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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 47057
Experience:  MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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When I swallow, it feels like there's something in the

This answer was rated:

Second Opinion] When I swallow, it feels like there's something in the bottom of my throat. Has been going on for over a month. JA: The Doctor can help. Just a couple quick questions before I transfer you. What are your symptoms? Have you used any medication for this? Customer: Lump in throat, some difficulty swallowing and difficulty focusing on anything but my throat. I have tried mucinex in case it was like some kind of build up of phlegm but after taking it for like, 4 days I stopped. JA: Have you seen a doctor about the lump? Customer: I went to an ENT and he told me he couldn't see anything and thought he needed to do a scope to see if it was something deeper in my throat but cancelled my next appointment because of social distancing. He didn't tell me what it could be or what I needed to do in the meantime. JA: Anything else in your medical history you think the Doctor should know? Customer: Nothing that I know of

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I will respond shortly with an answer or further information request.

What are your age and gender?

Do you have a sore throat, anxiety?

Customer: replied 11 days ago.
27, Female. Yes both sore throat and anxiety.

In a young patient of your age group, this is unlikely to be anything serious. A postnasal drip or acid reflux can be the culprit that may be precipitated or predisposed by the anxiety.

The causes can be;

 

1) Mucosal injury (internal lining of pharynx and esophagus) may be caused by potassium chloride tablets, nonsteroidal anti-inflammatory drugs (NSAIDs), or antibiotics (doxycycline, tetracycline, clindamycin, trimethoprim-sulfamethoxazole).

 

2) Pharyngeal diverticulum

 

3) Peptic strictures due to reflux

 

4) Benign esophageal tumors

 

5) Achalasia

 

6) Esophageal Stricture or constriction

 

7) Globus; a psychological phenomenon of something causing difficulty in swallowing (there is a condition called Globus sensation, which may be responsible for the symptom of a problem in swallowing). Please read this resource;

 

http://www.merck.com/mmpe/sec02/ch007/ch007e.html

 

Globus is quite a common phenomenon in your age group

Following investigations are necessary for the workup;

 

1) Fiberoptic endoscopic evaluation of swallowing and upper gastrointestinal endoscopy

 

2) Esophageal manometry (pressure study of the food pipe).

 

3) CT scan

 

4) Barium swallow.

I would not worry at all as anxiety may be the foremost cause here.

Was this information helpful to you?

 

Please feel free for your follow up questions.

I would be happy to assist you further if you need any more information.

Thanks for using Just Answer.

Customer: replied 11 days ago.
Thank you so much!

You are very welcome.

Wishing you a speedy resolution and all the very best in life.

 

 

 

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Stay blessed.

Dr. Arun Phophalia and 9 other Medical Specialists are ready to help you
Customer: replied 11 days ago.
Wishing you all the very best in life as well!

Thank you.