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

### input:
Hi I have dryness in throat along with small dots around vulva and roof of throat and also enlarged taste buds for last 6 months.... theres very bitter mucus comming into my mouth and always have burning sensation on the tounge.... I suffer from chronic sinus issue post nasal drip and acid reflux..... Doctor have taken tests for saliva swab and he says its normal also liver function test kidney test esr cp all aee normal except I had low vitamin d and b 12 and now I am taking supplement for it I can send u the pictures of my throat and tounge. I would like to know what s the actual cause of this and what should be the right course of treatment. Thanks

### output:

Hi. Thanks for the query. I have gone through your query and can understand your concerns. As per your complaint sore throat, spots around uvula and roof of the mouth along with enlarged taste buds and bitter tasting mucous seems to be most probably due to Gastroesophageal reflux disease or Acid reflux. When the bitter tasting acid refluxes from stomach to throat and mouth there is inflammation of throat along with tongue leading to sore throat and inflamed taste buds. I would suggest you to consult a Gastroenterologist and get evaluated and a thorough clinical evaluation and investigations like upper G. I Endoscopy can help in diagnosis and treatment can be done accordingly. You can be advised to take:1. Proton Pump Inhibitors like Omeprazole or Pantoprazole.2. Take antacids like Milk of magnesia.3. Avoid spicy food and Chat Doctor. .4. Always take walk after meals and take your dinner at least 2 hours before sleep.5. You should sleep with head slightly raised as compared to feet.6. Try losing weight if you are obese. Hope this information helps. Thanks and regards.