### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hello, For a couple of days now every time I yawn really big while my heads is Looking Forward I feel like there is a lump or something there, to the right of my Adams apple, then I feel like I need to cough. When I yawn and my head is Looking Down I do not feel anything. I guess the pain started on the right side of my lower jaw line and it seemed to work its way down to where it is now. Any suggestions? I do believe I do have bad acid reflux since I always have gas and keep burping all the time while an incredible burning comes back up to my throat. My chest burns and feels like someone is standing on it sometimes.

### output:

Hi! Good evening. I am Chat Doctor answering your query. Even though it needs a physical examination of the neck region to reach at a conclusion, from the history it seems to be a cervical lymph node swelling or a thyroid related swelling if it is seen and felt on the outside of neck while yawning. If I were your doctor, after a general physical examination with special attention to the head and neck region, I would advise you for some investigations like a complete blood count including an ESR, and a thyroid function test. Also, an FNAC (fine needle aspiration cytology) of the lump and an x-ray chest if need be could be helpful. Considering the symptoms of HERD (acid reflux) for a long time, I would not hesitate to refer you to a gastroenterologist for an endoscopic evaluation of your GI tract to rule out any organic cause of your feeling in the throat. In addition, you could do the following for getting some symptomatic relief from the symptoms of HERD :1) Elevate the head end of the bed with two blocks on each side, so that the regurgitation does not occur while lying down, and the contents of esophagus and stomach flow down with gravity.2) Some modification in your diet like more of roughage, enough liquids, avoidance of oily, fried, and fast food, and complete abstinence from alcohol and smoking if you do.3) Regular routine exercises like morning walk depending on your medical fitness.4) Prescription for a prokinetic agent and a proton pump inhibitor for symptomatic relief and to have a control on the acid production and facilitate movement of gastric contents downwards. Further management would depend on the reports of investigations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.