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Difficulty In Swallowing. On Medication For High Blood Pressure And Depression. Is It An Allergic Reaction?

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Posted on Mon, 11 Nov 2013
Question: I sometimes have problems when I eat... seems some bread and XXXXXXX set it off... I can't swallow right, have tightest in chest and spit up excessive phlym..gobs that just has to come up..sometimes this last for 20 min and finally the food comes up. Phlegm is clear, but lots of it... is it a allergic reaction?


I forgot to put in my history... high blood pressure, on meds for that and depression.
doctor
Answered by Dr. Ketan Vagholkar (29 minutes later)
Brief Answer:
Endoscopy is necessary for diagnosis

Detailed Answer:
Hi,
Thanks for writing in.

There can be two possibilities for your symptoms.

1. Reflux esophagitis leading to narrowing can lead to difficulty in swallowing. This can be caused by stricture of the lower end of the esophagus. This can also be due to motility disorders of the esophagus leading to regurgitation of food. Both these abnormalities can be picked up by endoscopy.

2. The other cause could be dyspepsia due to malabsorption in a postcholecystectomized state. This is quite difficult to diagnose. However supportive care is therapeutic and confirmatory.

Antidepressant medications can also lead to slowing of motility.

I hope this answers your doubts.
Regards
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
Dr.
Dr. Ketan Vagholkar

Gastroenterologist, Surgical

Practicing since :1989

Answered : 883 Questions

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Difficulty In Swallowing. On Medication For High Blood Pressure And Depression. Is It An Allergic Reaction?

Brief Answer:
Endoscopy is necessary for diagnosis

Detailed Answer:
Hi,
Thanks for writing in.

There can be two possibilities for your symptoms.

1. Reflux esophagitis leading to narrowing can lead to difficulty in swallowing. This can be caused by stricture of the lower end of the esophagus. This can also be due to motility disorders of the esophagus leading to regurgitation of food. Both these abnormalities can be picked up by endoscopy.

2. The other cause could be dyspepsia due to malabsorption in a postcholecystectomized state. This is quite difficult to diagnose. However supportive care is therapeutic and confirmatory.

Antidepressant medications can also lead to slowing of motility.

I hope this answers your doubts.
Regards