I pray they can help and that you are healed soon.

was your GERD study negative? How did they confirm or not confirm GERD/LPR?

I have the same issue now 12yreyears

I thought botox was supposed to cure the gurgling not cause it? I am so sorry you are dealing with this. I have similar problems.

My son of 30rs old has being going through this over a year now and doctors keeps telling him they don't see anything wrong even though he has 3 1/2 stone because he can't eat solids. Only blended forest very depressed also.

I just have a spasm that’s for the info truly did help me I have a hard time talking to doctors so I’m gonna show this video

It wasn’t bothering me today until I had my internet cut for no reason the stress brought it back thanks a lot EastLink

Aaron Drake how are you now How is your swallowing problem buddy..

@@jaythapa7118 It’s good now for me it was more of a Dehydration issue plus Stress and anxiety .

I'd demand a myotomy, a bar is not common to cause Dysphagia but all experts say it can, find a doctor that takes your worries serious.

Ethinu treatment cheitho

You are most welcome, and all the best in your search. If cricopharyngeal myotomy is the solution, be sure you find a surgeon who does this procedure regularly, and who can offer you an endoscopic option.

I also am having a lot of issues, I use to think it was anxiety eating in public, which just makes it worse, but theres times I feel I have to put forth more effort to swallow the bigger the food is and I feel food residue in the back of my throat. I have almost constant globus sensation especially after eating and although rarely I do sometimes regurititate food at night mostly, waking up feeling i'm choking on something like gum or something then realize it cant be i'm in bed.

Thanks very much! That's encouraging to hear.

I'm so sorry to read about all you've been through. If antegrade cricopharyngeus dysfunction is your issue, it will be diagnosed very simply with a videofluoroscopic swallow study. The technician would need to let you swallow solids more than liquid barium (usually barium paste on a cookie or cracker). A cricopharyngeal bar, (the visual finding of antegrade CPD) would provide an immediate referral for either botox injection (temporary benefit of a few months) or, more definitively, an endoscopic laser cricopharyngeal myotomy. This might be a helpful link: It is the page that comes up when you search the term "myotomy" and the first two posts would be worth reading. laryngopedia.com/?s=myotomy

Have you ever treated a patient with OPMD? If so, how successful has treatment been?

What symptoms do you have?

❤

Hi are you still around ?

Thank you, that made my eyes tear up. And I was so teary I accidently typed "made my ears tear up" so now I'm crying and smiling

So happy for you! Just a comment if I may: If the problem is a web or stricture a dilation can do wonders just as you described. And that single dilation can be definitive and permanent. If on the other hand the problem is cricopharyngeus dysfunction in the forward (swallowing rather than burping) direction, then a dilation can be wonderfully helpful too, but is not typically a "permanent" solution. What I mean by that is that some find that the first dilation helps for 6M (for example); the second for 3 weeks; the third for a few days; and so forth. That is, IF the problem is actual muscle dysfunction, then eventually myotomy seems to become necessary. I hope your problem is one of those stricture circumstances, in which case your problem may be gone forever! All the best to you!

