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Difficulty Swallowing Health Feed

I am having difficulty swallowing solid food and experiencing excessive burping and nocturnal cough. Its been months now. I'm 22 years old.

Dr.Rlv Phani Kumar 89% (29ratings)
MBBS, MD- General Medicine, Diploma in Diabetes
General Physician, Vijayawada
Difficulty swallowing solid foods since how many days, if its more than 2 months kindly get an upper gi endoscopy done.
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Dear doctor my father is complaining swallowing problem while taking food and little pain also. Every time he is taking water while taking food. And has high blood pressure also about 180/100 even after taking the following medication telma 40, twice a day dilnip 5 mg, once a day, moxovas 0.3 mg thrice a day, and natraise, rosuvas cv, silodal, neopride total 40 mg, what might be the reason of swallowing problem. Can you please suggest the further action needed to solve this issue

M.A.S.L.P
Speech Therapist, Bhubaneswar
Dear doctor my father is complaining swallowing problem while taking food and little pain also. Every time he is taki...
Hi, welcome to Lybrate! first of all of the diagnosis is correct and precise then the treatment will be definitely effective. Get barium swallow study and fiber-optic endoscopic examination of swallowing should be done. Probably he is having silent aspiration which we are ignoring. Don't take any chance ,get clearance from these tests ,if all test reports shows normal ,then probably strengthening exercises can be started.
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Difficulty in swallowing food. Some discomfort in throat and ears. Confused throat infection or ear infection or anything else. Please guide.

Dr.Karuna Chawla 96% (89675ratings)
BHMS
Homeopathy Doctor, Noida
Difficulty in swallowing food. Some discomfort in throat and ears. Confused throat infection or ear infection or anyt...
Since when r you having this?What r other symptoms that you r experiencing? By doing what like walking, exertion, eating or empty stomach- it increases or decreases in intensity. For how much time it remains?How is your appetite?R you constipated or having loose stools? Is there stiffness also? Any problem in urine?It can be because of gas or acidity or indigestion, gastritis, gerd or respiratory problem or sore throat etc but I need details of the case. In the meanwhile follow this 1. Take your breakfast every day. Don't skip it. U should eat whatever your mother or grandparent eat in bfast. I mean to say whatever is your traditional food. If punjabi eat paratha, if belongs to south then take idli/ dosa etc. (preferably within 10 mins of waking up). No only biscuits or rusk will not do. 2. Don't overeat 3. Don't take tea empty stomach. Eat something like a banana (if you are not diabetic) or any seasonal fruit or soaked almonds and a glass of plain water first thing in the morning 4. Have light meals every 2 hours (in addition to your breakfast, lunch n dinner) e.g. Nariyal paani, chaach, a handful of dry fruits, a handful of peanuts, any fresh n seasonal fruit (eat whole fruit not juice), a cup of curd/milk etc 5. Take simple food like rice n dal in dinner. Finish your dinner at least 2 hours before going to sleep. 6. Maintain active life style7. Avoid fast foods, spicy n fried foods, carbonated beverages 8. Take a lot of green vegetables n fruit. 9. Drink lot of water.10. Everyday preferably sleep on same time 11. Take 1tsp of ghee in bfast, lunch n dinner. 12. Do saline gargles daily exercise in the form of yoga, cycling, swimming, gym etc. For more details, you can consult me.
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Hello doc. I have a swallowing problem from past 6 months im unable tp swallow food. Sir I cannot drink water too. Please I need help. Help me doc.

