[53F] Experiencing difficulty swallowing and coordination issues

Patient Description

A 53-year-old female has been experiencing difficulty swallowing, attributed to lack of saliva and feeling choked by food and drink, for 9 months. She also reports swollen lymph nodes. Accompanying symptoms include lack of coordination, making it extremely difficult to perform daily functions such as walking or standing, which has been an issue for 7 months. The patient describes severe muscle spasms in the hands, feet, back, and neck, occurring spontaneously for the past 5 years. Additionally, she experiences balance issues, dizziness, and a spinning sensation upon standing or lifting objects, which has been ongoing for 6 months. Numbness and tingling in the hands and feet have also been reported, although not constant. The patient denies any recent injuries or accidents that could have contributed to these symptoms. There has been no mention of any specific activities or treatments that relieve the muscle spasms.

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Arora's Assessment

What might be happening

Based on your symptoms, the following conditions could be considered:

  • Multiple Sclerosis: This is a chronic disease that affects the central nervous system, particularly the brain and spinal cord. It can cause a wide range of symptoms, including difficulty swallowing, lack of coordination, muscle spasms, balance issues, and numbness in the hands and feet.

    • Treatment options include medications to control symptoms and slow disease progression, physical therapy to help manage symptoms, and lifestyle changes like getting regular exercise and eating a healthy diet.
  • Myasthenia Gravis: This is a chronic autoimmune neuromuscular disease that causes weakness in the skeletal muscles, which are responsible for breathing and moving parts of the body, including the arms and legs. Symptoms can include difficulty swallowing, muscle weakness, and balance issues.

    • Treatment options include medications to improve nerve-to-muscle communication and suppress the immune system, therapy to improve muscle strength, and sometimes surgery.
  • Guillain-Barré Syndrome: This is a rare neurological disorder in which the body's immune system mistakenly attacks part of its peripheral nerves. Symptoms can start as weakness and tingling in the legs and can progress to muscle weakness or paralysis.

    • Treatment options include therapies to reduce the immune system's attack on the nervous system and supportive care to manage symptoms.

Please remember that these are possibilities based on the symptoms you've described, and the actual cause of your symptoms may be different. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Schedule an appointment with your healthcare provider as soon as possible. They can perform a physical examination and order tests to help determine the cause of your symptoms.
  2. Keep a symptom diary. Note when your symptoms occur, what you're doing at the time, and any factors that seem to make symptoms better or worse. This information can be helpful to your healthcare provider.
  3. Try to maintain a balanced diet and stay hydrated. This can help your body function at its best.
  4. Avoid activities that seem to trigger your symptoms or make them worse.

What you should look out for

Seek immediate medical attention if:

  • Your symptoms worsen rapidly or you develop new symptoms.
  • You experience severe difficulty swallowing or breathing.
  • You have severe weakness or numbness, especially if it's on one side of your body.
  • You experience confusion, difficulty speaking, or severe dizziness.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.

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8 mo ago


People Also Ask


What could cause difficulty swallowing and a lack of saliva?

Difficulty swallowing and a lack of saliva can be caused by several conditions, including neurological disorders like Multiple Sclerosis or Myasthenia Gravis, autoimmune diseases, or even dehydration. It's important to consult a healthcare provider for an accurate diagnosis.


What are common symptoms of Multiple Sclerosis?

Common symptoms of Multiple Sclerosis include fatigue, difficulty walking, numbness or tingling in the limbs, muscle spasms, balance issues, and problems with coordination. Symptoms can vary widely among individuals.


How is Myasthenia Gravis diagnosed and treated?

Myasthenia Gravis is diagnosed through a combination of clinical evaluation, blood tests for specific antibodies, electromyography (EMG), and imaging studies. Treatment often involves medications to improve muscle strength and suppress the immune system, and in some cases, surgery may be recommended.


What should I do if I experience severe muscle spasms and balance issues?

If you experience severe muscle spasms and balance issues, it's important to seek medical advice. Keeping a symptom diary, avoiding triggers, and maintaining a healthy lifestyle can help manage symptoms, but a healthcare provider can offer specific treatments and interventions.


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1 Comments


Leo#3962

8 mo ago

I've come across a number of people in the hospital that I work that have similar symptoms to you as a result of their immune system attacking their nervous system. Please try to get evaluated by a neurologist and if they diagnose you there may be medication that can help, such as ones that calm down your immune system.

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