Difficulty Swallowing
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Background: 18 yo, Male, 5'7", 132 lbs, Black
Medical History: allergy to dairy and milk proteins, deviated septum, anxiety
Medications: 80mg nexium daily for 4 weeks (40 mg for 2 weeks beforehand, 20 mg of omeprazole for two weeks before that), gabapentin 100mg daily for 2 weeks, fluticasone 2 puffs twice a day for 2 weeks
I've had difficulty swallowing both foods and liquids for about two months. I feel like i have to put force into swallowing food. Also, once it goes down, it feels like the food gets stuck in my throat and chest. The more i eat, the tighter my throat feels. I have also had pain in my stomach and nausea. I have had a barium swallow done that has shown nothing out of the ordinary, a motility test that was normal, and a 24 hr ph test while on nexium (@ 40 mg) which showed normal acid levels. When I had an endoscopy done, the doctor did not see any scar tissue, but when they dilated, there was a lot of blood, which they said should not happen if my esophagus was wide enough. After this I no longer got the feeling of being unable to swallow my own saliva. Also, they tested for EoE, but only found enough for the diagnoses in the lower esophagus, not the upper part. The gabapentin has helped with my pain, so they suspect some kind of nerve hypersensitivity, at least in my stomach. However, I am still struggling with swallowing foods and sometimes liquids, which with the liquids in particular they said should not be an issue with my esophagus stretched. Any clue what is going on? They suggested it might be in my head, but at the same time, there is this bleeding with the dilation that they say they cannot explain.
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pippa58442 Guest
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Guest pippa58442
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Thanks for the response Pippa. I'm glad you also believe this isn't in my head, because I know there's no way this can all just be in my head. In my endoscopy, they did find a 2cm hiatal hernia, is that severe enough that it can be causing the swallowing issues I am having now?
pippa58442 Guest
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