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Difficulty in swallowing due to Scleroderma - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2407 Questions
User :   my ent along with a cat scan have discoverd a congental missplacement of my carotid artery..i had an uppr gi 4 yrs ago with no abbnoralitise or bulges or after a year of sore throats and problems swollowing and progressive trouble breathing they did a ct and say i have a congenital displacement of my arterry bulging into my throat..what could cause this to become suddenly obvious and problematic..i accept that it is missplaced..but why am i suddenly having difficalties breathing and swollowing..if it is congenetal why are my symptoms getting worse? i have a strong family occuranc of heart problems ( my father is the only male to live beyond 40 and he has by-pass surgery) and autoimmune ent just says that he does not know ( he is a PA and very young) i live in idaho and the medical community is not up to par here..(they referr you to a vet lol) what my PA is saying ( that i should do swollow therapy and live with it) makes no sense to me. whats up here...i have a history of fibromyalgia, sceleraderma, encephalitis, raynoids,severe head aches ( with a notible differenc in pupil size by a chiro) and new eye problems..sudden loss of visson to the point that it looks like a klydoscope and gradual loss of focus..beside these i have too many symptoms to mention without confussing everything..just living with diminished breathing and swollowing does not feel acceptable to me.
Doctor :   Hi
Doctor :   How can I help you ?
User :   any ideas about the above
Doctor :   Please give me few moments to go though your query .
User :   is this going to be life long, life ending, or fixable
Doctor :   Ok, San I have gone through your query, could you let me know a few things pertaining to your issue ?
User :   sure
Doctor :   What is your age ?
User :   45
Doctor :   You mentioned you had an Upper GI, Did you undergo an Endoscopy ?
User :   yes
Doctor :   I feel I would be more helpful to you if you can send across the CT Reports and Finding along with other Diagnosis reports or also Prescriptions and advises.
User :   thanks, but that is what i am waiting for the drs here to get
Doctor :   So you dont have the reports with you !
Doctor :   Quite astonishing !
User :   no
User :   they do not give you thos here
Doctor :   I feel if it would have been a congenital anomaly it would have been informed to you very early.
Doctor :   But i feel the scenario is different and you would know the symptoms earlier.
User :   my thoughts exactly...and i would have had problems earlier
Doctor :   Are you also on any medication for your problems ?
User :   plus i would think that they would have noticed a huge bulge in my throat
User :   no..they cant decide whats up let alone what to perscribe
Doctor :   Ok.
Doctor :   I also feel that in Scleroderma there is difficulty in swallowing.
Doctor :   And if it is systemic sclerosis you may have involvement of blood vessels and carotids can get affected.
Doctor :   Have you been tested for Anti-Scl antibodies, Anti Topoisomerase ?
User :   but i had localized and aS FAR AS I KNOW IT DOES NOT TURN INTO SYSTEMIC ..sorry about caps.. i just mentioned it because its a weird thing that i have
Doctor :   I want to help you on this but as I have no reports of yours, so please see an Immunologist for your problem.
Doctor :   I think if these two tests are done we can rule out Auto immune etiology.
User :   not that i know of and deffinately not lately..i havent had any blood work done
Doctor :   Hope you understand and have followed.
Doctor :   Please get them done or ask your primary to get these tests done.
Doctor :   Thank you for consulting me,.
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