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» LymeNet Flash » Questions and Discussion » Medical Questions » those with swallowing problems

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Author Topic: those with swallowing problems
feelfit
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could you tell me what yours feels like?

does food get stuck?

does it feel like it doesn't go down all the way?

does swallowing just seem to peter out?

or does it feel like ypur throat becomes clogged?

Posts: 3975 | From usa | Registered: Aug 2007  |  IP: Logged | Report this post to a Moderator
Geneal
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My swallowing issues involve

Food getting stuck at the top of the throat.

Aspiration (coughing and choking) on saliva on occasions.

Trouble initiating a swallow without any liquids.


The only good thing is that I use compensatory strategies that

I teach/taught others (Swallowing is one of my areas of expertise)

And the problem usually resolves.

I just have to remind myself not to panic and to use these strategies.

Anything I can help you with?

Hugs,

Geneal

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MY3BOYS
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i have started this a newer issue for me. especially with meds. pills seem to get stuck
or just not want to go down

has happened with fluids too, goes down "wrong"

i try to take a sip and put head to chin to get pills down.

ment to ask doc last week and forgot, scares me becuase all my sympotms worse and on tx since sept/oct. pain is horrible, esp. in knee and all upper leg mucles.

to start IV meds next week, will see if improves

--------------------
i am not a Dr. any info is only for education, suggestion or to think/research. please do not mis-intuprest as diagnostic or prescriptive, only trying to help. **

dx in 08:lyme, rmsf, bart, babs, and m.pneumonia.

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feelfit
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well yes Geneal,

my swallowing seems to just go "out". I haven't choked or aspirated. It just feels like my food is stuck at the top of my throat and when I swallow again, nothing happens. It feels dry and thick too (if that makes sense) like my throuat is clogged with mucous but there is none.

I am very afraid and cannot believe how long one must wait for the various studies to take place.

I do believe this is TBI related. Has been going on for three weeks, some days worse than others.

What techniques might I use?

Thank you,
Feelfit

I try to do liquid pureed things but it still happens with these things too. It is always after acouple of swallows.

I am surviving on pudding, yogurt and berries,v-8 juice, and over easy eggs. Water usually goes down fine.

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pepperspeck
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I have achalasia, where the nerve endings in the esophagus do not work. It was progressive in that initially there was a sensation of food getting stuck after I swallowed, around my breast bone. Now, after I initiate a swallow, it will go down but gets stuck higher up. I have a hypertensive upper esophageal sphincter, so it blocks it from going down. I have had a few episodes where I am having trouble actually initiating a swallow. That, for me, was very scary.

I am supposed to have a myotomy on the upper sphincter, but have yet to commit to it. I must modify my diet so that the food consistencies that I eat are safe and the way I eat must ensure that it goes down. I am ok with liquids, so if I eat anything solid, I must follow each bite with quite a bit of liquid.

Geneal, I am a speech pathologist...is that your field as well? [Smile] I could not believe that I started to have swallowing problems..but it has helped as far as helping myself out. Do you know any thing about cricopharengeal myotomies? [Big Grin]

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I found my original identity! It has been a bit over 12 years...can't blame me for forgetting my password, right?!!

Member red (Member # 1886)
Registered: 26 November, 2001
70 posts

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Geneal
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I am a Speech Pathologist.

I've never had a patient with a cricopharyngeal myotomy,

But have spoken with ENT's and Upper GI docs about them.

Wow!!! Do you aspirate? High risk with that disorder.

Are you on a pureed diet? Mech soft?

Staying upright for at least one hour after meals?

I am sure you know all the techniques.

There is a lot of reported success with the surgery.

Would you have to worry about reflux after the surgery?

Be on an acid reducer as a precaution?

Hmmmmm.

I have the same issues with the food getting stuck at the top of my throat.]

Sometimes pills.

A chin tuck (chin into the chest) with the swallow really helps me.

Also alternating every bite and sip.

I tuck for each one.

Lemon ice (they make sugar free) also helps me.

Cold and lemon will elicit a stronger, faster swallow reflex.

Are colder things easier to swallow such as liquids?

Can you swallow soup just as well as a drink?

Sometimes thermal issues can directly affect sensation/reflex.

Are you scheduled for a Modified Barium Swallow Study?

They can usually be scheduled via an Out patient Radiology/Speech Pathology dept.

Usually within one or two weeks.

If you'd like, PM me.

It is hard to evaluate a swallow without seeing it,

But I'd like to help any way I can.

Hugs,

Geneal

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pepperspeck
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Hi Geneal,

I would love to talk with you about this some more.

I did work in a hospital and in a few nursing home for about 5 years before changing to the school system when I had my children.

Swallowing was a good part of my caseload, but not my preferred area to work in.

I am going to PM you but wanted to touch base here first. [Smile]

Lynda

--------------------
I found my original identity! It has been a bit over 12 years...can't blame me for forgetting my password, right?!!

Member red (Member # 1886)
Registered: 26 November, 2001
70 posts

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