Feeling of something stuck in my throat?!


Question: Feeling of something stuck in my throat?
Two months ago on New Year's Day 2011, I was eating breakfast in da morning. When was done eating, I suddenly got a feeling of something stuck in the back of my throat. A couple of days later I had tight throat also coming off/on. I went to my physician and she said it might be from GERD (acid reflux). Two weeks later she referred me to a gastroenterologist. Then he said to try different antacids to see if it helps. Then I went for a Barrium swallow test and everything was normal. A few days later I did an upper GI endoscopy, nothing was found and nothing was stuck in my throat. Now I have those feelings off/on and I also have a little bit of Dysphagia (difficulty swallowing solid foods). I might also have Phagaphobia (fear of swallowing/chocking). I also have Duchene's Muscular Dystrophy (DMD) and 17 year old male. I'm going back to my gastroenterologist next week to get my biopsy results back. Also he's going to refer me to a Speech Pathologist for therapy of swallowing. I went on Google the other day and I saw a device called VitalStim that stimulates the swallowing muscles so that you can swallow easier. Any answers would be nice. Thank you.

Answers:

Wait and see what the speech pathologist says about the VitalStim. (Personally, I see it as quackery.)
Difficulty swallowing solids points to tightness of the upper esophageal sphincter ("UES") due to GERD. The reflux causes the cricopharyngeus muscle on each side of your throat to shut hard to prevent stomach acid from reaching your airway.
You may have to have a modified barium swallow ("MBS") done by the speech pathologist in addition to the barium swallow you've already had. The MBS is videotaped in real time as the speech pathologist gives different consistencies of food or liquid laced with barium and watches them being swallowed. Different postures and head positions are tried, as well as the order in which the consistencies are presented.
Phagophobia will be considered, as well.
When the study is completed, the speech pathologist will design a treatment plan based on the results. You may have a number of therapy sessions to learn how to protect your airway while you learn techniques to help you compensate for the dysphagia.

Retired medical speech pathologist with specialization in dysphagia.



Keep some water in your mouth and don't swallow it down then all of a sudden take a deep breath, jerk your head down and swallow the water, hard as you can. Try this 10 times, if this doesn't work I have no idea.




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