When Is Difficulty Swallowing A Serious Problem?

 

Difficulty Swallowing

We've all experienced it at one time or another--difficulty swallowing.  Food just doesn't go down easily.  It may hurt, may feel like food is stuck in the back of your throat, you might drool, your voice may be hoarse or you may cough or gag when swallowing.  But when is it a serious condition?  

If difficulty persists, then the condition requires attention.  It takes about 50 pairs of muscles and nerves to accomplish the simple act of swallowing, and a number of conditions can interfere with this process.  There are two general categories:  

• Esophageal--refers to the sensation of food sticking or getting hung up in the base of your throat or your chest.  Causes include narrowing of the esophagus, tumors, foreign bodies, regurgitation, acid reflux or scleroderma.  

• Oropharyngeal--nerve or muscle problems that cause weakened throat function and promote choking, gagging or coughing when swallowing, or the sensation of foods or liquids going down your windpipe or up your nose.  Causes include neurological problems, or cancer.

A variety of tests can be done to determine the nature of the problem--swallowing studies, endoscopy to view the esophagus, or muscle tests.

Swallowing Treatment

Treatment is tailored to the particular cause and medications are useful in reducing stomach acid.  There are some simple lifestyle changes to improve swallowing function--eating smaller, more frequent meals, avoiding sticky foods, cutting food into smaller pieces and eating at a slower pace.  Limiting alcohol, tobacco and caffeine reduces heartburn.  The most important thing to remember is that if you develop a regular problem with swallowing, medical examination is necessary.  

Robert G. Tupac, DDS, FACP, Inc., Diplomate, American Board of Prosthodontics (661) 325-1275 | www.drtupac.com 5060 California Ave., #170, Bakersfield, CA 93309

If Heartburn Persists, See Your Doctor

Heartburn--that burning pain in your chest--happens when stomach acid is regurgitated back up through the esophagus.  When is it serious enough to stop using over the counter remedies and see your doctor?  If you've had heartburn so long that you have trouble swallowing, then it's a sign that damage to the esophagus has been building for a while.  The esophagus may be inflamed, scarred or full of ulcers.  Other symptoms include nausea and vomiting, especially if you're vomiting blood.  Occasional heartburn is often relieved with a simple antacid.  However, after weeks of not seeing results, prescription medication may be indicated. Your doctor will monitor how you respond and how long to continue your treatment.  If heartburn occurs several times per week for more than two weeks, you need to be checked.  Esophageal cancer is the fastest growing cancer in the United States.  When you have a hacking cough causing chest pain that just won't go away, and it can't be explained by a respiratory infection, then it might be heartburn related.  Finally, if your heartburn feels particularly severe, go to a hospital--you may be having a heart attack!  

Source:  Discovery Health

Robert G. Tupac, DDS, FACP, Inc., Diplomate, American Board of Prosthodontics (661) 325-1275 | www.drtupac.com 5060 California Ave., #170, Bakersfield, CA 93309