Dr.Karuna Chawla 96% (89675ratings)
BHMS
Homeopathy Doctor, Noida
Hello doc. I have a swallowing problem from past 6 months im unable tp swallow food. Sir I cannot drink water too. Pl...
It can be because of many reasons like sore throat, tonsillitis, pharyngitis or acidity or gerd or gastritis or indigestion etc. I need to know details of case. Follow this 1. Don't take tea empty stomach. Eat something like a banana (if you are not diabetic) or any seasonal fruit or soaked almonds and a glass of water first thing in the morning (within 10 mins of waking up). No only biscuits or rusk will not do. 2. Don't overeat 3. Take your breakfast every day. Don't skip it. U should eat whatever your mother or grandparent eat in bfast. I mean to say whatever is your traditional food. If punjabi eat paratha, if belongs to south then take idli/ dosa etc. 4. Have light meals every 2 hours (in addition to your breakfast, lunch n dinner) e.g. Nariyal paani, chaach, a handful of dry fruits, a handful of peanuts, any fresh n seasonal fruit, a cup of curd/milk etc 5. Finish your dinner at least 2 hours before going to sleep. 6. Maintain active life style7. Avoid fast foods, spicy n fried foods, carbonated beverages 8. Take a lot of green vegetables n fruit. 9. Drink lot of water.10. Everyday preferably sleep on same time 11. Do saline gargles daily exercise in the form of yoga, cycling, swimming, gym etc.Till lock down do suryanamaskar every day. Https://www.youtube.com/watch? V=wmhmazurgvsandfeature=youtu. Be for more details, you can consult me.
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I am having difficulty swallowing and tightness and aching below my chin and side of my neck. It is making it very hard to eat, and it feels like the food is going down slowly and it makes me panic. I'm a 31 year old male, 6 foot 3 and weigh 17stone 5lbs, I am not fat I am muscular and pretty fit. I am asthmatic, currently taking lansoprazole for heart burn and acid, I also take sertraline for depression and I am allergic to penicillin.

Ms.Barkha Gupta 88% (35ratings)
MS-Speech and Language Pathology, Bachelor of Audiology & Speech Language Pathology (B.A.S.L.P)
Speech Therapist, Delhi
I am having difficulty swallowing and tightness and aching below my chin and side of my neck. It is making it very ha...
Dear Lybrate user .you are taking medicine of depreesion sertraline. May be side effect of medicine .becz your age and history indicate no any other problem .generally swallowing problem arise due to stroke .yaa neurogenic issues but in your case its not like that .so talk to your Dr. .if there is any side effect of medicine yaa change that. For swallowing issue you should go for detail asessement like barium swallow test, endoscopic examination .you can consult to experience swallowing therapist (slp), ent too.
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Symptoms Of Gastrointestinal Problems!

MBBS, MD - Internal Medicine, DM - Gastroenterology, Fellowship in Advanced endoscopy, Fellowship in Endoscopic Ultrasound(EUS), Observer fellowship in NBI and ESD, Fellowship in Hepatology
Gastroenterologist, Bhopal
Symptoms Of Gastrointestinal Problems!

Gastrointestinal Disorders Symptoms - 

a. Dysphagia: It means difficulty in swallowing. Dysphagia is due to problems in the brain or food pipe. The causes of dysphagia are a stroke, oesophagal web or stricture, oesophagal growth or cancer, motility problems such as Achalasia cardia. Each disorder requires a highly specific diagnosis and treatment. It may vary from stricture dilatation by rigid dilators or balloon dilatation for achalasia cardia. Peroral endoscopic myotomy, POEM is a new endoscopic modality for the treatment of achalasia cardia. High-resolution manometry HRM is required for the diagnosis of motility disorders.

 b. Vomiting: vomiting occurs due to reverse peristalsis of gastric contents and are then thrown out from the mouth. It can be due to eating too much or very acidic foods. Gastric outlet obstruction such as gastric or duodenal cancer can cause vomiting. Small intestinal obstruction can also cause vomiting. The gastroenterologist will evaluate the cause and provide treatment. Gastroscopy is required to look inside the stomach to find the cause.

