Get your Health question answered in 3 easy steps

146 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 18 years

I will be looking into your question and guiding you through the process. Please write your question below.

Have celiac disease, ulcer colitis and low thyroid. EGD normal. Why am I facing difficulty in swallowing?

Answered by
Dr.
Dr. Abhijit Deshmukh

Gastroenterologist

Practicing since :2001

Answered : 492 Questions

default
Posted on Mon, 7 Jan 2013 in Digestion and Bowels
Question: Ok i have a problem i havent been to a doctor about but is getting worse and i would just like an opinion as to what to so or what you think this might be.. 5 years ago i was diagnosed with celiac disease , ulcer colitis and low thyroid. The past yr and half I had a huge problem , when i swallow my food it wont go all the way in my stomach ? not sure why , sticky stuff is the worst. so i have a particular maneuver that I do when something gets stuck (including liquids now ) if i lean to my left side it goes right on down like it should. sometimes when i start to eat a little i have to lift up and lean to the left and boom goes on down it just gets aggervating and annoying as i learned to cope with it but before i learned these techniques i would regurgitate (not vomit) a lot of food after i ate. I know only eat soft mushy stuff like ice cream and bread in milk whatever it takes to get calories down. I thought it was achalsia because a family member of mine has it but i got a egd and no achlasia he said and no hernias he also said . He wanted to do more test but I have not been back due to my busy schedule and issues with my health insurance . I also have extreme pain on my left side directly Up under my left rib all the time and hurts to touch sometimes it feels like theres a hole there or something. also have my gallbladder removed and a recent pregnancy gave birth 7 months ago problem never differerd . thnks
doctor
Answered by Dr. Abhijit Deshmukh 1 hour later
Hi,
You have a peculiar problem.

You said you have coeliac disease and ulcerative colitis.

Your history does not fit into a particular problem.

If your EGD is normal, then unlikely you have any obstructive cause for your difficulty in swallowing.
I think the best investigation you should undergo is a barium swallow test where in you get to know the function of swallowing, abnormality and can study your posture related improvement in the study. It is a simple non invasive test. It will also rule out achalasia sine you have a family history.

In addition, it is important to see if you have spondylosis involving your cervical spine, which can accompany ulcerative colitis (unlikely).

In addition, if you are on steroids for ulcerative colitis, it is worthwhile taking a course of antifungal for 7 days to rule out esophageal candidiasis.

However, all this except spine involvement in ulcerative colitis, does not explain the pain you have. Sometime a neurological problem like cerebrovascular accident involving brain stem or systemic sclerosis can present with swallowing problems changing with posture. An MRI of spine will rule out spinal bony and cord problems.

Hope this answers your query.
Please do reply in case of any further questions.
Wish you a speedy recovery.

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
default
Follow up: Dr. Abhijit Deshmukh 34 minutes later
well i had a er visit about 4 months ago all they saw was a very enlarged spleen and told me to follow up but like i said i have not yet.. could this have anything to do with it?
doctor
Answered by Dr. Abhijit Deshmukh 6 hours later
Hi,

Thanks for the query.

Well enlarged spleen is very unusual in coeliac or ulcerative colitis or even in symptoms you have. Neither enlarged spleen can cause difficulty in swallowing nor explains the type of pain you have.
I think you should visit a doctor, get a barium swallow and a MRI spine done if possible.

Wish you a speedy recovery...
Above answer was peer-reviewed by : Dr. Mohammed Kappan
doctor
default
Follow up: Dr. Abhijit Deshmukh 5 hours later
ok will do .. thanks for your reply i do have back pains i have had four pregnancys
well i finay went to the er today they said i have inflammation and fluid bulid up in the same region of my stomach that i have pain i am supposed to have a mri wends morning
doctor
Answered by Dr. Abhijit Deshmukh 8 hours later
Hi,

That will clarify the problem. If possible get a barium swallow also done after the MRI to understand your swallowing problem.

