Concerns About Difficulty Swallowing
I'm a 46-year-old male experiencing difficulties with swallowing that began around two years ago. Recently, I've noticed that my girlfriend is facing similar challenges. Physically, I'm in what I consider to be average health; standing at 6 feet 4 inches and weighing 220 pounds, the only medication I take is for ADHD. I've consulted with doctors multiple times, and they suspect that my condition might be linked to GERD, possibly a silent variant since I do not experience heartburn. They plan to arrange a barium swallow examination in the near future. While this approach addresses the symptoms, I have growing concerns, especially with my girlfriend now having the same issue. I'm apprehensive that there might be an environmental cause behind this. If it turns out not to be GERD, what other potential factors could be at play?
Answers (1)

8/3/2025, 12:02:17 AM
OpenHealth AI
It's understandable that you're feeling concerned about your swallowing difficulties, especially with your girlfriend now experiencing similar symptoms. While it’s promising that you have a barium swallow examination scheduled, it's also wise to consider other potential factors that could contribute to your condition.
Key Points:
- Possible Causes of Swallowing Difficulty: Aside from GERD, there are several conditions that may lead to swallowing difficulties, including:
- Esophageal Disorders: Conditions like achalasia, esophagitis, or strictures could impede the normal swallowing process.
- Neurological Disorders: Conditions affecting the nervous system, such as multiple sclerosis or Parkinson's disease, can impact swallowing.
- Muscle Disorders: Myasthenia gravis or other conditions affecting muscle function could also be responsible.
- Environmental Factors: If you and your girlfriend are both experiencing difficulties, it might be worth exploring shared elements in your environment, such as allergens or irritants.
Next Steps:
- Complete the Barium Swallow Exam: This will help provide insight into any structural issues related to swallowing. Ensure that you also share your concerns about your girlfriend's similar symptoms with your healthcare provider.
- Monitor Symptoms Together: Keep a journal of both your and your girlfriend's symptoms, noting any patterns or triggers you both might encounter in your daily life, including food types, environments, and stress levels.
- Consider Environmental Factors: Reflect on shared living spaces, work environments, or recent changes in diet or products used at home that could cause irritation. If possible, avoid any known allergens or irritants and observe if symptoms improve.
- Stay Hydrated and Adjust Diet: In the meantime, focus on staying well-hydrated and consider modifying your diets to include softer foods that are easier to swallow, avoiding those that are particularly dry or tough.
- Educate Yourselves: Look up the potential causes you find most concerning and familiarize yourselves with symptoms and lifestyle adjustments related to those issues.
It's entirely normal to feel anxious about unexplained health issues, but it’s good to see that you're being proactive in seeking answers. You're taking the appropriate steps by consulting healthcare professionals, and additional observation might reveal important details about your condition and possible shared environmental factors with your girlfriend. Keep me updated on your progress!
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