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dea1238 03-14-2012 07:12 AM

swallowing issues
 
Hi there again. I am putting this thread again in hope someone else has similar problems concerning swallowing and wants to share their experience....:eek:

en bloc 03-14-2012 08:16 AM

Hi Dea,

There were 5 pages of posts in the last thread and I think many of them were quite helpful, particularly in regards to testing. There are many causes of swallowing problems, so it would best if you had more testing to first identify the exact nature of the problem...then causes might be easier to figure out.

GERD, neuropathy are among the causes. Here's link to Mayo's site on difficulty with swallowing. http://www.mayoclinic.com/health/dif...SECTION=causes Hopefully, this will be helpful.

I have problems with swallowing...due to neuropathy. Water and thin liquids are worse then foods. I just make sure my head is not tilted back when taking a drink. I was told by a physical therapist to keep the chin tucked downward to help with swallowing problems.

I know this can be scary, but anxiety about it might be making it worse. I would ask for the swallow study (with the flouriscope) I mentioned in the first thread.

dea1238 03-14-2012 12:23 PM

Quote:

Originally Posted by en bloc (Post 860861)
Hi Dea,

There were 5 pages of posts in the last thread and I think many of them were quite helpful, particularly in regards to testing. There are many causes of swallowing problems, so it would best if you had more testing to first identify the exact nature of the problem...then causes might be easier to figure out.

Ok, I saw it but none of that actually helped a lot...sorry..

GERD, neuropathy are among the causes. Here's link to Mayo's site on difficulty with swallowing. http://www.mayoclinic.com/health/dif...SECTION=causes Hopefully, this will be helpful.

I saw that earlier... quite helpful but also scary...

I have problems with swallowing...due to neuropathy. Water and thin liquids are worse then foods. I just make sure my head is not tilted back when taking a drink. I was told by a physical therapist to keep the chin tucked downward to help with swallowing problems.

That thing keeping the chin tucked downward... I actually realized it for myself... it does help and I am kind of more sure of myself that food is actually going where it supposed to go... don't you think so... it kind of relaxes the whole throat..or is it just me??

I know this can be scary, but anxiety about it might be making it worse. I would ask for the swallow study (with the flouriscope) I mentioned in the first thread.

Thanks, I know my scary thoughts are making it worse...but I cannot help myself sometimes... That is the main reason of my coming to this site... Find people with who I could share my problems, fears,...etc.

Also, I am going to make barrium swallow test tommorrow morning... can they tell anything about the problem after they do it?? I also read that pn can cause such problems... I am sick and worried with all that...
Sorry if it gets annoying...

:grouphug:

en bloc 03-14-2012 02:33 PM

I am glad you're having the barium swallow. Hopefully it will include thin liquid, thick liquid, pill, and cracker...all under flouroscopy. If so, the radiologist (not just a tech) will be right there watching the test as it's performed. This way results are immediate.

PN can cause difficulty with swallowing. He should be able to give you at least some thoughts on what is causing it (due to your history) after he sees what type of problem you're having. Don't try to correct the problem (tucking chin) during the test. You want the problem to present itself during the test.

Please let us know how you do and what the doctor says.

mrsD 03-14-2012 05:47 PM

GERD is so common! I have even seen 5 yr olds with GERD today.

GERD is a lifestyle problem predominately. But yes, it may be
a PN thing or an autoimmune problem like Myasthenia Gravis.
In RARE cases it can be a scary thing... but in the beginning one should not get all frightened about this possibility.

Most GERD has to do with poor intake of essential fatty acids which protect the lining of the stomach and esophagus. Use of acid blocking drugs daily can contribute to this. Gas from reflux of gas producing foods also contribute to GERD.

If you have problems swallowing, your doctor should evaluate you for mechanical problems in the stomach, and life style factors. It is not a cause for extreme concern in the beginning.

I know you are worried.... but there are steps to evaluate this problem. You have to be patient and go thru those in a systematic way, with your doctor.

dea1238 03-15-2012 07:13 AM

Quote:

Originally Posted by en bloc (Post 860961)
I am glad you're having the barium swallow. Hopefully it will include thin liquid, thick liquid, pill, and cracker...all under flouroscopy. If so, the radiologist (not just a tech) will be right there watching the test as it's performed. This way results are immediate.

PN can cause difficulty with swallowing. He should be able to give you at least some thoughts on what is causing it (due to your history) after he sees what type of problem you're having. Don't try to correct the problem (tucking chin) during the test. You want the problem to present itself during the test.

Please let us know how you do and what the doctor says.

En Block, first of all, thank you for caring...

I have done it...Only with liquid stuff (white and awful) standing, lying on my side and on my back... Radiologist says that exam finding will be finished tomm. p.m. in paper... In not so much words what he told me that all is ok... I swallowed it with no problem really..he said that my stomach is lowered (??) and that could be one of the problems generally... that I am too thin..need to stop smoking and get some weight...
All in all, I will be smarter tommorrow when I see it in reading...
I am paranoic maybe..he said that everything is ok... would he tell me immidiately if he found something..bad... what do you think??:confused:

en bloc 03-15-2012 11:04 AM

The video fluoroscopic swallow study is different then the barium swallow. The video study uses food and pills as well to simulate all substances as well as thin & thick liquids.

At least the barium swallow even does different positions. He WOULD have told you then if something was really wrong. I'm sure it was fine. You'll feel better when you see it in writing.

Take a deep breath, relax and enjoy the rest of the day. Hopefully this put your mind at ease a little. Best to you.

dea1238 03-15-2012 11:20 AM

Quote:

Originally Posted by en bloc (Post 861220)
The video fluoroscopic swallow study is different then the barium swallow. The video study uses food and pills as well to simulate all substances as well as thin & thick liquids.

At least the barium swallow even does different positions. He WOULD have told you then if something was really wrong. I'm sure it was fine. You'll feel better when you see it in writing.

Take a deep breath, relax and enjoy the rest of the day. Hopefully this put your mind at ease a little. Best to you.

I thought so too... if something was wrong he probably wouldn't say: Everything is ok madam...
I don't think we have video flouroscopic swallow study.... I guess barrium swallow can tell you also if there are some irregularities... I guess...
It seems I don't have trouble in swallowing liquid..only stiff food... and large bites, as I used to eat...

Thanks for posting En Block, yes I am trying to take the best of the rest of the day..

dea1238 03-16-2012 01:06 PM

in writing...
 
Hello again. Regarding my barrium swallow test...

I got it in writing.. I am going to translate it from Croatian as far as my knowledge of medical english is…
Basically, barrium goes well through all three parts of esoph… with clear mucous folds. The cardia is passable. He doesn't see any reflux from the stomach (??) and my stomach is lowered. The food from stomach onward also goes well with no obstruction as in esoph..
The only thing beside my stomach is lowered is the fact that he sees a little curve of stomach corpus which is sharply conturered ( I think it is the right term)..

In his own words, what he told me is that he suspects duodenum is the main issue??

I am still waiting for gastroscopy… what do you think?:grouphug:

en bloc 03-16-2012 02:56 PM

Sounds to me like a relatively normal result and that you shouldn't be concerned with aspirating, etc. I would think (logically--since I'm not a doctor) that the sharp curve at the duodenum might effect some stomach emptying, but not swallowing problems. You haven't mentioned anything with nausea etc from delaying emptying, so it's likely not bad enough to bother you.

As for the swallowing...What a relief, huh? I bet you feel much better now. What a way to start your weekend.

All in all, I'd say good news. Thanks for the update.


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