Hello,
* As per my surgical experience, the difficulty in swallowing with supine position indicates flare up of underlying GERD.
* It is the reflux of stomach acid which makes the lower end of
esophagus irritated and reflexly effects of
swallowing difficulties.
Underlying
anxiety and stress exacerbate the issue via vagus reflex. My guidelines at present
- drink more liquids in sessions
- prefer bland, vegan diet
- avoid all sort of spices, non veg, dairy fat
- avoid late night dinner
- chew your food very thoroughly
- consume 70 % of satiety value during each meal
- go for frequent , small meals
- keep the head end of bed elevated for 45 degree level
- avoid stress and anxiety
- avoid
smoking and alcohol if consuming
- continue your GERD therapy
- avoid any pain killer or NSAID tablets
- meditations and
relaxation techniques.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr. Bhagyesh V. Patel