Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
176 Doctors are Online

Diagnosed with interstitial lung disease. Endoscopy showed candidiasis. Took medicine

Jan 2013
User rating for this question
Very Good
Answered by

Internal Medicine Specialist
Practicing since : 2003
Answered : 1658 Questions
My father in law has been diagnosed with interstitial lung disease. Some times he starts choking while having food. About an year back doctor advised endoscopy which detected candidiasis for which he took medications and he became normal. Now his choking while having food has come back again - happens sometimes. What should be done when it happens? He is consulting a chest specialist who has mentioned that his lungs have become weak due to old age. His age is 77.
Posted Fri, 15 Nov 2013 in General Health
Answered by Dr. Mayank Bhargava 35 minutes later
Brief Answer:
Hi XXXX, Welcome to XXXXXXX forum

Detailed Answer:
Welcome to XXXXXXX forum.

Let me know his associated features along with mentioned.
Does he has pain while swallowing/ coughing while swallowing/ chest heaviness/ skin tightness?
Does he has difficulty in opening mouth/ weakness in any limbs/ facial weakness?

With the available described details, there could be possibility of disturbed esophageal (food pipe) motility causing difficulty in swallowing with choking sensation.
Esophageal dysfunction may cause hindrance in propulsion of food ahead.

Esophageal dysfunction could be due to weakness of smooth & skeletal muscles in esophagus.
Weakness could be a part of central nervous system (brain cause which is known as pseudobulbar palsy) or could be a part of syndrome such as interstitial lung disease/ connective tissue disorders.

Esophageal candidiasis could also be contributory factor for difficulty in swallowing.

You should consult with XXXXXXX medicine specialist/ neurologist and should go for thorough check up. Complete neurological and gastrointestinal evaluation is mandatory before making any diagnosis.

He should also go for complete blood count, erythrocyte sedimentation rate, ANA, anticentromere antibodies (for scleroderma), MRI brain (to rule out brain cause for esophageal muscular weakness) and repeat endoscopy.

Weakness of esophageal muscular weakness can be confirmed clinically by putting Ryle's tube via nose to Upper gastrointestinal tract.
If liquid food given via Ryle's tube can be tolerated and not vomited out then esophageal muscular weakness can be partially confirmed.

Treatment depends on exact diagnosis.
In my personal opinion, you should go for placement of ryle's tube for better feeding.
If Ryle's tube feeding is not accepted by your father in law, then kindly prefer liquid diet only in sitting position.
Avoid hard food stuff.

Take care,
Let me know your other associated query.
Wishing a speedy recovery.
Dr. Mayank Bhargava
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+

The user accepted the expert's answer

Ask a Doctor Now

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor