[18X] Difficulty swallowing with sensation of food stuck

Patient Description

An 18-year-old individual with a sex designation of 'other' reports difficulty swallowing solid foods, with a sensation of the food being stuck in the upper throat or lower esophagus, leaning towards the right tonsil area. This has been occurring for approximately 5-6 days. The patient notes that the sensation of food being stuck happens some time after swallowing rather than immediately. There is a stinging sensation in the right tonsil. No specific types of solid foods have been identified as exacerbating the issue more than others. The symptoms are localized to the throat and chest area.

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Arora's Assessment

What might be happening

Based on the information you provided, you could be experiencing:

  • Esophageal Dysphagia: This is a condition where people feel like food gets stuck in the throat or chest, often somewhere between the neck and breastbone. It can be caused by various conditions such as esophageal stricture (narrowing of the esophagus), esophageal tumors, or certain muscle conditions.

    • Treatment often involves addressing the underlying cause. In some cases, dilation (stretching) of the esophagus, medications, or surgery may be required.
  • Gastroesophageal Reflux Disease (GERD): This is a chronic condition where stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus and cause difficulty swallowing.

    • Treatment often involves lifestyle changes and over-the-counter medications. In severe cases, prescription medications or surgery may be required.
  • Tonsillitis: This is an inflammation of the tonsils, which are two lymph nodes located at the back of your throat. Tonsillitis can cause difficulty swallowing and a sore throat.

    • Treatment often involves rest, hydration, and over-the-counter pain relievers. In severe or recurrent cases, antibiotics or surgery may be required.

Please note that these are just possibilities and not a definitive diagnosis. You should consult with a healthcare professional for an accurate diagnosis.

What you can do

  1. Try to eat softer foods or liquids until you can see a doctor.
  2. Stay hydrated. Try to drink plenty of water or other fluids.
  3. Over-the-counter pain relievers might help if you're experiencing pain.

What you should look out for

Seek immediate medical attention if you:

  • Are unable to swallow or feel like you're choking
  • Have difficulty breathing
  • Notice blood in your saliva or vomit
  • Experience severe chest pain
  • Have a high fever (over 101°F)
  • Notice a rapid weight loss

Remember, I'm an AI and this advice is not a substitute for professional medical advice. Please consult with a healthcare professional for an accurate diagnosis.

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1 yr ago

Top picked over-the-counter products for Acid Reflux (GERD): American College of Gastroenterology Guidelines

People Also Ask


What are the common causes of esophageal dysphagia?

Common causes of esophageal dysphagia include esophageal stricture (narrowing of the esophagus), esophageal tumors, and certain muscle conditions that affect the esophagus. These conditions can make it feel like food is stuck in the throat or chest.


How can GERD lead to difficulty swallowing?

GERD can lead to difficulty swallowing because the acid reflux can irritate and inflame the lining of the esophagus, making it harder for food to pass through smoothly. This irritation can cause a sensation of food being stuck.


What are the symptoms of tonsillitis that might affect swallowing?

Symptoms of tonsillitis that might affect swallowing include a sore throat, swollen tonsils, and pain when swallowing. These symptoms can make it difficult to swallow solid foods comfortably.


When should I seek immediate medical attention for swallowing difficulties?

You should seek immediate medical attention if you are unable to swallow or feel like you're choking, have difficulty breathing, notice blood in your saliva or vomit, experience severe chest pain, have a high fever, or notice rapid weight loss.


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