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What Causes Difficulty In Swallowing?

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Posted on Wed, 7 May 2014
Question: Yes ,thank you In the last years I have had a problem swallowing when I start to eat. I am 70 years old. It comes and goes. There is a painful spasm, and lots of air. I have to cough up the food and wait an hr or so to continue eating. I am in no danger of starvation-Ha ! My father had the same problem XXXX
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Answered by Dr. Enrique Molina (31 minutes later)
Brief Answer: further studies needed Detailed Answer: You may have what is called an esophageal spasm. The esophagus is a muscle (it connects the mouth to the stomach), and if it has a muscle spasm, or disorganized muscle contractions you will have either pain or difficulty swallowing. There are many other problems, which include a "ring" in the esophagus, which makes it narrower and more difficult for food to go down, and other problems as bad as esophageal cancer, which although is relatively uncommon is very deadly. This is why I highly suggest you visiting a gastroenterologist for further evaluation. You will likely need an upper endoscopy (a camera inserted through your mouth to check your esophagus and stomach), and / or an xray test, called a "barium swallow", where you ingest some contrast, and as the contrast is going down they take X-Rays to see if there is any narrowing or disorganized contractions. Finally another test that is available at certain centers is a "Manometry", which is a catheter that is also inserted into the esophagus to measure the contractions of the esophageal muscles. Hope that helped. Let me know if you have further questions
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Enrique Molina

Internal Medicine Specialist

Practicing since :2004

Answered : 364 Questions

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What Causes Difficulty In Swallowing?

Brief Answer: further studies needed Detailed Answer: You may have what is called an esophageal spasm. The esophagus is a muscle (it connects the mouth to the stomach), and if it has a muscle spasm, or disorganized muscle contractions you will have either pain or difficulty swallowing. There are many other problems, which include a "ring" in the esophagus, which makes it narrower and more difficult for food to go down, and other problems as bad as esophageal cancer, which although is relatively uncommon is very deadly. This is why I highly suggest you visiting a gastroenterologist for further evaluation. You will likely need an upper endoscopy (a camera inserted through your mouth to check your esophagus and stomach), and / or an xray test, called a "barium swallow", where you ingest some contrast, and as the contrast is going down they take X-Rays to see if there is any narrowing or disorganized contractions. Finally another test that is available at certain centers is a "Manometry", which is a catheter that is also inserted into the esophagus to measure the contractions of the esophageal muscles. Hope that helped. Let me know if you have further questions