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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Choking And Discomfort While Swallowing?

Hi I m John Sinclair I have got a sensation when I swallow that there is something stuck down there it s been there for about 4 weeks? I have discomfort from it and sometimes I feel I need to cough it up. The docto called me and said cause of my age not to worry? I m 27 years old and I smoke?
Mon, 14 Dec 2020
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General Surgeon 's  Response
Hi,

There are few possibilities that should be ruled out:
An actual swelling of lymphoid tissues
Chronic epiglottitis
Psychological factors

This can be diagnosed by consulting an ENT surgeon and I insist on an ENT endoscopy to see for any cause. CT scan or MRI of neck helps to confirm or rule out any obvious cause. If everything is normal then this is most probably psychological or due to smoking. Stop smoking. Take plenty of oral fluids. Identify any factors, foods or beverages that instigate or enhance the feeling and stop these altogether.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. T. Chandrakant, General Surgeon
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What Causes Choking And Discomfort While Swallowing?

Hi, There are few possibilities that should be ruled out: An actual swelling of lymphoid tissues Chronic epiglottitis Psychological factors This can be diagnosed by consulting an ENT surgeon and I insist on an ENT endoscopy to see for any cause. CT scan or MRI of neck helps to confirm or rule out any obvious cause. If everything is normal then this is most probably psychological or due to smoking. Stop smoking. Take plenty of oral fluids. Identify any factors, foods or beverages that instigate or enhance the feeling and stop these altogether. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, General Surgeon