Difficulty with Swallowing
Age: 25 Gender: Female Height: 5’2" Weight: 108 lbs Ethnicity: Caucasian Complaint Duration: 1 year Affected Areas: Throat, under jaw, neck Prevailing Medical Conditions: None Current Medications: None --- Hello everyone, I’m reaching out to see if someone might have insights or advice to share. For nearly a year, I have faced challenges when trying to swallow solid foods, which has also led to breathing complications that intensify during mealtimes. Additionally, I experience frequent burping, even when I haven’t consumed anything, such as first thing in the morning. Sudden movements also trigger burps. I have undergone numerous medical evaluations, including two barium swallow tests, an endoscopy, an electrocardiogram, and a CT scan of both my chest and neck. I’ve consulted with two ear, nose, and throat specialists, had ultrasounds on my throat and thyroid, and even visited an allergist to rule out allergies. All these tests returned normal results. I attempted reflux medication, but it was ineffective. I have no issues with stomach pain or bowel movements; my appetite remains, but eating has become quite difficult. At times, it feels as though I have forgotten how to swallow. I perceive a sensation of constriction in my throat, leading to moments where it seems like I’m being choked. Occasionally, I notice discomfort in my neck and jaw muscles. I am hoping someone can provide guidance on how to proceed with this troubling situation. As a brief note, I consider myself to be generally healthy, maintain a vegetarian diet, and seldom get ill. Thank you for any assistance you can offer!
Answers (1)
8/8/2025, 10:20:53 PM
OpenHealth AI
It sounds like you've been dealing with a very challenging and frustrating situation regarding your swallowing difficulties. The combination of symptoms you describe—difficulty swallowing solid foods, breathing complications during meals, and the sensation of throat constriction—can be distressing.
Main Points:
- Your symptoms suggest potential issues beyond physical obstructions, possibly involving anxiety or muscle coordination.
- There are steps you can take to manage your swallowing difficulties and symptoms at home.
Explanation:
Since you have undergone extensive evaluations and tests with no conclusive findings, it’s possible that your swallowing issues may stem from functional causes rather than structural ones. The sensation of choking or constriction can be linked to muscle control in the throat, which can sometimes be influenced by factors such as anxiety or stress. The burping may be related to swallowing air during meals or a sensitivity in your esophagus.
Next Steps:
-
Practice Swallowing Exercices: Consider engaging in swallowing therapy, which can include techniques such as:
- Chin Tuck: Slightly tuck your chin down while swallowing to help with the alignment of your throat muscles.
- Slow Sips: Take small sips of liquids between bites of solid foods to ease the swallowing process.
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Dietary Adjustments: Focus on softer foods and chew them thoroughly. It might also help to have smaller, more frequent meals that are easier to manage. Use foods that combine well with liquids (like soups or smoothies).
-
Mindfulness and Relaxation Techniques: Explore mindfulness exercises, deep breathing, or relaxation techniques before and during meals to help reduce anxiety that may contribute to muscle constriction.
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Maintain a Food Journal: Keep track of what foods enhance or lessen your swallowing difficulties and discuss your findings with a healthcare professional if needed.
-
Gradual Exposure: Gradually challenge yourself to eat different consistencies of food, starting with very soft ones and slowly introducing solids as you feel more comfortable.
If symptoms worsen or new symptoms arise, please assess the situation and consider further evaluation with specialists, possibly looking into issues like sensory processing or muscle coordination involved in swallowing. Stay strong, and don’t hesitate to reach out for support, whether from friends, family, or healthcare providers.
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