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What Causes Tightness And Pain In Neck While Swallowing?

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Posted on Mon, 16 Mar 2015
Question: I have tightness and pain in my neck when I swallow. On the left side the muscle is tight. I have stretched my neck muscles and it does not help. Should I see a doctor?
doctor
Answered by Dr. Abubakar Siddiqh (43 minutes later)
Brief Answer:
seemsto be esophageal spasm.

Detailed Answer:


Hi,


I had gone through your question and understand your concerns that you are having painful swallow. I would like to ask you few more details.


Is there any burning sensation in chest ?
Is there any difficulty or pain even for liquids (water) ?


Kindly get back to me with the details.


As per your clinical details, it could be due to esophageal spasm or due to gastro esophageal reflex disease (most common in your age).


As such, swallowing involves many nerves and muscles is in the mouth, throat area, and esophagus (the tube that moves food to the stomach). Part of swallowing is voluntary, which means you are aware of controlling the action. However, much of swallowing is involuntary. Rubbing or stretching will not help.


I suggest the following measures, to overcome your painful swallow.


1. Take ppi inhibitors + prokinetics combination like pan-d (pantoprazole +domperidone) twice daily before food (half an prior).

2. Eat slowly and chew food well, Avoid very cold or very hot foods.

3. Have timely meals, take 6 small,instead of large 3.

4. keep 3 hours intervel between dinner and sleep. sleep in head elevated position (by supporting extra pillows,one can prevent regurgitation of partially digested food).


In case of persistence, need to see ent surgeon, to rule out other causes.


Hope this answers your question, if you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.


Wishing you good health.






Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Abubakar Siddiqh (39 minutes later)
The suggested medication seems to need a physician's written perscription.

I do not have a burning sensation in the chest. The pain persists even for liquids and general swallowing of saliva.
doctor
Answered by Dr. Abubakar Siddiqh (8 hours later)
Brief Answer:
need medical prescription.

Detailed Answer:


Hello again,


Thanks for considering my answer and for your follow up.


Yes. It is a prescribed medication, you need to get it prescribed from local doctor.


Do not worry. Sudden onset of swallowing difficulty, is always traumatic. Progressive nature occurs due to growing mass.


Follow the instructions, what I have already mentioned for couple of days. It will resolve.


Hope, I have answered your query.

Take care.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
Answered by
Dr.
Dr. Abubakar Siddiqh

ENT Specialist

Practicing since :1994

Answered : 2038 Questions

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What Causes Tightness And Pain In Neck While Swallowing?

Brief Answer: seemsto be esophageal spasm. Detailed Answer: Hi, I had gone through your question and understand your concerns that you are having painful swallow. I would like to ask you few more details. Is there any burning sensation in chest ? Is there any difficulty or pain even for liquids (water) ? Kindly get back to me with the details. As per your clinical details, it could be due to esophageal spasm or due to gastro esophageal reflex disease (most common in your age). As such, swallowing involves many nerves and muscles is in the mouth, throat area, and esophagus (the tube that moves food to the stomach). Part of swallowing is voluntary, which means you are aware of controlling the action. However, much of swallowing is involuntary. Rubbing or stretching will not help. I suggest the following measures, to overcome your painful swallow. 1. Take ppi inhibitors + prokinetics combination like pan-d (pantoprazole +domperidone) twice daily before food (half an prior). 2. Eat slowly and chew food well, Avoid very cold or very hot foods. 3. Have timely meals, take 6 small,instead of large 3. 4. keep 3 hours intervel between dinner and sleep. sleep in head elevated position (by supporting extra pillows,one can prevent regurgitation of partially digested food). In case of persistence, need to see ent surgeon, to rule out other causes. Hope this answers your question, if you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.