Dear Dr. Laryngopedia (I am sorry sir, I do not know your name). I want to thank you for your series of videos on swallowing disorders. Since you were kind enough to reply to my recent procedure which corrected the swallowing issue I had for three YEARS, I felt necessary to send you my procedure report. I believe it will also help others who are FEARFUL and may avoid eating and/or having a procedure performed since it sounds frightening. I had my procedure done on September 18, 2019. You presented your information in a very calming and informative manner. Without your videos, I probably would have lived with the swallowing disorder. I owe you, sir! Others reading this, get help. Don't avoid having it looked into as I did. There is absolutely NO NEED to suffer. There are NO gaging issues. You will know nothing under the "twilight" anesthesia. I went to sleep having a swallowing disorder. I woke up being free to once again enjoy food as I did - and as others do. Please, do yourself a favor - make that appointment as soon as you can. Once again, you will NOT have a gag issue and you will not remember the procedure at all. Now, here is my Gastroenterologists report on my procedure. Please print it out and look at it and realize, your suffering is over. (If Dr. - you feel this post does not belong here, feel free to delete it) Christmas, as of this writing, is two days away. I look forward to Prime rib, mashed potatoes & gravy, vegetables, "bread", cranberries, bread pudding, and many desserts. ...and the best part, it all goes down smoothly! Thank you a billion times Dr. Laryngopedia - you're the best! # # # PROCEDURE: EGD with esophageal balloon dilatation and antral biopsy to rule out Helicobacter pylori. INDICATIONS: A 65-year-old gentleman complaining of esophageal dysphagia. He has had dysphagia to solids for a very long time and had food bolus impaction when he was 10 years old. He had an upper GI series that suggested cricopharyngeal achalasia with tertiary esophageal contractions and a benign-appearing stricture suspected at gastroesophageal junction with a small sliding hiatal hernia. PREMEDICATION: Monitored anesthesia care. OPERATION: The risks, benefits, and alternatives of the procedure were reviewed with the patient. Risk factors mentioned included but were not limited to cardiopulmonary complications from anesthesia, aspiration, hemorrhage, perforation and a pathology misread of 5% to 10%. Informed consent obtained prior to starting the procedure. Olympus video gastroscope was introduced in the oropharynx under direct vision advanced over esophageal sphincter into proximal esophagus. The scope was maneuvered into distal esophagus. There was no increase in resistance to passage of scope through upper esophageal sphincter. I did not appreciate a Zenker's diverticulum or achalasia of upper esophageal sphincter or increase in cricopharyngeus muscle tone. Furthermore, there was no increase in esophageal rings or furrows. There was no stasis change and no evidence of traction diverticulum. The squamocolumnar junction was well-demarcated at 36 cm and there was a tight stricture at this level suggestive of a tight Schatzki's ring measuring no more than 9 mm in diameter. Efforts to transgress the Schatzki's ring were not successful initially and scope caused circumferential trauma and scant oozing. However, with sustained pressure, I was able to get through Schatzki's ring into a very small hiatal hernia measuring no more than 1 cm and then into gastric lumen. Gastric mucosa suggested patchy erythema in the peripyloric area with some scarring and there was functional pyloric stenosis, however, pylorus could be easily intubated with the adult gastroscope. Descending duodenal mucosa was unremarkable and the scope was advanced to second portion of duodenum. No evidence of duodenitis or arteriovenous malformations or inflammation of duodenum. The scope was then withdrawn in the antral portion and antral biopsies were obtained for H. pylori. Retroflexion suggested mild bleeding from the passage of scope through a tight Schatzki's ring. No additional findings were noted. The scope was then withdrawn in the distal esophagus and using controlled radial expansion through the scope balloon Schatzki's ring was engaged with a 12 mm balloon and dilated sequentially to 13.5 mm and then to 15 mm with deflation set at every stage inspect the effectiveness of dilatation. At 15 mma mucosal tear was seen at 7 o'clock position. There was heme effect. A smaller tear was also noted at 2 o'clock position. Thereafter, stomach was decompressed, scope withdrawn and procedure terminated. Patient tolerated the procedure well without difficulties or complications. IMPRESSIONS: 1. No evidence of increase in upper esophageal sphincter tone, Zenker's diverticulum, traction diverticulum, stasis change or increase in esophageal rings or furrows. 2. Tight stricture noted at 36 cm coinciding with squamocolumnar junction suggestive of a tight Schatzki's ring that was dilated first with the passage of the adult gastroscope and then with controlled radial expansion through the scope balloon to 12 mm, 13.5 mm and 15 mm with mucosal tears and heme effect. 3. Barely 1 cm hiatal hernia. 4. Mild antral gastritis in the vicinity of pylorus with scarring and erythema, status post antral biopsy for Helicobacter pylori. 5. Some narrowing of the pyloric opening noted. However, the adult gastroscope was advanced without difficulty. 6. Normal duodenal mucosa. RECOMMENDATIONS: 1. Await pathology. (UPDATE: Pathology report came back as normal) 2. Cut food fine and chew well to minimize chance of dysphagia. 3.Anti-reflux measures. 4.Repeat endoscopy as necessary based on patient's symptoms

@@chrisnutone4951 Was your issue Cryphogeneal Dysfunction or something else? I'm getting lost in this large amount of information.

Damn I'm 25 having swallowing problems tired of things getting caught in my throat and everybody keep telling me that I'm getting skinny like it's crazy I'm ask my doctor if I can get that balloon thing that u said bro I see that thing work out very good

@@king-bs3wu how did it to, did you do the balloon ? Plus what were ur symptoms

my exact feelings.....just diagnosed yesterday....been struggling with swallowing for years...

