[56F] Experiencing difficulty swallowing with associated symptoms

What might be happening

Based on the information you've provided, possible diagnoses 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, heartburn, and regurgitation of food or sour liquid.

  • Treatment typically involves lifestyle changes and over-the-counter medications. In more severe cases, prescription medications or even surgery might be necessary.

• Esophageal Stricture: This is a narrowing of the esophagus, often caused by GERD. The damaged esophageal lining can lead to difficulty swallowing and the sensation of food getting stuck.

  • Treatment usually involves dilation of the esophagus during an endoscopy.

• Esophageal Dysmotility: This condition is characterized by abnormal muscle contractions in the esophagus, which can cause difficulty swallowing.

  • Treatment typically involves managing the symptoms, as there is no cure for this condition.

Please note that these are potential explanations for your symptoms, but only a healthcare professional can provide a definitive diagnosis.

What you can do

1. Try to eat smaller, more frequent meals instead of three large meals a day.
2. Avoid foods that trigger heartburn, such as spicy foods, onions, citrus products, tomato products, and foods high in fat.
3. Don't lie down after a meal. Wait at least three hours.
4. Elevate the head of your bed if you regularly experience heartburn at night or while trying to sleep.
5. Over-the-counter antacids may help, but these drugs have side effects and aren't meant for long-term use.

What you should look out for

You should seek immediate medical attention if you:

• Experience chest pain, especially if accompanied by other signs and symptoms such as shortness of breath or jaw or arm pain. These may be symptoms of a heart attack.
• Have food or liquids back up into your throat, behind your breastbone, or you have a sensation of a lump in your throat.
• Have weight loss because of poor appetite or difficulty eating.

Remember, it's important to consult with a healthcare professional for a proper diagnosis and treatment.