could i have als with bulbar onset and the only symptom be difficulty swallowing for 6months?

Question

I am 23 years old constantly worrying about bulbar als. I have a feeling of mucous in my jugular notch that i can't cough nor swallow.Is it a symptom?

Answer 1

ALS: is a progressive disabling disease a but when it starts with a "bulbar" onset it is not easy to make a "definite" diagnosis (until it reaches nerves which can be tested! Speak with your treating neurologist about your concerns! Hope this is helpful Dr Z

Answer 2

Maybe vocal cords: This is a broad question but the vocal cords would be the first thing i would look at. If one has vocal cord (vc) paralysis or a vc lesion, this can cause hoarseness. With vc paralysis, swallowing may be difficult due to choking or loss of sensation in the larynx. A vc lesion may give a sense of difficult swallowing as well. An ENT can look at your larynx and proceed w/ the next step.

Answer 3

Get a check up: It is possible you could have underlying issues. See your physician or ENT for an evaluation.

Answer 4

Hello. : Hello. If you are experiencing bloody emesis and blood in stool, it is important that you advise your doctor so that you can be evaluated. Colon polyps may not be the explanation for vomiting bright red blood.

Answer 5

Go to a hospital: This is serious. You need to be seen immediately to be evaluated for GI bleeding.

Answer 6

If : If a patient is vomiting blood and blood in the stool, it can be from several causes. A bleeding ulcer can cause vomiting blood and blood in the stool. If a patient is bleeding and feels weak, it may be from anemia. If a patient has "pockets" on the colon, it may be that the patient has diverticulosis, and bleeding from the diverticuli can occur. If a patient is having blood in their vomit and stool, they must be assessed immediately by a physician.

Answer 7

Very worrisome: These symptoms are very worrisome and need to be evaluated as soon as possible by a physician. Bleeding should always, always be evaluated.

Answer 8

Emergency evaluation: Vomiting frank blood is serious. This needs immediate attention.

Answer 9

If : If you think you are having bloody vomit and stool, then you should be evaluated as soon as possible. Give your doctor a call. If you cannot get a hold of your doctor then you should go to the emergency room for testing. It could be anything from infection, anal fissures, hemorrhoids, to more serious causes such as an esophageal tear, bleeding ulcer, inflammatory bowel disease, colon cancer, vascular malformation or bowel ischemia. Good luck!

Answer 10

Go to a hospital: This is serious. You need to be seen immediately to be evaluated for GI bleeding.

Answer 11

HOSPITAL NOW. : This sounds like a potential emergency with bleeding in your intestinal tract. A hospital is the safest place to go now.

Answer 12

Medical emergency: Vomiting frank blood needs immediate medical attention.

Answer 13

Gag reflex: Lots of people have a difficult time swallowing pills, so you are not alone. When you eat food, you just swallow, not thinking about it. The act of swallowing a pill, or a non-food entity, brings out your gag reflex. With practice, you should be able to get it down. Practice with m&ms - it worked for my kids!

Answer 14

Don't panic: There can be lots of reasons for trouble swallowing and they range from simple things like reflux all the way to more concerning problems. Have you seen a doctor yet? Try going to an ENT and talking it over. An office 'scope' should be able to start you on the road to answers. Make sure to follow through on this.

Answer 15

Very unlikely: If this is your sole problem, the cause is NOT MS, and you need to search for other reasons. But, if you have MS, and it is indeed poorly managed and controlled, you could be worsening and/or suffering a relapse. Would start with a gastroenterologist, but might also involve neurology.

Answer 16

Yes: Especially if you have a history of heartburn which you have self-medicated for quite a while. You probably need endoscopy to check out this symptom if it persists.

Answer 17

Block: For most of us, it's 99.99% mental. Unfortunately, i'm one of those people and it's irritating since I have to take a total of 7 pills daily at 3 different times of the day. To get me through, I sometimes hide the pills in gelatin dessert or applesauce. For folks who've had radiation of surgery in the neck, however, it can me more serious and they should check in with their primary care doctor.

could i have als with bulbar onset and the only symptom be difficulty swallowing for 6months?

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