What causes gagging while swallowing?
please go for repeat endoscopy.
Thanks for the query.
As you are a post throat cancer survivor your symptoms can be suggestive of achalasia. It is a type of esophageal (the food-pipe) motility disorder in response to swallowing.
The food-pipe is separated from the stomach by a muscular sphincter called lower esophageal sphincter. Sometimes, impaired relaxation of this sphincter can also be responsible for the feeling of food struck in the stomach. The degeneration of nerves as a result of chemotherapy and radiation often contributes to such symptoms.
Tests suggested are-
High-resolution esophageal manometry. Using a catheter inserted into your esophagus, muscle contractions in your esophagus are measured when you swallow water.
Endoscopy- To visualize esophagus and stomach.
They should be done at the earliest.
Let me know if I can assist you further.
Thanks for follow up my dear patient.
See my dear patient i can just assume the problem because i can’t physcially examine you neither i can clinically evaluate you.So i can just give you a probable diagnosis which i feel can be your case after going through your history.
Whether XXXXXXX is involved or not depends on report of endoscopy.
Whether radiation etc has caused nerve damage depends on report of mannometry.
Surgery is the last resort treatment and is not usually needed.
Symptoms can be very well controlled by medications.
But firstly you have to go for endoscopy and mannometry.
Hello my dear patient,
Yes it is possible.
Upper esophageal sphincter is clinically termed as cricopharangeal sphincter and is supplied by part of vagus nerve.Radiation therapy in that specific area might cause nerve damage.As you can feel problem in swallowing it would be a good idea to visit an Ear nose throat specialist who would check you with laryngoscope and if required endoscopy etc would be done further.
Initially we have to rule out whether problem is there with esophagus or larynx.So initially visit a ENT and once cleared from their side you have to follow up with gastroenterology.
Department of ENT university of XXXXXXX medical school or XXXXXXX XXXXXXX
Hope i was helpful.
Feel free to follow up.
Thank you so much for words of appreciation my dear patient.
I am currently practising only online due to my old age and some serious health issues(Can’t use my left side properly ).Alas had a stroke 2 years back.
Even I highly appreciate the efforts of this site.
Excellent platform to share knowledge and help patients understand things better and that too from any part of world.
I wish you a very happy life ahead hope I was helpful.
Follow up with what ENT suggests you!
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