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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Throat Irritation And Difficulty In Swallowing?

I have had the urge to clear my throat several times a day, as well as the feeling of something being lodged in my throat/difficulty swallowing, and fatigue. I was referred by my ENT doctor for a CT Scan. Results came back that I have an enlarged jugular vein (not really noticeable from the outside). He said I had nothing to worry about, as this is a common issue. Why is this happening? Is there really nothing that can be done?
Wed, 21 Nov 2018
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General Surgeon 's  Response
Hi,

Swallowing difficulties are a nonspecific sign and may indicate several conditions. It is seen in smokers commonly. Also it can be sign of esophageal spasms, tumors or GERD. However, most common cause is hiatal hernia and this means that stomach is protruding through diaphragm muscle.

It may cause breathing difficulties, nausea, swallowing difficulties and irritation of stomach. It will also be aggravated by certain food or medications, stress and smoking. You need to avoid fried food, carbonated drinks, coffee, alcohol and spicy food. You should eat more milk products, vegetables and boiled food.

Also, certain antiacid medications may be required and as last option, it is possible to perform surgical repair of hernia especially if there are progressive respiratory discomfort and dyspepsia. To diagnose it you should do gastroscopy and if this is negative as in your case then you should do contrast x-rays of stomach.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ivan R. Rommstein,
General Surgeon
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What Causes Throat Irritation And Difficulty In Swallowing?

Hi, Swallowing difficulties are a nonspecific sign and may indicate several conditions. It is seen in smokers commonly. Also it can be sign of esophageal spasms, tumors or GERD. However, most common cause is hiatal hernia and this means that stomach is protruding through diaphragm muscle. It may cause breathing difficulties, nausea, swallowing difficulties and irritation of stomach. It will also be aggravated by certain food or medications, stress and smoking. You need to avoid fried food, carbonated drinks, coffee, alcohol and spicy food. You should eat more milk products, vegetables and boiled food. Also, certain antiacid medications may be required and as last option, it is possible to perform surgical repair of hernia especially if there are progressive respiratory discomfort and dyspepsia. To diagnose it you should do gastroscopy and if this is negative as in your case then you should do contrast x-rays of stomach. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon