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Slurred voice, difficulty in swallowing but no pian - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Average Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions

Doctor :   Hi
Doctor :  
How can I help you?
User :   I have been to ent blood tests everything
User :   i have slurred voice cant swollow but have no pain at all
User :   i have lost 11 pounds in the last 2 weeks
User :   its been about 2 and a half months now
Doctor :  
Ok Let me help you with my advices
User :   k
Doctor :  
May I ask you few questions before our discussion
User :   ok
Doctor :   What is your age?

User :   i only have 5 minutes
User :   19
Doctor :  
Did you mention about your wt loss to your ENT
User :   yes
User :   its from not eating
Doctor :  
Ok
User :   he said my throat was fine no bumps nothing
Doctor :  
Did your people around notice the change in voice
User :   yes
Doctor :  
they tell you?
User :   yes
User :   just flat out what do u think it can be
Doctor :  
Was the voice change all of a sudden
User :   yes
Doctor :  
I cannot tell you immediately
User :   words are slurred
Doctor :  
as I need to analyse the cause
Doctor :  
and it needs detailed discussion
Doctor :  
I concern about your problem, hence giving you a discount code QMED374. You can use this code to get 25% discount.
Doctor :  
for a complete package
Doctor :  
if you wish to
User :   well cmon lets keep talking
User :   i have like a minute
Doctor :  
What is yoru occupation

Doctor :  
are you a singer?
User :   NO
User :   i am not a singer
Doctor :   hello
User :   hi again
Doctor :  
hii
User :   ok can we discuss my problem
Doctor :  
sure
User :   so do you have any ideas on what this could be
Doctor :  
ok
Doctor :  
what were the tests done by the ent surgeon?
User :   Scope
User :   my throat
Doctor :  
ok
User :   ive had blood tests done
Doctor :  
on that evrything is normal?
User :   xrays
User :   yes everything is normal
Doctor :   xray of which part?
User :   neck
User :   and chest
User :   i just cant do this anymore
Doctor :  
in that also everything is fine?
User :   its been going on 3 months
Doctor :  
ok
User :   everything is fine
Doctor :  
before that u were fine?
User :   they sent it to a specialist to look at and it is fine
User :   yes
Doctor :  
before 3 months ur voice is fine ?
User :   yes
User :   i started birth control 3 months ago
User :   exactly
Doctor :  
ok
User :   and ive had Laparoscopy
User :   surgery
User :   cause of a miscarrige
User :   then this happend
Doctor :  
miscarraige at how many weeks of pregnancy?
User :   4
Doctor :  
4 weeks?
User :   ive had 2 in the last 6 months
User :   yea
Doctor :  
or 4 months?
User :   4 weeks
Doctor :  
for that u underwent laporoscopic surgery?
Doctor :  
to know the cause?
User :   to see if i had tubal pregnancy and dnc
Doctor :  
ok
Doctor :  
what was the result of laporoscopy?
User :   it was clear
User :   everything was fine
Doctor :  
did they tell the reason for miscarriages?
User :   no
User :   my body wasnt ready to be pregnant again i had my first baby 3 months before
Doctor :   ok
Doctor :  
u are a mother of a baby now?
User :   yes
Doctor :  
ok
Doctor :   whats ur weight now?>

User :   195
Doctor :  
195 pounds?
User :   yes
Doctor :  
what was ur weight before 3 months?
User :   not sure till i noticed
Doctor :  
ok
User :   but i weighed 206 2 weeks ago
Doctor :  
what is ur height?
User :   5 foot 7
Doctor :  
ok
Doctor :  
ur bmi is 31
Doctor :  
which indiactes u are obese
Doctor :  
one more thing is obesity will cause voice disturbances
Doctor :   acc to ur history u dont have any problem except obesity
User :   yea that not it this started all of a sudden
Doctor :   some problems will be immediate but for some problems to devolop it will take timee

Doctor :  
so voice disturbance is one of the side effects of chronic obesity
User :   well why cant i swallow
User :   im not a huge person
Doctor :  
but 190 pounds is too high
Doctor :  
ur bmi is 31
Doctor :  
it must be 25 at the max
User :   ok well what explains me not being able to swollow
Doctor :  
how do u feel when u are tring to swallow?
User :   it gets stuck and i cough it back up
Doctor :   ok
User :   and no i dont take huge bites
Doctor :   what scope ur docyor has done?
User :   idk
User :   it went in my nose down my throat
Doctor :   ok
Doctor :  
will taking food chokes u ?
User :   what do you mean
Doctor :  
after taking food u feel like choking ?
User :   yea i cough it up so i dont choke
Doctor :  
ok
Doctor :  
the food u regurgitate is smelly?or else fresh?
User :   it is not making it to my belly
Doctor :  
ok
User :   i cant eat anything
User :   i dont puke
Doctor :  
with in how much time u are vomiting?
User :   NONE
Doctor :  
none?
Doctor :  
means with in hours?
Doctor :  
or else immediately?
User :   no vomiting at all
User :   i swollow and it gets stuck in my throat
Doctor :  
then what happens to the food u are taking?
User :   i swollow and it gets stuck in my throat
Doctor :  
after getting stuck in ur throat u will cough it out?
User :   yes
Doctor :  
ok
Doctor :   then
Doctor :  
relax
Doctor :  
i think u have got zenkers diverticulam
User :   what is that
Doctor :  
which is an extrta pouch at the begining of the passage of food...
Doctor :   due to wide mouth of pouch food enters into this pouch insteda of entering into food passage
Doctor :  
which get stuck in th throat and ultimately u will have to cough out the food u have taken
User :   yes but when i swollow its not way down my throat it gets stuck kinda right in the back
Doctor :  
ur symptoms are very typical
User :   so you hear this alot
Doctor :   this pouch will be at the begining of food passage which means at the juction of throat and mouth
User :   i just googled it and it said it was for people over 50
Doctor :  
yes
Doctor :  
nothing like
Doctor :  
that
Doctor :  
it doesnt mean that people less than 20 should not get it
User :   ok why didnt the ent see it?
Doctor :  
i dont know about that
Doctor :  


Doctor :  
it is an image of zenker diverticulam
Doctor :   User :   what should i do then
Doctor :   even this image also
Doctor :  
barium swallow with videofluoroscopy.
Doctor :   this test is the gold standard to diagnose zenkers divericulam
Doctor :  
Flexible endoscopic evaluation of swallowing (FEES)
Doctor :   this test may also be done
Doctor :  
but BARIUM SWALLOW WITH VIDEOFLOUROSCOPY is the gold standard
User :   vidofluoroscopy is what i had done
Doctor :  
there is treatment for this
User :   is there what is it
Doctor :  
did they ask u to swallow anything before doing videoflouorpscopy?
User :   no told me to talk
Doctor :   a normal videoflouroscopy cannot detect zenker divericulam

User :   ok what one do I need
User :   EGD?
Doctor :   BARIUM SWALLOW WITH VIDEOFLOUROSCOPY
User :   that wat they wanna do now
Doctor :   u do this test
Doctor :  
90 percent it will tell u the diagnosis
User :   ok did i tell you i have no PAIN at all
Doctor :  
yes
User :   ok do you know what a edg is?
User :   egd
Doctor :  
YES
User :   ok
Doctor :  
IT IS ESOPHAGO GASTRO DEUODONOSCOPY
Doctor :  
it is done to see the food passage
User :   ok what should I tell the doctor that i have seen?
Doctor :  
u tell him about ur problem clearly that u regurgitate food with in no time after taking food
User :   ive told him ive been to the doc 4 diffrent times
Doctor :  
and u tell that one of the doctor has asked me to get BARIUM SWALLOW WITH VIDEOFLOUROSCOPY
Doctor :   to rule out zenkers diverticulam
User :   can i have your credentials and name please
User :   i am just curious
User :   i will let my doctor know about the barium swallow
Doctor :  
i am dr AAAAAAA
User :   do you have a profile?
Doctor :   yes but i cannot send it to u

User :   why not?
Doctor :  
i ams sorry for that
Doctor :  
there are certain rules and regulations which i have to follow
User :   ok
Doctor :  
first do that test and let me know about the result
Doctor :   are u there?
Doctor :  
are u there?
User :   yes
Doctor :  
is there anything else i can help u?
User :   do you think my birth control can be causing this?
Doctor :  
no
Doctor :  
there is no relationship between that
User :   well it started after i started taking them i have never had any other health problems
Doctor :  
ok
Doctor :  
but there is no relation between birth control and this
User :   what about the surgery could that have anything to do with it?
Doctor :  
actually it is due to the weakness in the muscles of the esophagus
User :   is that what is making my jaw feel weak?
Doctor :  
may be yes
User :   because sometimes i can't chew and after i can't talk
Doctor :  
ok
Doctor :  
from when u are having this problem?
User :   while i eat i can't chew and afterwards it is harder to talk
Doctor :  
ok
Doctor :  
ffrom when u are having this problem?
User :   its been the same problem it is all happening togethere
Doctor :   ok
Doctor :  
then it will be related to that
Doctor :  
u pls write the name of the investiagtion whiv=ch i have told
User :   ok so what do you think it can be??
Doctor :   barium swallow with videofloroscopy
User :   yes i will
Doctor :   i already told u about my opinion f...that it kmay be zenkers diverticulam
User :   ok well i have no more to ask you
Doctor :  
ok
Doctor :  
Please fill the feedback form say done when done.
Doctor :   Have you filled the feedback form?
User :   no!!!!!
Doctor :   ok
Doctor :  
. Please fill the feedback form say done when done.
Doctor :   are u ther?
Doctor :  
are u there?
Doctor :  
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Question is related to
Lab Tests
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