[20F] Experiencing difficulty swallowing, nausea, and fatigue

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

• Gastroesophageal Reflux Disease (GERD): This condition occurs when 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, causing symptoms like difficulty swallowing, the sensation of a lump in your throat, and nausea.

  • Treatment often involves lifestyle modifications, such as avoiding foods that trigger symptoms, and medications to reduce stomach acid.

• Hypothyroidism: This is a condition in which your thyroid gland doesn't produce enough of certain crucial hormones. Hypothyroidism may not cause noticeable symptoms in the early stages, but over time, untreated hypothyroidism can cause a number of health problems, such as obesity, joint pain, infertility, and heart disease. Symptoms can include fatigue and changes in your voice.

  • Treatment typically involves daily use of the synthetic thyroid hormone levothyroxine, which you are already taking.

• Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Signs and symptoms include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both. IBS is a chronic condition that you'll need to manage long term.

  • Treatment of IBS typically involves long-term strategies to manage symptoms.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following:

1. Keep a symptom diary: This can help identify any patterns or triggers to your symptoms, which can be useful information for your doctor.
2. Stay hydrated: This can help with your fatigue and also keep your throat moist, which might help with the sensation of needing to clear your throat.
3. Try over-the-counter remedies: Antacids or acid blockers can be used as a temporary measure to help relieve your symptoms, particularly if GERD is suspected.

What you should look out for

Reasons to see a doctor more urgently:

• If you notice blood in your stool or vomit
• If you develop a fever (temperature over 100.4°F)
• If you have severe abdominal pain
• If your symptoms worsen or you develop new symptoms

Please remember that while I strive to provide accurate and helpful information, I am an AI and not a substitute for professional medical advice. Always consult with a healthcare provider for a formal diagnosis and treatment options.