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Difficulty in swallowing due to enlarged thymus - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Lung and Chest disorders
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2572 Questions
User :   Three years ago I was deferred as a blood donor because a screeining test showed I may have been exposed to HTLV I/II; a follow-up test by a doctor came back indeterminant. Now I am experiencing a strange sensation in my chest (for 45 days) and concerned that it could be a swollen thymus. When I eat I feel the food in my esophagus. Can swollen thymus put pressure on esophagus? Cardiologist says heart looks good. Other symptoms I have are a positive test for h. pylori (2nd incidence in last 3 years), eye mucus syndrome, small benign cyst in thyroid ? Are these symptoms related and should I be concerned about MALT or lymphoma? My red and white counts were normal?
Doctor :   hello
Doctor :   give me a min please, let me read your query
Doctor :   may i know your age and gender please ?
User :   Female age 51
Doctor :   ok tell me your present symptoms
Doctor :   what is the strange sensation you feeling in your chest
User :   As I wrote above I have a strange sensation in my upper chest
Doctor :   do you have any difficulty in breathing
Doctor :   is there any pain ?
User :   I have some shortness of breath with exersion, last doc said my lungs sounded okay, doc before him said I had bronchitis, the feelings haven't changed
Doctor :   so no specific diagnosis has been made
User :   when I eat I have the feeling of the food in my esophagus
Doctor :   what all the tests that you have undergone ?
User :   no diagnosis
User :   blood tests and an echo cardio gram
Doctor :   and both were normal ?
User :   yes, except for the h. pylori, it was positive
Doctor :   now the condition you are telling me is called as Dysphagia
Doctor :   do you have problem in swallowing liquids ?
User :   sometimes
Doctor :   ok now there is one specific test i want you to do
User :   what is that
Doctor :   that will help us to pinpoint the exact cause
User :   okay
Doctor :   its called FEESST
Doctor :   and it stands for
Doctor :   Flexible Endoscopic Evaluation of Swallowing with Sensory Testing
Doctor :   what it does it uses a lighted fiberoptic tube, or endoscope, to view the mouth and throat while examining how the swallowing mechanism responds to such stimuli as a puff of air, food, or liquids.
Doctor :   its a crucial test and should be done
User :   I can ask for that, but I still have this strange thickness feeling in upper chest/lower throat all the time
User :   not just when i am eating or drinking
Doctor :   this test will tell us exactly what is the cause of this obstruction
User :   okay, do you think there is any issue with thymus
Doctor :   since no specific diagnosis is made yet in your case
Doctor :   its important you get it done
Doctor :   its rare a swollen thymus causing pressure on your esophagus
Doctor :   depends on the extent
User :   I will ask my doc about the FEESST. I was just worried because of HTLV I/II test results. I know it is rare.
Doctor :   your trachea is the one that it can cause most pressure on
Doctor :   yes i think you have to undergo the specific test so that your condition becomes clear
Doctor :   one once we know whats wrong we can work on a treatment plan
User :   okay, thank you for the advice
Doctor :   your most welcom
Doctor :   welcome **
Doctor :   take care of your self and your physician should do more specific tests
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