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Forum Name: Gastroenterology Topics

Question: sore swallowing food.

 sport66 - Tue Nov 15, 2005 4:11 pm

Hi 19months ago i started to have pain when swallowing food,this is not always on every swallow,the doctors i have seen said it was anxiety based they took some bloods which came back fine,i have gained weight 2 stone in total ,i also get food coming back into my mouth on limited occasions.they have arranged a appointment to get a endoscopy but this want be untill next year,they have said it could be oseagitis.i am 36 non smoker but enjoy a bottle or two of wine a week i am also 3 stone overweight.i am worried sick
 Dr. Safaa Mahmoud - Sun Aug 06, 2006 8:01 pm

User avatar Dear sport66,

Swallowing difficulties can be due to one of these causes:

- In appropriate contraction of the throat or esophageal muscles causes Chest pain that can be severe and sometimes is felt as a lump or tightness in the chest with difficult swallowing and bad breathing. The condition can be a sequence of sore throat or (viral, bacteria) infection that subsides gradually after recovering from infections or as a motility disorder in the esophagus. Esophageal manometric studies are important.

The anatomical relation between the diaphragm and the Lowe Esophageal Sphincter LES prevents the gastric acids to come up into the esophagus (reflux). Acid reflux causes severe pain and discomfort in the chest in the morning. Others may experience a feeling like the food stuck in their throat or tightness in the throat, dry Cough and Shortness of breath similar to Asthma.

- Stress and smoking can increase these symptoms. Certain foods as well are known to aggravate the condition, and you better avoid them.

Diagnosis is made by complete history taking, physical examination, investigations like Upper Endoscopy, Manometric studies, and other lab tests that can be recommended by the doctor accordingly.
Certain foods are known to aggravate the condition, and you better avoid them. These include chocolate, beverages containing caffeine, alcohol, fatty and fried foods, garlic and onions, spicy and tomato containing foods. In addition smoking is one of he precipitating factors that should be avoided.

- Psychological or emotional stress and Anxiety, in these cases the diagnosis is made by exclusion of other causes.

I advise you to follow up with your doctor, update him with your symptoms, by complete history and physical examination, he can recommend the proper medical approach.
Best regards

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