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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Food Getting Stuck In Throat, Lump In Throat, Endoscopy Normal, Nexium Not Working

My husband has been having problems with food going down and coming back up. It gets stuck in his throat . It seems as though it never makes it to the stomach . It can be a day or so later and food from the day before will come up. He has had the endoscopy done and they don t see anything but something is definately wrong!! He at times has some form of material come up that is seemed to be growing in his throat. He has felt like he had a lump in his throat. He has been taking nexium but had to stop because it is upsetting his stomach too much. We are getting nowhere with our family doctor. Help?
Wed, 9 May 2012
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ENT Specialist 's  Response
Dear granhd Hello I am Dr SharmaENT consultant. The symptoms described here are characteristic presentation of pharyngeal pouch . It is due to the escape of pharyngeal mucose through a weak defect in pharynx called a s killian;s dehiscence. The food gets collected in this pouch to give a lump in throat, which appears after meal and on pressing on it there is a gurgling sound and foul smelling putrified food comes in the vomitus in a day or two.The history is usually suggetive of the diagnosis. I would advise you to go for a barium swallow and an endoscopic examination of pharynx and oesophagus. Treatment is an operative procedure to excise the swelling and repair mucosal defect I hope this answers your concern. with regards Ravinder Sharma
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ENT Specialist Dr. Sreenivas's  Response
hi
welcome to healthcaremagic

you are symptomatology seems to indicate a hypopharyngeal pouch
pl get a Barium swallow and post us the result

regards

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Food Getting Stuck In Throat, Lump In Throat, Endoscopy Normal, Nexium Not Working

Dear granhd Hello I am Dr SharmaENT consultant. The symptoms described here are characteristic presentation of pharyngeal pouch . It is due to the escape of pharyngeal mucose through a weak defect in pharynx called a s killian;s dehiscence. The food gets collected in this pouch to give a lump in throat, which appears after meal and on pressing on it there is a gurgling sound and foul smelling putrified food comes in the vomitus in a day or two.The history is usually suggetive of the diagnosis. I would advise you to go for a barium swallow and an endoscopic examination of pharynx and oesophagus. Treatment is an operative procedure to excise the swelling and repair mucosal defect I hope this answers your concern. with regards Ravinder Sharma