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Difficult swallow, throat problem - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3156 Questions
User :   it feels like theres something in my throat when i swallow,i have to belch often and my stomach hurts?
User :   im quite worried
Doctor :   Hi
Doctor :   Iam
User :   it feels like theres something in my throat when i swallow,i have to belch often and my stomach hurts?
Doctor :   May i know your age and gender?
Doctor :   since when you have it
Doctor :   do you vomit?
User :   14 male
User :   no i dont vomit
Doctor :   ok
User :   1 month started
Doctor :   is it assctd with food intake
Doctor :   do you smoke or drink alcohol?
User :   no!
Doctor :   ok
Doctor :   d you have abdominal pain
User :   sometimes
Doctor :   how is your bowel movements?
User :   im taking antacids
User :   /good
Doctor :   where is the pain?
Doctor :   ok
User :   /all over
Doctor :   do you take a lot of spicy or oily food?
Doctor :   ok
Doctor :   do you have fever?
User :   no!
Doctor :   do you drink a lot of carbonated drinks
Doctor :   ok
User :   yes
Doctor :   ok
User :   one a day
Doctor :   then it can cause GERD
User :   gerd??
Doctor :   or the reflux disease
User :   and is that bad?
Doctor :   when gas comes to your oesophagus and accumulates
Doctor :   and gives you an foreign body sensation
User :   what to do?
Doctor :   yes lot of coke colas are very bad
User :   ok
User :   how do i cure>
User :   ant acids
User :   ?
Doctor :   dont take them excessively
User :   im not
Doctor :   dont go to bed immediately after food
Doctor :   dont take spicy foods
User :   ive taken as instruction said
User :   ok
User :   what about caboo drinks
Doctor :   i would like you to avoid that for sometime
User :   ok
User :   um is it any thing serouis?
Doctor :   not
Doctor :   now
Doctor :   but when you have it regularly
Doctor :   it causes gastritis
User :   and that is
Doctor :   or inflammation in stomach
User :   what do u do about that?
Doctor :   and you will get nausea vomiting heart burn regularly
User :   haven't go those
Doctor :   Many people can relieve their symptoms by changing their habits and lifestyle.
User :   ok
Doctor :   Don't eat within 3 hours of bedtime. This allows your stomach to empty and acid production to decrease
User :   what about the tightening in my throut?
Doctor :   Similarly, don't lie down right after eating at any time of day.
Doctor :   Elevate the head of your bed 6 inches with blocks. Gravity helps prevent reflux.
Doctor :   it can come due to spasm of throat muscles
User :   ok
Doctor :   when they are irritated by acid reflux
Doctor :   Don't eat large meals. Eating a lot of food at one time increases the amount of acid needed to digest it. Eat smaller, more frequent meals throughout the day.

User :   and the feeling of a lump when i eat food?
Doctor :   Avoid fatty or greasy foods, chocolate, caffeine, mints or mint-flavored foods, spicy foods, citrus, and tomato-based foods. These foods decrease the competence of the LES.

Doctor :   it can be due to spasm first
Doctor :   then can be due to gas accumulation
User :   and then?
Doctor :   lastly even small swellings or lymph nodes
Doctor :   if you have prologed feeling
User :   what are they
User :   whats prologed
Doctor :   then an otorhinolaryngology
Doctor :   examination of your inner cavity must be done
User :   whtas prologed
Doctor :   prolonged or increased duration
User :   how long do u say?
User :   ive had it for an hour hasn't gone away
Doctor :   more than 1 week
Doctor :   ok

Doctor :   thats ok
Doctor :   you can wait
User :   ll
Doctor :   do you feel vomiting
User :   im going on holiday in 28hours
User :   no
Doctor :   ok
User :   for 10days
User :   is this bad idea
Doctor :   i hope you will not have any problem traveling
User :   or what
Doctor :   no
User :   kk
User :   /could i stop breathing over night?
Doctor :   no
Doctor :   possible
Doctor :   not possible
Doctor :   imean
User :   kk
User :   im quite an anxious person
Doctor :   ok
Doctor :   What you are describing is known as a globus sensation. This is defined as the persistent or intermittent sensation of a lump or foreign body in the throat for at least 12 weeks.
Doctor :   The most common causes would be gastroesophageal reflux disease
(GERD), abnormalities of the upper esophageal sphincter (UES), psychologic and psychiatric disorders, and stress.
Doctor :   I would suggest an evaluation with an upper endoscopy as a more comprehensive evalation for anatomic abnormalities. A 24-hr pH study can also be considered to definitively rule in or out GERD.
Doctor :   If the GI workup is not revealing, you may want to be evaluated by an ENT specialist to see if there are any upper esophageal sphincter disorders.

