Brief Answer:
Could be related
Detailed Answer:
Hello,
Thanks for choosing health care magic for posting your query.
I have gone through your question in detail and I can understand what you are going through.
Severe depression resistant to
vagus nerve stimulation is a difficult to treat buut not impossible. First lets address the second part of your question. Your difficulty in swallowing and coughing while swallowing could be related to your psychiatric illness. Among patients of psychiatric illness and even among their relatives there are plenty of such mild neurological signs. These are known as "soft neurological signs".
You will also need avaluation of the 9th 10th and 11th cranial nerves which are responsible for the proper swallowing reflex. If there is a problem in it then there will be difficulty in swallowing. The function of these three cranial nerves can be checked bed side as well by a any
neurologist or a
psychiatrist.
The last possibility is a
tardive dyskinesia affecting the swallowing muscles as well. This causes improper food propulsion leading to coughing reflex.
These three possibilities need to be explored and this can be achieved by a bed side exmaintaion of cranila nerve function and by doing a OGD scopy to look for propulsive movements of the
esophagus.
Coming to your depression part, It needs to be treated aggressively. You have not mentioned the name so of the antideoressants that you have tried but it seems you have tried plenty of them. For resistant depression I use three different measures.
1. Adding Lithium to the routine anti depressant
2. Adding
thyroid suppliments to the routine antidepressants
3. Considering for ECT. Modified unipolar ECT is a good measure for resistant depression. This gives a very good chance of recovery.
You may discuss these three options with your psychiatrist.
Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
In future if you wish to contact me directly, you can use the below mentioned link:
bit.ly/dr-srikanth-reddy
Wish you good health,
Kind regards
Dr. Srikanth Reddy M.D.
Note: For further guidance on mental health,
Click here.