Dysphagia is the difficulty in swallowing the foods and liquids that arise from the throat or esophagus. It may range from mild difficulty to painful and complete blockage. The other signs are coughing when eating or drinking and food coming back up. Also, at times it comes through the nose.

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Will Down syndrome patients develop difficulty in eating and swallowing suddenly?

Query: Hi doctor, We have a Down syndrome patient. She started to have difficulty eating for four years. We do not know the reason. Before four years, she uses to drink and eat everything normally. Usually, we take her to the emergency department with lower blood sugar and low pressure (average O2 level a...  Read Full »

Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to icliniq.com. According to your statement, your daughter has stopped drinking and occasionally eating too. She is a known case of Down syndrome. When she was on IV fluids, then she started drinking and eating. But, after stopping IV infusion, she also stopped drinking and eating....  Read Full »

How do I treat my tonsillitis and why do they occur?

Query: Hi doctor, I have chronic tonsilitis (tonsil stones as well) and recurrent sore throat for as long as I know. While stretching my throat, I noticed red streaks, like a prominent vein on the wall lining behind the tonsil, which looks ready to bleed but does not (tried with a cotton bud, and there is ...  Read Full »

Dr. Sugreev Singh

Answer: Hi, Welcome to icliniq.com. Thank you for writing, and I understand your concern. It can be a swollen mucosa due to infection, as you have mentioned that you have tonsillitis. So tonsillitis is caused by bacterial infection only, but if there is a small stone formation, then the tonsils can be rem...  Read Full »

What could be the cause of the feeling of food getting stuck in the throat?

Query: Hi doctor,I am looking for a second opinion on a barium x-ray performed for my father. He had the feeling that his food is getting stuck and takes time to settle. He had a barium x-ray done. The radiologists' report shows normal, so we need to confirm it. He has a previous history of diabetes and al...  Read Full »

Dr. Ajeet Kumar Lohana

Answer: Hello, Welcome to icliniq.com. Well, barium swallow reporting requires a lot of expertise, mainly if a timed barium esophagogram (TBE) is performed. I would be able to guide you if you can see the images of it. Secondly, I would need you to tell me some more information about your father, which wo...  Read Full »

I have on and off acid reflux as well as mild dysphagia. Is this esophageal cancer?

Query: Hello doctor,I am a 26-year-old male. I have been experiencing on and off acid reflux for a few weeks as well as mild dysphagia (strangely only at breakfast). I am afraid of esophageal cancer. I do not smoke and drink. I exercise regularly, and I am not overweight. I have no family history of any ca...  Read Full »

Dr. Jennifer Schwartz

Answer: Hello, Welcome to icliniq.com. First, I would like to reassure you that dysphagia and reflux symptoms are very common and more common than esophageal cancer. I want to reassure you that this is very unlikely to be esophageal cancer. Esophageal cancer is more common in older patients who have a his...  Read Full »

Manometry shows weakness halfway down the esophagus. What could it be?

Query: Hello doctor, I have had dysphagia for a few months. My endoscopy and barium swallow had been normal. The manometry showed weakness halfway down the esophagus. The pH test for 24 hours showed GERD. I tried eating a burger, and every bite of it got stuck. After that, I had a hoarse voice for a whi...  Read Full »

Dr. Shyam Kalyan. N

Answer: Hello, Welcome to icliniq.com. I have gone through the attachments (attachment removed to protect patient identity). The manometry and pH (potential of hydrogen) tests are not normal. The pH shows a gastroesophageal reflux and the manometry shows some weakness in the mid esophagus. You need to ...  Read Full »

Why am I having dysphagia only with solid foods?

Query: Hello doctor, I have had dysphagia for six months. I have been taking Omeprazole for three months. However, I have been going for tests including blood tests, endoscopy and barium swallow and all are completely normal. It is only with solid foods and with every meal it is worse the worst ...  Read Full »

Dr. Deepthi. M

Answer: Hello, Welcome to icliniq.com. I went through your query.  You are suffering from reflux which probably was not very prominent. This condition is called a silent reflux.  Because of this silent reflux, the esophagus undergoes spasm as soon as you eat any solid foods.This condition is...  Read Full »

My little child has ataxia, hypotonia, seizures, and dysphagia. What could it be?

Query: Hello doctor, My 16-month-old presents with intermittent limb weakness, hemiplegia, gait disorder, dysphagia, intermittent ataxia, brisk reflexes, seizures, and intermittent hypotonia. There are sudden bouts of alternating limb paralysis. There is sudden difficulty with balance and walking with fal...  Read Full »

Dr. Vivek Chail

Answer: Hello, Welcome to icliniq.com.  I have gone through the images which you have sent (attachment removed to protect patient identity). There are a fluid signal intensity and a short segment abnormality in the cervicothoracic part of the spinal cord which is likely representing a syrinx between C7 a...  Read Full »

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