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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Difficulty In Swallowing Food?

when I eat lately it seems my throat has reduced in size and I have to chew my food more to get it down. After I eat I get this feeling of I need to burp but I can t. It feels like the food can t get all the way down. The onlt thing that helps is alka selzer. It makes me burp and the pressure is relived. It also feels like something is stuck on the left side of my throat. Thanks
Mon, 29 Apr 2019
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General Surgeon,  's  Response
Hi,

Noted the history of difficulty in swallowing, feeling food stuck in left side of throat and need to burp helped by Alka Selzer.
My thoughts are as follows:
There looks to be a case of reflux esophagitis and pharyngitis in the beginning.
But other causes also needs to be ruled out well to get the best possible diagnosis for getting an appropriate management.
Anothere causes can be mass in esophagus or pharynx.
Esophageal spasm disorder.
Hiatus hernia.
Achalasia Cardia.
This can be well diagnosed by the following things.
Upper GI Endoscopy and biopsy.
Barium swallow.
Opinion of a Gastroenterologist.
All this will give an appropriate diagnosis and thus give a proper management.
Till then do the following:
Soft bland diet. with plenty of oral fluids.
PPI like Omeprazole.
Domperidone, needs a prescription.
Antacid when on empty stomach.
Further management as per the cause found.

I hope this answer helps you. Let me know if I can assist you further.

Regards,

Dr. T Chandrakant,
ENT & General Surgeon
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What Causes Difficulty In Swallowing Food?

Hi, Noted the history of difficulty in swallowing, feeling food stuck in left side of throat and need to burp helped by Alka Selzer. My thoughts are as follows: There looks to be a case of reflux esophagitis and pharyngitis in the beginning. But other causes also needs to be ruled out well to get the best possible diagnosis for getting an appropriate management. Anothere causes can be mass in esophagus or pharynx. Esophageal spasm disorder. Hiatus hernia. Achalasia Cardia. This can be well diagnosed by the following things. Upper GI Endoscopy and biopsy. Barium swallow. Opinion of a Gastroenterologist. All this will give an appropriate diagnosis and thus give a proper management. Till then do the following: Soft bland diet. with plenty of oral fluids. PPI like Omeprazole. Domperidone, needs a prescription. Antacid when on empty stomach. Further management as per the cause found. I hope this answer helps you. Let me know if I can assist you further. Regards, Dr. T Chandrakant, ENT & General Surgeon