[18M] With gradual onset of difficulty swallowing

Patient Description

An 18-year-old male reports experiencing difficulty swallowing, describing a sensation of food getting stuck in the chest when eating and drinking. This symptom has been gradually worsening over the past month. Additionally, the patient has had an irritation in the throat for the same duration. There is no associated pain, but the sensation is described as annoying. The patient expressed concern about the possibility of throat cancer.

Show More

Chatbot Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Esophageal Dysphagia: This is a condition where there is a sensation of food getting stuck in the chest or throat. It can be caused by various issues such as esophageal strictures (narrowing of the esophagus), esophageal rings, or motility disorders.

    • Treatment: Treatment often involves addressing the underlying cause, which may include medications, dietary changes, or procedures to dilate the esophagus.
  • Gastroesophageal Reflux Disease (GERD): GERD can cause irritation and inflammation of the esophagus, leading to difficulty swallowing and a sensation of food getting stuck.

    • Treatment: Treatment typically includes lifestyle changes (such as avoiding certain foods and eating smaller meals), medications to reduce stomach acid, and sometimes surgery.
  • Eosinophilic Esophagitis: This is an allergic condition where eosinophils (a type of white blood cell) build up in the esophagus, causing inflammation and difficulty swallowing.

    • Treatment: Treatment may involve dietary changes, medications to reduce inflammation, and sometimes dilation of the esophagus.
  • Anxiety or Stress: Sometimes, anxiety or stress can cause a sensation of a lump in the throat or difficulty swallowing, known as globus sensation.

    • Treatment: Treatment may involve stress management techniques, therapy, and sometimes medications.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Eat Slowly and Chew Thoroughly: Take your time when eating and make sure to chew your food well before swallowing.
  2. Stay Hydrated: Drink plenty of water throughout the day to help keep your throat and esophagus moist.
  3. Avoid Trigger Foods: If you suspect certain foods might be making your symptoms worse, try to avoid them. Common triggers include spicy foods, acidic foods, and caffeine.
  4. Elevate Your Head While Sleeping: If you experience symptoms of GERD, try elevating the head of your bed or using extra pillows to keep your head elevated while sleeping.
  5. Use MDandMe: You can use MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your healthcare provider.

What you should look out for

It's important to seek medical attention if you experience any of the following:

  • Severe Pain: If you develop severe pain when swallowing or in your chest.
  • Weight Loss: If you notice unexplained weight loss.
  • Difficulty Breathing: If you have trouble breathing or feel like your throat is closing up.
  • Persistent Symptoms: If your symptoms persist or worsen over time.

Remember, while this information can be helpful, it is not a substitute for professional medical advice. Please consult a healthcare provider for a thorough evaluation and appropriate treatment.

Show More

1
 Hugs
0
 Comments

Save

3 mo ago


People Also Ask


What are the common causes of difficulty swallowing in young adults?

Common causes of difficulty swallowing in young adults include esophageal dysphagia, gastroesophageal reflux disease (GERD), eosinophilic esophagitis, and sometimes anxiety or stress-related conditions.


How can GERD lead to difficulty swallowing?

GERD can cause difficulty swallowing by leading to irritation and inflammation of the esophagus. This inflammation can make it feel like food is getting stuck. Treatment often involves lifestyle changes and medications to reduce stomach acid.


What is eosinophilic esophagitis and how is it treated?

Eosinophilic esophagitis is an allergic condition where eosinophils build up in the esophagus, causing inflammation and difficulty swallowing. Treatment may include dietary changes, medications to reduce inflammation, and sometimes esophageal dilation.


Can anxiety cause a sensation of food getting stuck in the throat?

Yes, anxiety can cause a sensation of food getting stuck in the throat, known as globus sensation. This is often due to stress or anxiety and can be managed with stress management techniques, therapy, and sometimes medications.

No comments yet

Be the first one to comment

Share your feedback

All Stories


Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback