Neurology

Ask a neurologist. Get answers to your neurology questions.

Ask a Doctor,
Get an Answer ASAP!

I have been having trouble swallowing for 6 weeks. I am

Customer Question
I have been having...

I have been having trouble swallowing for 6 weeks. I am unable to swallow solids, i can take water, and have been forcing down pureed baby food however it often feels like it's getting stuck and gives a choking feeling. I have had an endoscopy and seen 3 ENT's who could not find any problem I was reffered to an SLP and had 4 therapy sessions with him however have seen no difference. Today I had a Barium Swallow Test which showed 'Swallowing machanism to the right of the midline abnormal. Paralysis or paresis at the level of the hypopharynx and abnormality of the Vallecular." The radiologist mentioned it could be something to do with nerve damage, and so I would like the opinion of a neurologist. I would like to ask if it is nerve damage, does it need urgent attention and treatment or will it get better on its own? I am currently abroad and access to healthcare is not easy.

Doctor's Assistant: Do you keep personal medical records to help track this?

Yes, i have medical records from the different practitioners I have seen

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

I had a cold and a cough before the swallowing issue came about, I think had an incident where I felt i was choking on a dough ball, and since then I have had this problem.

Submitted: 1 month ago.Category: Neurology
Show More
Show Less
Ask Your Own Neurology Question
Answered in 4 minutes by:
3/14/2018
Neurologist: Dr. Bob, Neurologist (MD) replied 1 month ago
Dr. Bob
Dr. Bob, Neurologist (MD)
Category: Neurology
Satisfied Customers: 5,661
Experience: Neurology & Int Medicine (US Trained): 20 yrs experience
Verified

Hello. Have you noticed any changes in your voice or have you had any trouble speaking? Have you had any surgery to your mouth, neck or chest? What is your age?

Ask Your Own Neurology Question
Customer reply replied 1 month ago
Hi, no, no other symptoms at all apart from the swallow problem (and then symptoms related to hunger such as dizzyness, lightheadedness, fatigue). No surgery. I am 32 years old. Female. Perfectly healthy before this.
Neurologist: Dr. Bob, Neurologist (MD) replied 1 month ago

I would suggest you see a neurologist within the next couple weeks. I would start with a careful neurological exam to make sure there are no other occult or mild signs or symptoms. If there is no apparent explanation, I would consider a CT scan of the neck to look for a mechanical reason for the dysphagia. If normal, I would get an MRI of the brain to rule out a central nervous system cause. It would not be an emergency unless you were aspirating your food (going into the lungs) or having trouble breathing. Otherwise you can continue to puree your food or stick to a liquid diet. Some causes are temporary, but 6 weeks of symptoms definitely warrants further work up.

Ask Your Own Neurology Question
Neurologist: Dr. Bob, Neurologist (MD) replied 1 month ago

Does this make sense?

Ask Your Own Neurology Question
Customer reply replied 1 month ago
I understand I wont be able to be diagnosed without further testing and it makes sense that I need to be seen and have tests to see what the problem is exactly, but I am scheduled to be abroad for the next 4 weeks, and so I was wondering, that if it is some form of nerve damage (the radiologist brought up that it could be possible from a virus), if it is safe to wait the 4 weeks before getting it seen too or if leaving something like nerve damage untreated would cause it to get worse or become untreatable? Thanks
Neurologist: Dr. Bob, Neurologist (MD) replied 1 month ago

I see. Well, the answer to that question depends on the underlying cause. For example, nerve damage done by a virus is typically temporary and not progressive, though it can take many weeks or months to recover. If the nerve is being compressed by something, you would need to know what it is (e.g. hematoma, cyst, mass) and whether it is growing or stable in size. Most sources of compression either stop enlarging after a certain point, or grow very slowly. Similarly, a central nervous system cause (e.g. demyelination, stroke, mass) would be expected to stabilize or progress very slowly. So, ideally, you would want to get to the bottom of this before your trip, so you have a better idea of the treatment plan and prognosis. If this is not possible, you could follow up at your destination if things progressed and good medical care was available.

Ask Your Own Neurology Question
Customer reply replied 1 month ago
Thank you. I am unable to do anything about it abroad, which is why i wondered if I could leave it 4 weeks before getting it seen to or if it was urgent and required urgent attention. I don't want to do irreversible damage just because i waited to long. But from what I can understand from your answer, it's not that more damage can be done by leaving it? It's just finding the cause that is the main concern?
Neurologist: Dr. Bob, Neurologist (MD) replied 1 month ago

Yes, exactly, because getting the right diagnosis will dictate prognosis. In the meantime, if you cannot access reliable medical care where you are, you will need to rely on your symptoms to guide you. It sounds like they may have stablized at this point, which would be reassuring. Were they to progress to the point of aspiration, difficulty speaking, or difficulty breathing, for example, you would need to be evaluated urgently.

Ask Your Own Neurology Question
Was this answer helpful?
Ask Dr. Bob Your Own Question
Dr. Bob
Dr. Bob
Dr. Bob, Neurologist (MD)
Category: Neurology
Satisfied Customers: 5,661
5,661 Satisfied Customers
Experience: Neurology & Int Medicine (US Trained): 20 yrs experience

Dr. Bob is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Mark

Dr. Mark

Neurologist (MD)

1,985 satisfied customers

Neurosurgeon - Brain, spine, and peripheral nerve surgery

Jack Scariano Jr

Jack Scariano Jr

Neurologist (MD)

1,056 satisfied customers

Board Certified Neurology 1982 30 years experince. Also expert in Pain Medicine

Dr. Bob

Dr. Bob

Neurologist (MD)

5,661 satisfied customers

Neurology & Int Medicine (US Trained): 20 yrs experience

healthydoc

healthydoc

Board Certified Physician

1,851 satisfied customers

Board Certified U.S. Neurologist

Dr. F

Dr. F

Board Certified MD

266 satisfied customers

Neurosurgeon with more than 20 years experience in practice and teaching.

Phytube.com

Phytube.com

Neurologist (MD)

86 satisfied customers

Pediatric Neurology and Developmental Medicine with Special Research In Pain Medicine/Medications

Stroke Doc

Stroke Doc

Board Certified Physician

51 satisfied customers

I am board-certified in Neurology and the subspecialty Vascular Neurology.

