Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I worry about my boyfriend who will be 38. He smokes a lot , and he recently complains that his throat hurts inside , and the pain doesn t go away. He has also strong acid reflux, and feels like vomiting every morning, when smoking his first cigarette. His Dad almost died of colon cancer, and his Granpa died of colon cancer. I am afraid he has advanced throat cancer that has low chance of survival.
[|AI|]  Thanks for your question on Chat Doctor. In my opinion you should first consult pulmonologist and get done chest x-ray and Bronchoscopy to rule out any pathology of throat. The pain mostly from HERD only. And smoking has deteriorated effect on HERD. It actually worsens HERD. So if chest x-ray and Bronchoscopy is normal than no need to worry about throat cancer. His symptoms are mostly due to HERD. So cessation of smoking is needed in his case. Along with these do following things for better control of HERD.1. Avoid oily and spicy food. 2. Avoid heavy meals, instead take small meals.3. Avoid stress and tension.4. Start proton pump inhibitor. 5. Go for walk after meals.6. Keep 2-3 pillows under head in bed.