c. Loose motions: Passage of excessive motions/potty is known as loose motions also known medically as acute diarrhea. When associated with vomiting it is called acute gastroenteritis. It is usually due to infections due to consumption of contaminated food or water. It is self-limiting but patients with severe dehydration or low blood pressure and persistent vomiting require admission for IV rehydration and antibiotics. When the duration of diarrhea gets prolonged by more than 6 to 8 weeks it is called chronic diarrhea. Chronic diarrhea has multiple causes including IBD, Malabsorption such as Celiac disease or pancreatic insufficiency. The gastroenterologist will evaluate the patients individually to find the cause. Gastroscopy (examination of upper GI tract) and Colonoscopy (examination of the lower GI tract) is required in addition to blood tests and CT scan abdomen.

d. Weight loss: Weight loss can occur due to multiple reasons and requires a thorough evaluation for the same. Common causes include cancer of food pipe, stomach cancer, large intestine cancer, liver cancer, pancreas cancer, gall bladder cancer. GI evaluation includes Gastroscopy and colonoscopy and CT scan abdomen and chest. Tumour markers such as CA19-9, CEA, AFP help in the diagnosis of cancer.

e. Anemia: When the haemoglobin decreases it is known as anemia. In females, it can be due to poor nutritional intake of iron or excessive bleeding through periods. But in males it is presumed to be due to GI loss and the gastroenterologist would evaluate the cause of anemia by  Gastroscopy and colonoscopy. If both investigations are normal capsule endoscopy is required. Capsule endoscopy is a small camera which is swallowed by the patient and thousands of images of the small intestine are taken, which are then read on a computer by a gastroenterologist to find the cause of bleeding. Deworming is usually done if iron deficiency anemia is suspected. Bone marrow is required if no GI cause is found.

f. Abdominal pain: Abdominal pain can occur due to multiple reasons. Pain is evaluated by a gastroenterologist and requires quick and accurate evaluation. Severe sudden onset pain requires hospitalisation. The usual causes include acute cholecystitis (Inflammation of gall bladder), acute pancreatitis (inflamYellowing of eyes or urine is a common problem. When the total bilirubin increases it is called jaundice and has many causes. Jaundice can be due to destruction of blood (Hemolytic jaundice) or due to liver disease as in acute hepatitis or chronic hepatitis.Usual causes are Hepatotrophic viruses such as Hepatitis A, Hepatitis B, Hepatitis C, Hepatitis D, and Hepatitis E. Alcohol and drugs such as antibiotics can also cause jaundice. The gastroenterologist will evaluate the cause in detail and provide treatment according to the cause.mation of the pancreas), acute hepatitis (inflammation of the liver), Acute cholangitis(inflammation due to obstruction of the bile duct), Acute gastritis or esophagitis, Intestinal obstruction, Intestinal perforation. Depending on the cause the patient is treated either by medicines or surgery.

 g. Gas and bloating: Bloating is the sensation of abdomen fullness and is usually due to excessive air in the intestines; however, it can be due to medical causes as well. Maldigestion due to chronic calcific pancreatitis and Malabsorption such as Crohn’s disease can cause bloating. Altered motility of small intestine seen in hypothyroidism or previous surgery can cause small bowel bacterial overgrowth. Management includes finding the exact cause of bloating and many good medicines are available for bloating which help in expulsion of gas from the GI tract fast.

h. Constipation: Constipation is a very common complaint. Unable to pass daily motion or motions once in 2 to 3 days requires evaluation for causes of constipation. In the elderly, it is usually benign and occurs due to large intestine inertia due to age. In other patients, it can be due to slow transit constipation, anorectal dyssynergia (obstructed defecation syndrome ODS) or malignancy. Colonoscopy, anorectal manometry, MRI defecography and colonic transit study is required for a complete evaluation.

I. Acidity: Burning sensation in the upper abdomen and central part of the chest is a very common complaint and is described by patients as Acidity. Medically it is called Gastroesophageal reflux disease (GERD) where the contents of the stomach mainly hydrochloric acid and bile regurge up and cause erosions of the food pipe Lifestyle modification such as weight reduction, stopping alcohol and smoking, head elevation while sleeping, avoiding high-fat diet and spicy and fried foods are usually recommended along with medicines.. Diagnosis is mainly by Upper GI endoscopy, 24-hour PhMetry, and High-resolution manometry. Treatment involves the prescription of acid inhibitors and prokinetics. For patients who do not get adequate relief with the medicines, surgery is recommended, which includes Nissen Laparoscopic fundoplication. Many endoscopic surgeries are also available such as GERDX and ARMS.