< Previous | Next >

Related Neurology Questions
Can you please comment on the attached link? I work out 6
Hello can you please comment on the attached link?https://www.medicalnewstoday.com/articles/321599.phpI work out 6 days a week and have gained several health benefits by doing so now I'm worried.thank… read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
My daughter has been to the hospital seven times in a year.
My daughter has been to the hospital seven times in a year. I believe she needs a brain scan because even with medication, she exhibits behavior totally unlike herself. Impulsivity, trouble sequencing… read more
Dr Stan
Dr Stan
DO
2,998 satisfied customers
Seems that AFTER a plane flight or driving for a few hours I
Seems that AFTER a long plane flight or driving for a few hours I have dizzy feeling. Then once asleep often wake a few hours later with sweat/burning skin a bit. At times dreams. But wake super alert… read more
Sumanth Amperayani
Sumanth Amperayani
Consultant Paediatrician
Master\u0027s Degree
606 satisfied customers
Since navigating slippery sidewalks on vacation this winter,
Since navigating slippery sidewalks on vacation this winter, I sometimes have the illusion that my feet or a foot is slipping out from under me, and my body begins to react as if I were about to fall.… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,173 satisfied customers
Wondering if tell me what this means. Several small
Several small scattered areas of high signal intensities are seen on the T2 or FLAIR sequences; mainly around the ventricles but also in the right frontal lobe and in the left frontal centrum semiovale.IMPRESSION: 1. Several scattered small areas of white matter change which is nonspecific and may relate to a variety of causes. No restricted diffusion, mass, hydrocephalus or hemorrhage. 2. Minimal sinus disease unlikely to be of clinical significance. 3. Trace fluid in the mastoid air cells unlikely to be of any clinical significance. … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
33,511 satisfied customers
I'm having sever hand numbness in both hands now going down
Second opinion] I'm having sever hand numbness in both hands now going down my arms also severe left thigh pain pins and needle pain getting worse. … read more
Dr. Mark
Dr. Mark
Neurologist (MD)
Doctoral Degree
1,985 satisfied customers
I have had some floating episodes that last for days for the
I have had some floating episodes that last for days for the past year. I have had a cat scan, and mir, and i still can not understand why. I have been to ENT Dr, and nothing there. I do not have any … read more
DrJomab
DrJomab
Medical Doctor
5 satisfied customers
I've been having severe pain in my left buttock that shoots
I've been having severe pain in my left buttock that shoots down my left leg and it mainly happens after prolonged sitting and when I bend over or lift my leg. I thought it was a pinched nerve or scia… read more
Dr Uzair
Dr Uzair
FCPS (R) General Surgery
M.B.,B.S. FCPS
3,794 satisfied customers
Gal roommate fell hit her head. Has brain tumor n anerirum.
Gal roommate fell hit her head. Has brain tumor n anerirum. … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
8,037 satisfied customers
My sister is 39 yrs old. On Friday (3 days ago), she
my sister is 39 yrs old. On Friday (3 days ago), she underwent rhinoplasty. She was under anesthesia for 2.5 hrs. When she woke up, her right leg from her knee down to her toes was numb. She also has … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
33,511 satisfied customers
What Is the estimated time of recovery for the ulnar nerve
Hello DrWhat Is the estimated time of recovery for the ulnar nerve transposition with the included anterior interosseous nerve transfer procedure? At what week will or should I expect my hand function… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
8,037 satisfied customers
Have been doing a weight bearing System to increase my bones
have been doing a weight bearing System to increase my bones I have osteoporosis and have had compression fractures in the past today during the exercise which was a weight lifting exercise, I hurt my… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
8,037 satisfied customers
I have arthritus in both shoulder. wOULD THIS CAUSE MY ARMs
I have arthritus in both shoulder. wOULD THIS CAUSE MY ARMs and hands to go numb when im sleeping? … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
8,037 satisfied customers
I have seen 3 neurologists in the East Bay and 2 ENT's
I have seen 3 neurologists in the East Bay and 2 ENT's within the last 5 yrs. They all have said that I have Vertigo but they can't do anything for me. So, I would like to know the name of a neurologi… read more
DrJomab
DrJomab
Medical Doctor
5 satisfied customers
I have firey pains that shoot through my legs whether
I have firey pains that shoot through my legs whether walking or not. I am severly obese n eas diagnosed with clots last November that I am told have s ince dissolved. I'm on Eliquis so I can't take p… read more
Edgar Rubio Villegas
Edgar Rubio Villegas
Emergency physician
Surgeon in Traumatology and Orthopedics
746 satisfied customers
I am unsure what symptoms I am feeling, if any. About 2
I am unsure what symptoms I am feeling, if any. About 2 weeks ago I noticed i was experiencing small muscle contractions in my left calf. I only felt it when I was sitting down. It would come and go e… read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
I am unsure what symptoms I am feeling, if any. About 2
I am unsure what symptoms I am feeling, if any. About 2 weeks ago I noticed i was experiencing small muscle contractions in my left calf. I only felt it when I was sitting down. It would come and go e… read more
Dr. Bob
Dr. Bob
Neurologist (MD)
5,661 satisfied customers
Main Problem: Tingling predominantly medial aspect left foot
Main Problem: Tingling predominantly medial aspect left foot - slightly in right foot (mid toes). 3-4 weeks. 5 weeks ago - tingling medial aspect of left hand - subsided signficantly with physio. Hell… read more
Dr. Mark
Dr. Mark
Neurologist (MD)
Doctoral Degree
1,985 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x