Two doctors and a PA have now looked at it and all three said it was an infection, so now I am back on antibiotics. An infection caused by smoking cigars (I have stopped) drinking alcohol (I have stopped) and having post nasal drip from allergies. Unfortunately I stopped going to the allergy doctor as well.
My one remaining vice is that I drink way too much coffee, but I'm keeping that vice. It's a lot cheaper thant he other two anyway, a $5 can of coffee lasts more than a month, and then when I'm done with it I can use the can for a geocaching stash.