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Doctor insights on: Can Dysphagia Get Bad Enough That I Might Need A Feeding Tube

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Can dysphagia get bad enough that I might need a feeding tube?

Can dysphagia get bad enough that I might need a feeding tube?

Unfortunately...yes: When people can't swallow enough food safely, the feeding tube are there to help make sure they get enough nutrition. They have models that can be hidden easily if the issue is privacy/embarassment. Check with a GI doctor or general surgeon to see about the options. More importantly, figure out why the swallowing is so bad by going to an ENT doctor. Some causes are treatable. ...Read more

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Dr. John Comisi
279 doctors shared insights

Difficulty Swallowing (Definition)

Difficulty swallowing is complex. One could have decreased saliva which will make the food thick and viscous and harder to swallow. Food or liquids may be difficult to swallow and feel like they are getting "stuck" in the throat. One may also "choke" on liquids or foods during the swallow, before , or after the swallow depending on the problem ...Read more


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Can a barium swallow tell if you have a low acid problem or only tht you have reflux? How can I ensure I don't have a low acid problem versus too much

Can a barium swallow tell if you have a low acid problem or only tht you have reflux? How can I ensure I don't have a low acid problem versus too much

Barium Swallow will: assess the gastric acid level. It may show reflux. It can assess the motility and anatomy of the esophagus, evaluate masses, strictures, mucosal irregularities. ...Read more

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Is it true vit b12 can help with nerve pain? i read somewhere that if you dont get enough you can get nerve pain, im not a big eater and wanted to try

Is it true vit b12 can help with nerve pain? i read somewhere that if you dont get enough you can get nerve pain, im not a big eater and wanted to try

Yes but be careful: Vitamin B 12 does help with certain sorts of nerve pain. However, you should be taking this with supervision. Taking too much B 12 can cause other problems ...Read more

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Is it possible to suffocate if you have a lot of phlegm that you can not cough up?

Is it possible to suffocate if you have a lot of phlegm that you can not cough up?

Yes: Technically, yes. In people who are intubated (having a tube in their throat) and cannot cough effectively, excessive secretions are suctioned via a special device. If you have normal lung function, you should be able to cough up, unless you are terminally weak or a small child who cannot do it because he doesn't know how. ...Read more

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What can cause a lump feeling in the throat that you cannot cough up but feels like you need to burp and can't?

What can cause a lump feeling in the throat that you cannot cough up but feels like you need to burp and can't?

Drainage, inflamed: This sensation is often caused by sinus drainage that causes inflammation in the back of the throat. This can cause a sensation of "fullness" in the back of the throat. Another thing that can cause this is reflux (acid, heartburn). Try an antihistamine (zyrtec, allegra, etc) and some saline nasal spray for a few days. If reflux is possible, add a Pepcid - if that doesn't help, see your doctor. ...Read more

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If you were restricted from air for 3 to 5mins and now you can't breathe properly or can't seem to get enough air what could be the problem?

If you were restricted from air for 3 to 5mins and now you can't breathe properly or can't seem to get enough air what could be the problem?

See below: Problems like these can only be correctly handled by your doctor in person. He/she needs to listen to you, perform an examination and possibly run labs or other tests. That's the only way he/she can find out what's going on and what to do about it. ...Read more

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Will i be able to get enough nutrition while i'm pregnant if I have a tooth loss?

Will i be able to get enough nutrition while i'm pregnant if I have a tooth loss?

Soft foods: Having teeth helps but teeth are not essential for getting nutrients. If you have no teeth at all then you can get plenty of nutrition by drinking smoothies of yogurt, and fruit. You can also create veggie smoothies. Egg whites are a good source of protein also. I have seen people who gum steak soft enough to swallow. If you would like options on replacing teeth then i would see a dentist. ...Read more

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I have two bad teeth that need to be exacted. Is it possible for that to give me a sore throat, a stomach ache and possibly aggravate acid reflux?

I have two bad teeth that need to be exacted. Is it possible for that to give me a sore throat, a stomach ache and possibly aggravate acid reflux?

