part of it.  ENT said I have acid reflux, I dont notice it unless it is during hot yoga and I bend down to touch my toes.
[|AI|]  Hi, Good Morning. This is Chat Doctor. -I studied your query in depth and Understood your health concerns.-Accordingly on the facts given by you-Treatment I would suggest is as follows-a-For the feeling of lump in the throat-You need to consult a Surgeon-as the facts given for it insufficient to comment-still-Globus pharyngeus-spasm of the pharyngeal muscles-which is caused by many causes, which could be ruled out and fixed for the treatment by a Surgeon according to its causal reason.b-About the lump in the neck-near skull-many causes need to be clinically ruled out and hence I would advise you to consult a Surgeon. This lump could be-lymphadenitis with scalp infection/ or it could be related to your raised PTH-secondary from Parathyroid Adenoid?which could be treated as per the reasons-for lymphadenitis not responding to antibiotic trial first, would need excision Biopsy. For PTH adenoma-with secondary node-FNAC BIOPSY would fix its cause and could be treated by-Excision with PTH appendectomy.c-For hemachromatosis-You would need to consult a Physician who would treat it accordingly. Phlebotomy to reduce the iron load in the blood would be needed.d-Acid reflux -would need-Tb proton pump inhibitors with domeperidol-to control the reflux motility.You have multiple symptoms and hence I would advise you to consult with Surgeon and Physician, who as a team would treat your complex health problems on the lines suggested as above. Wishing you healthy living and early recovery of this query. Wellcome for more queries till you get the satisfied. Thanks for your query to Chat Doctor Clinic. Have a Good Day...!!