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Suggest treatment for symptoms of esophageal dysphagia

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Posted on Wed, 2 Nov 2016
Question: I have food stuck in throat, blurry vision, tingling in face, hands, feet & extreme neck pain.
doctor
Answered by Dr. Ishu Bishnoi (1 hour later)
Brief Answer:
Management of your symptoms

Detailed Answer:
Hi XXXX, thanks for asking from HCM.


I can understand your concern. If you have developed all these symptoms after sticking of food in thorat, it is due to

: Protective reflex due to autonomic system

: Pain due to visceral irritation

As food stocks in throat, it leads to stimulation of autonomic system (sympathetic and parasympathetic) to generate "Protective reflex". It leads to
: Tingling in face and exterimitiess
: Blurry vision and tearing
: Cough
: Spasm in throat, laryngeal and oesophageal muscles leading to coughing out of food bolus
: Salivation in mouth

It is generated to prevent any damage to food pipe (oesophagus) and wind pipe (trachea).

After coughing out bolus, you will get relief in most symptoms except
: Thorat pain as it was due to muscle spasm. It will be there for some time. You can get relief by avoiding food for few hours and then eat warm food to relieve spasm. No need of painkillers

: Throat irritation which could be due to mucosal lining injury. It will be relieved on its own in some time. You can have soothing warm food to relieve it like non spicy food, milk, tea, coffee.

Another case scenario is your symptoms are due to cervical spondylosis as you had history of cervical C5-6 fusion history.
In such case, you will be having neck pain for long time along with radiation to upper limb.
To treat it, first you have to tell me

: Is there any kind of neurological deficit like focal weakness of limbs, sensory loss?

: Any thinning of hand muscles?

: Is there any bladder (urine) and bowel movement problem?

: Do you have any spasticity of limbs?

: What is your current MRI or CT cervical spine report?

I need to know these answers before advising you regarding your cervical spine symptoms.

Hope you understand my point. If any doubt, do let me know.
Thanks. Take care.
Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Ishu Bishnoi (1 hour later)
I have intense neck pain too, can't move my neck & I'm tingling bad. What do you think it is, & what can I do for it?
doctor
Answered by Dr. Ishu Bishnoi (17 minutes later)
Brief Answer:
Neck pain diagnosis

Detailed Answer:
Hi XXXX, thanks for responding.

Such severe neck pain with inability to move neck, tingling and history of cervical fusion, it is most likely "Cervical disc prolapse with neck muscle spasm to contain it".
Your neck muscles have gone into spasm to prevent further disc prolapse. Thats why you are not able to move neck.

Now there is need to confirm our "Diagnosis". It can be confirmed by
: Physical examination of your nervous system
: CT and MRI cervical spine to know status of cervical vertebrae, cord, nerves.

You should consult spine surgeon to confirm it. After investigation, you can send me reports and MRI films, I will help you in getting relief.

Till then, to get maximum relief, you can follow few tips

: Avoid neck bending or extreme neck movements
: Avoid weight lifting
: You can apply painkiller gel like Diclofenac gel thrice a day after proper prescription
: You can take Tablet Pregabaline with Nortriptyline after proper prescription.
: You must also take Diclofenac tablet to relieve muscle pain, swelling
: For tingling, you can take S-Adenosylmethionine with nerve specific vitamin like B12, Thiamine, folic acid, Pyridoxine etc after proper prescription

It will help you in getting relief.

If still in doubt, do let me know. Thanks. Take care.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Ishu Bishnoi

Neurologist, Surgical

Practicing since :2007

Answered : 830 Questions

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Suggest treatment for symptoms of esophageal dysphagia

Brief Answer: Management of your symptoms Detailed Answer: Hi XXXX, thanks for asking from HCM. I can understand your concern. If you have developed all these symptoms after sticking of food in thorat, it is due to : Protective reflex due to autonomic system : Pain due to visceral irritation As food stocks in throat, it leads to stimulation of autonomic system (sympathetic and parasympathetic) to generate "Protective reflex". It leads to : Tingling in face and exterimitiess : Blurry vision and tearing : Cough : Spasm in throat, laryngeal and oesophageal muscles leading to coughing out of food bolus : Salivation in mouth It is generated to prevent any damage to food pipe (oesophagus) and wind pipe (trachea). After coughing out bolus, you will get relief in most symptoms except : Thorat pain as it was due to muscle spasm. It will be there for some time. You can get relief by avoiding food for few hours and then eat warm food to relieve spasm. No need of painkillers : Throat irritation which could be due to mucosal lining injury. It will be relieved on its own in some time. You can have soothing warm food to relieve it like non spicy food, milk, tea, coffee. Another case scenario is your symptoms are due to cervical spondylosis as you had history of cervical C5-6 fusion history. In such case, you will be having neck pain for long time along with radiation to upper limb. To treat it, first you have to tell me : Is there any kind of neurological deficit like focal weakness of limbs, sensory loss? : Any thinning of hand muscles? : Is there any bladder (urine) and bowel movement problem? : Do you have any spasticity of limbs? : What is your current MRI or CT cervical spine report? I need to know these answers before advising you regarding your cervical spine symptoms. Hope you understand my point. If any doubt, do let me know. Thanks. Take care.