[61F] Experiencing a sensation of food being stuck

Patient Description

A 61-year-old female reports a sensation of food being stuck and not going all the way down, affecting both solids and liquids for the past three days. The patient denies difficulty in swallowing, sudden weight loss, chest pain, vomiting, changes in voice, or persistent cough. The patient's medical history is unremarkable with no known chronic illnesses or conditions, except for an allergy to sulfa drugs. The only medication being taken is Wellbutrin 300mg daily. There are no other symptoms or medications reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Gastroesophageal Reflux Disease (GERD): This is a 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 typically involves lifestyle changes and over-the-counter medications. In some cases, prescription medications or surgery might be needed.
  • Esophageal Stricture: This is a narrowing of the esophagus, the passageway from the throat to the stomach. Stomach acid, if it repeatedly comes into contact with the lining of the esophagus, can cause it to become scarred and narrowed, leading to difficulty swallowing.

    • Treatment typically involves dilation of the esophagus using a small balloon or other widening device. Medications to reduce stomach acid may also be helpful.
  • Esophageal Dysphagia: This is the sensation of food sticking or getting hung up in the base of your throat or in your chest after you've started to swallow. This may be due to a problem with the muscle coordination required to swallow.

    • Treatment usually involves treating the underlying cause of the dysphagia.

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

What you can do

While waiting for your appointment with a healthcare professional, here are some things you can do:

  1. Try eating smaller, more frequent meals instead of three large meals a day.
  2. Avoid foods that can trigger reflux, such as fatty foods, alcohol, chocolate, mint, garlic, onion, and caffeine.
  3. Don't lie down after a meal. Wait at least three hours after eating before lying down or going to bed.
  4. Elevate the head of your bed if you regularly experience heartburn at night or while trying to sleep.

What you should look out for

Please seek immediate medical attention if you experience:

  • Sudden, severe chest pain
  • Shortness of breath
  • Vomiting, particularly if it's bloody or looks like coffee grounds
  • Pain when swallowing
  • Dark, tarry stools or bloody stools
  • Unexplained weight loss

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare professional for accurate information.

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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 symptoms of Gastroesophageal Reflux Disease (GERD)?

Common symptoms of GERD include heartburn, regurgitation of food or sour liquid, difficulty swallowing, chest pain, and the sensation of a lump in your throat.


How is an esophageal stricture diagnosed and treated?

An esophageal stricture is typically diagnosed using an endoscopy or a barium swallow test. Treatment often involves esophageal dilation, where a balloon or other device is used to widen the esophagus, and medications to reduce stomach acid.


What lifestyle changes can help manage symptoms of GERD?

Lifestyle changes that can help manage GERD symptoms include eating smaller meals, avoiding trigger foods (such as fatty foods, alcohol, and caffeine), not lying down after meals, and elevating the head of the bed.


When should I seek immediate medical attention for swallowing difficulties?

You should seek immediate medical attention if you experience sudden, severe chest pain, shortness of breath, vomiting (especially if it's bloody), pain when swallowing, or unexplained weight loss.


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