User :   can axiouty cause any of these?
Doctor :   yes sure
User :   i worrie to much about things thta wont happen
User :   like serouis deisese
Doctor :   i said about the muscle spasm
Doctor :   ok stop that first
User :   ive been told that
Doctor :   ok
Doctor :   try relaxation exercises
Doctor :   like deep breathing
User :   it take deep breaths
Doctor :   meditation or yoga
Doctor :   good
User :   ok
Doctor :   inhale and exale slowly
User :   but something like this will worre w=me excessivley
User :   /and thats why i need some to talk to
Doctor :   ok fine
Doctor :   i can help you
User :   and when i worrie it leads to other stuff and i go nuts sometimes
Doctor :   ok
User :   why do i feel like belching quite often>
Doctor :   try stopping unnecessary worrying thoughts
Doctor :   it can be due to acidity first
User :   kk
Doctor :   and some times hiatus hernia reflux
User :   it's noting serouis?
Doctor :   Globus pharyngis is the term applied to the sensation of a lump or discomfort in the throat.
Doctor :   not at all
User :   kk
Doctor :   some patients with globus pharyngis may be found to have * reflux esophagitis or a * gastric ulcer and therefore a * barium swallow may be performed to attempt to exclude organic pathology (the study of disease related to an organ).
Doctor :   If discomfort persists then * esophagoscopy is essential.
Doctor :   Reflux esophagitis is common condition, occurring at any age, caused by transient or persistent loss of tone of the * lower esophageal sphincter.
User :   whats that
Doctor :   Reflux esophagitis causes a * retrosternal burning sensation, described by the patient as heartburn.
Doctor :   its the muscle of oesophagus
Doctor :   If the esophagus becomes very inflamed the patient will also have a * dysphagia (difficulty swallowing).
User :   by the way my lifestyle is n't that health
User :   heatlhy
Doctor :   A * chronic (lasting a long time) sensation of a foreign object lodged in the throat, tightness of the throat and a difficulty to initiate swallowing. Believed to be due to irritation and spasm in the cricopharyngeal sphincter region is called
Doctor :   Globus Hystericus
Doctor :   ok
Doctor :   do regular exercises
Doctor :   eat lots of vegetables and fruits
Doctor :   take 10-15 glasses of water a day
Doctor :   practice meditation or yoga
User :   i dont eat enoigh veges and fruit im ok with excercise i drink to many cokes and i eat lots of acid and have a lot of sugur foods?
Doctor :   ok
User :   is that linked to this
Doctor :   yes sure]
User :   so cokes on of the main causes of this problem im having?
Doctor :   YES sure
Doctor :   it contains a lot of gas
User :   so having more than ne a day i s stupid?
Doctor :   it adds a lot to your stomach
Doctor :   yes sure
User :   /ok one a week from now
Doctor :   you can slowly reduce it
Doctor :   and start taking fruit juices
Doctor :   instead
User :   i drank one 2 day
Doctor :   and much some sweets instead
User :   /iim not allowwed fruit juice because i have braces
Doctor :   ok
Doctor :   so dont worry
Doctor :   some simple changes will do
Doctor :   all good for you
Doctor :   and you will be fine soon
User :   and this problem should go away?
Doctor :   and can enjoy your vacation too
Doctor :   YES SURE
User :   so im gonna change my lifestyle
Doctor :   Is there anything else i can help you with now?
User :   im not a self confident person
Doctor :   VERY GOOD
Doctor :   YOU SHOULD
User :   so i have trouble saying u can do this
User :   i try but then i wimp out
Doctor :   BUT TRY TRY TRY
Doctor :   DONT LET LOSE
Doctor :   atlast you will win
User :   i do
Doctor :   so dont let you lose
Doctor :   GOOD
User :   im a machine on the roadbike
User :   and i live to ride
Doctor :   ok
User :   but self confidence is the problem

Doctor :   is there anything else i can help you with now?
Doctor :   Thanks for consulting............
Doctor :   Bye for now...................
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