J. Jaundice: Yellowing of eyes or urine is a common problem. When the total bilirubin increases it is called jaundice and has many causes. Jaundice can be due to destruction of blood (Hemolytic jaundice) or due to liver disease as in acute hepatitis or chronic hepatitis. Usual causes are Hepatotrophic viruses such as Hepatitis A, Hepatitis B, Hepatitis C, Hepatitis D, and Hepatitis E. Alcohol and drugs such as antibiotics can also cause jaundice. The gastroenterologist will evaluate the cause in detail and provide treatment according to the cause.

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My boyfriend is saying it is hard and hurts to swallow and is very cold but his body is very hot, I have given him a tylenol cold and flu severe and also a drink of emerge-c. What actions need to be taken now?

Dr.Waseem Fatima 90% (215ratings)
MBBS, DNB- Family Medicine, PGDMCH, DFID-DIABETES MANAGEMENT, Advanced Cardiac Life Support ( ACLS )
General Physician, Lucknow
My boyfriend is saying it is hard and hurts to swallow and is very cold but his body is very hot, I have given him a ...
Consult an ent surgeon to see his tonsillitis severity. Do warm saline gargle 4 hrly, antibiotics and analgesics also need to be taken.
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Dysphagia - Know Reasons Behind It!

Dr.Sunil Agrawal 89% (18ratings)
MBBS, Diploma in Otorhinolaryngology (DLO), Fellowship In Micro Ear surgery -
ENT Specialist, Indore
Dysphagia - Know Reasons Behind It!

Swallowing food comes naturally to human beings. But when there is a problem, it is usually called Dysphagia. Esophagus, a muscular tube-like organ located at the back of our throat, usually helps in swallowing food and transferring them to our stomach. When esophagus does not function properly, dysphagia happens. Patients suffering from brain or nerve disorder, seniors and babies might have this problem.

People with dysphagia might witness the following issues:

  • Difficulty in swallowing solids and liquids.
  • Gaging, choking or coughing usually occurs when trying to swallow.
  • Experience pain when trying to swallow and also heartburn.
  • Swallowed food might come back up either through mouth or nose.
  • A chronic problem might result in weight loss.

Causes:
There are 2 main reasons, why the Esophagus might become dysfunctional.

  1. Due to some medical condition, the muscles and nerves that help the esophagus work have stopped working.
  2. The esophagus is blocked by something.

There can be a number of reasons for both the condition. Here are the reasons why the muscles and nerves might not work.
Certain diseases can create problems with your nervous system, which in turn can affect the esophagus. These diseases are polio, multiple sclerosis, muscular dystrophy, Parkinson’s disease.

  1. A brain stroke, spinal cord injury or brain injury can also affect swallowing.
  2. Polymyositis or Dermatomyositis are immune system problems that can cause swelling or weakness.
  3. The muscles of esophagus suddenly squeeze, which is called esophagus spasm.
  4. Scleroderma causes the esophagus to become thin and weak.

The esophagus might be blocked because of these reasons:

  1. Esophagus might have malignant or non-malignant tumours.
  2. Esophagitis is a medical condition when the esophagus is infected, got some allergy or even if a pill got stuck on it.
  3. People suffering from reflux diseases often experience the acid that backs up into the esophagus. This can cause an ulcer on it resulting in scars. Scars make Esophagus narrower, making it difficult to swallow.
  4. There are small sacs called Diverticula on the esophagus or the throat, often making it difficult to swallow.
  5. Lymph nodes, tumours, bone spurs can also obstruct esophagus and create difficulty in swallowing.
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