Possibly: A badly decayed or periodontally involved tooth can cause a sore throat if a posterior tooth. Swallowing infected secretions can cause GI upset. It shouldn't aggravate acid reflux but the upset stomach from infected swallowed secretions can make the symptoms of GERD seem worse. ...Read more

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I have GERD and take Zantac (ranitidine) 150 well i spit some blood not a lot but enough to see it and then it stopped! can this be from food or ? Should i tell dr

I have GERD and take Zantac (ranitidine) 150 well i spit some blood not a lot but enough to see it and then it stopped! can this be from food or ? Should i tell dr

Tell doctor: Gerd can be a serious disease. Your doctor needs to know what is going on so you can get the best treatment. So tell your doctor. Have you been evaluated for sleep apnea? Sleep apnea can cause acid reflux. Talk to doctor about this also. ...Read more

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Occasionally feel acid reflux and food has "stuck" feeling. Any diet changes i can try to see if that helps first- before having to get major tests?

Occasionally feel acid reflux and food has "stuck" feeling. Any diet changes i can try to see if that helps first- before having to get major tests?

Yes: Chew food real well, so that it is in the smallest pieces possible. If it is in liquid form, it shouldn't feel like it is getting stuck on the way down or if refluxed. ...Read more

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Need expert advice. After surgery, why could a person's throat have a problem that leads to being unable to swallow?

Need expert advice. After surgery, why could a person's throat have a problem that leads to being unable to swallow?

Variety of reasons: If the surgery is on the throat that is one reason simply swelling and healing. If the surgery was else where and required a breathing tube inserted into the trachea then there could be some swelling from that. In general difficult swallowing and hoarse voice recover ina few hours to a few days, If longer consider an ENT or neuro consult. ...Read more

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Can you get meningitis from oral thrush and if so what is the likelihood? I have severe anxiety so i imagine i'm talking myself into a sore neck

Can you get meningitis from oral thrush and if so what is the likelihood? I have severe anxiety so i imagine i'm talking myself into a sore neck

Extremely unlikely: If i were to say no someone would find an obscure case somewhere in the world to argue with me, but i've never heard of it.Of the things that cause meningitis this is down at the bottom of the list & i can't recall ever hearing of a case. ...Read more

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Could raisin or peanut get stuck in epiglottic valecula for long and cause tonsilitis. Can i leave it alone or should I see a dr.?

Could raisin or peanut get stuck in epiglottic valecula for long and cause tonsilitis. Can i leave it alone or  should I see a dr.?

Unlikely: Unlikely that peanut or raisin would get stuck in that area. More likely fish bones and such, but any ENT doctor can take a look with a camera and make sure nothing is stuck there! a retained foreign body can cause significant problems if untreated! go check it out! ...Read more

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I can not go to sleep! do I have a problem or is it that i eat stuff which have too much caffeine in? Need help.

I can not go to sleep! do I have a problem or is it that i eat stuff which have too much caffeine in? Need help.

As above : Sleep hygiene is important talk with u pcp, to help u with this and if sleep hygiene alone did not work to write u some medication. ...Read more

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Im not sure if maybe if your born with micrognathia. To get a large jaw can exercise some certain muscle for it?

Im not sure if maybe if your born with micrognathia. To get a large jaw can exercise some certain muscle for it?

No: Micrognathia (actual definition micro=small gnathia=jaw) is rarely associated with environmental fetal issues and in the vast majority genetic factors, both result in being present at birth. There are no known exercises or any functional way of changing this until the proper stage of growth allows surgical intervention. Surgery is the only way of correcting micrognathia. ...Read more

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What can you do if you got a really bad cough and you had esophageal atresia surgery as a baby?

What can you do if you got a really bad cough and you had esophageal atresia surgery as a baby?

Uber-late fistula: With esophageal atresia, one would worry whether you ever had a tracheo-esophageal fistula. If so, the cough could signal some kind of leak in the integrity of the esophagus. Get to an ENT (airway) or GI (food path) so that you can get checked out. ...Read more