Wish you a pink life ahead... I will be available for further discussion if you have any doubts.

Best Regards

Above answer was peer-reviewed by : Dr. Prasad
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,   ,  
Lab Tests ,  

Recent questions on Colitis

doctor1 MD

My 4 yr old son who has Ulcerative Colitis and Eosinophilitic Esophagitis recently had his tonsils and adnoids removed. ENT found a pus filled cyst on his left cyst. The PA who I have never dealt with said its just tonsil and adnoid tissue Should I be concerned? He has been ill with many medical issue since birth. Low muscle tone, difficulty swallowing. He still eats soft foods.

doctor1 MD

I have had 3 c sections and since my last one 2 years ago I have had general discomfort in my lower mostly left abdomen. Lately I have had frequent urgent uncomfortable urination, with negative urine culture. Had renal ultrasound today that looked fairly normal I think. Wonder about scar tissue? Also I have ulcerative colitis but haven't had a serious flair in about 2 years.

doctor1 MD

I have had ovarian cancer 35 years ago, and ever since have had bowels issue. These are now more troubling as I age...I am now 70. I had radiation treatments only. I have also had a perineoraphy ( spelled wrong) and the diarrhea since then has gotten worse. I get little to no warning of the need to poo and have taken to wearing diapers when I go out. In addition I now have a leakage problem. As an example, I was just sitting at my computer when I felt wet....got up and checked and liquid (brown) had just come out, staining panties and my shorts....I ve heard of collagenous colitis...could that be it?

doctor1 MD

Hi,

I am 19 year old caucasin female, 68inches, 161 lbs. In the last two years I have gotten sick often and think there has to be a conncetion between some of it. I am a college student from poverty level familys so I don't really have insuracne to get testing done.



In Nov 2009 (1.5 years ago) I got pneumonia, Jan 2010, an appendicitis, diagnosed with March 2010 H. pylori. In June I went to Arizona and California I did not tan at all. I went for a walk with a Caribbean, African and Native American Friend. They all got much darker but I didn't even though I didn't use sunscreen. July 2010, bad sinus infection, concussion (injury caused). Aug stomach virus? In Sept blood work was done and I was extremely Vit D deficient. So started taking Vit D and a Multi Vit. In Sept they diagnosed me with a kidney infection



Since November 2010, I have had colitis. There is pretty regularly blood in my stool which is normal texture. There is colon and abdominal pain associated with this. After an excretion it is worse. Especially during my periods the pain seems to be worse. I am often naseua or at least lack an appetite.

I am not anemic, C. Diff, parasites and an inflammatory blood test were negative. They suggested I tried going gluten free but it didnt seem to help

Since February Ive been getting chills, night sweats and occasionally fevers.

In March I fainted. We were talking about phlebotomy but Ive always found blood intersting. The next few days I know my bp was low like 95/60.

In april I started having heart palpations. My resting heart rate would range 120-58 but typically 100+. My bp range anywhere 144/103 to 120/56 to 112/82. My ekg look fine

The beginning of May my urine would be sometimes a burnt color but then an hour later it may be clear or sometimes it would be a greenish color. I typically drink 2 L of water per day. my eating habits havent changed. Three weeks later, I started getting intermediate flank pain. There was blood in the urine but everything else was fine. The doctors are assuming I have kidney stones.

I am waiting to hear from a free/probono specialist to have a colonoscopy done to hopefully determine the colitis source. But ive been waiting since march.

If you could think of anything that might possibly help me figure out what the heck is wrong with me I would be grateful.

Thanks have a great day!

doctor1 MD

I have a constant spasm in my lower left abdomen no pain feels like a baby kicking but I’m 63. What can it be?

doctor1 MD

What would dark red blood be in your stool and on the toilet paper mean.

doctor1 MD

I am starting to experience a sharp pain on the left side, I get the feeling I need to go to the bathroom but little comes out. the pain is starting to get where it does not feel good to push on the left side or its hurts to cough