{"text":"STOBHILL ACH \nConsultants Level 2, Clinic L \nMr. B.W.H. Irvine 133 Balornock Road \nMr. D.C..Simpson : Glasgow \n. G21 3UwW \nTel:- 0141 355 1827 \nClinic 26\/05\/2010 \nDictated . 26\/05\/2010 \nTyped 02\/06\/2010 \nYour Ref \nOur Ref \nDirect Line . 0141 355 1827 \n\u2018Dr Marjory Stephens \nKilsyth Health Centre \nBurngreen Park, Kilsyth, Stirlingshire \nG65 OHU \nDear Dr Stephens \nAgnes Clelland ~ 08\/09\/1955 ~ CHI: 0809555328 ~ CRN: 10338654X \u00b0 \n39 Rennie Road, Kilsyth, Glasgow, G65 9PQ \nThis lady has recurrent sore throats which started about 8 weeks ago, 2 weeks after she had an \nOrthopaedic operation on her foot. She feels that she is choking and it is hard to eat although \nshe is able to eat well. She is constantly clearing her throat and she feels as though there is a \nlump in her throat. I understand that you have given her some nasal spray and she feels that \nthis just dries up her nose. She does have heartburn but has never smoked. \nOn examination her nasal airway is very narrow and inflamed. Her nasopharynx is clear but \nagain quite inflamed and there is erythema, pharyngitis and bulky tonsils. Her mouth and \nlarynx were all completely clear. This picture often goes along with heartburn and reflux and \nI would be grateful if you could give her twice daily Omeprazole. I have also arranged for a \nbarium swallow to make sure that there are no distal lesions. ' ' \nYours sincerely \nDavid Walker - \nSpecialist Registrar in 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