I can relate very much. I have eaten almost no meat, especially steak in months because I just can't swallow it. I like it, but I don't want to choke so I just don't eat it. I have been able to get down mashed potatoes very carefully, applesauce, lots of smoothies, almond milk... Spicy food is easier. I don't normally eat spicy foods, but I've been eating spicy Doritos because I can get them down. My mouth waters more with them, so they slide down better.

Im having the same situation, actually I’ve been eaten very soft meals ( baby like meals) almost for a month. Sometimes I had a bite and gave up with meals, is very sad. It happens time to time, but never is “ present” when the Drs appointment finally come. I know is not just stress, the tissue in my throat gets little “ bubbles” and gets very very dry, and I can see the saliva pretty dense getting stuck in my throat.

@Kurrupt4Lyfe did you resolve it? I have had it now for 25 years.

@@sammylpt9076 25 years? wow. I never actually did anything to resolve it. I just ate steak a lot less and stopped taking the large pills. Over time it just kind of improved on it's own. I haven't had any episodes quiet like that for a while now I'm glad to say.

Another thing I get time to time, sticky foods or dry or bread like chik fi la biscuit for instance once I swallow I feel tiny residue in the back of my throat a lot I have to either reswallow or cough out.

Same symptoms

Have you made any progress with this? I too have the same symptoms, I'm 38 now and had this from the age of around 13, and it's progressively got worse. I think now, touch wood, It's at a standstill as in for the past few years it doesn't seem much different. I have to be careful regardless of eating food. I do eat meat, but I have given up steak and pulled pork. I eat rice, but I eat small portions of it and mix it with vegetables to try to hide my throat from it. It kinda works. Bread is a problem and while I do eat it, I try to be seldom with it. Peanut butter and mashed potato trigger the issue as well. I tend to limit my diet now and get my calories from things like olives, avocados, creams, protein shakes, etc. Luckily for me, touch wood, I have not had issues with weight loss in all of this time, as one thing I can eat crisps all day and it will never have an issue. Not sure why, but yeah, crisps all day long. No issues. Do you have any facial paralysis I was wondering? I only say it because of my face, not sure if this is the case for most people but I can independently move muscles in the left side of my face but not my right. For example, on my left, I can raise an eyebrow, curl my lip, blow air into my cheek, and smile completely. In my right, I can't do the above. It's never caused a problem but I notice I slur my words. I was wondering if facial muscles and imbalances in the face may affect swallowing. But yeah I'd be keen to hear what resolve you have had over this?

I was astounded by the precision in your well presented educational view on this subject matter, thank you. Unfortunately for me living in the UK, there is not a lot of expert availability in this area of medicine. I had a barium meal swallow that showed Cricopharyngeal spasm, pouch formation and pooling also asperating. I then had a manamotary and 24hrs PH testing that showed 13-37 pressure upon swallow and something about peristalsis (none?) This has been going on 5yrs with multiple tests and one offer of botox which I refused on the basis of it maybe this or maybe that. Achalasia has been discussed. I'm very lost I must admit but I now have your video I just do not know where to take it but thank you very much. Your explication in great and understandable detail gives me hope.

@@the_independent_crafter1454 What happened in the end? I have had this for 25 years or so, and whilst I have seen numerous health physicians, not one has ever diagnosed this.

It happens the same to me, after having COVID on September 20.

What is the result of cp myotomy? 100 % solution or success rate?

How are you doing now? Did the doctors get to the bottom of your issue?

My situation is also same. I struggle to swallow only during the time (or right after) I have cold/caugh. have u know why it happens? thanks

Bill H same symptoms what is your diagnoses

Does this mean CPD is causing the organize to send and receive as well as the food sticking?

I suspect the words are used interchangeably though they are technically not the same. When the muscle fails to relax during swallowing, it creates an indentation in the barium stream which might be called "hypertrophy" but it is really just non-relaxation (dysfunction).

I’m the exact same as you! Probably around 9 months myself, It’s so discomforting! I also have been experiencing acid reflux and I too got put onto some pills that also didn’t help. They tried 2 different types of medication but they both had no real effect that seemed to help. I can relate 💯percent

Change your diet. Try carnivore. That is what i am on now.

​@@DanielMaldonado950it solve this problem ? But how did you manage to swallow meat at the first place?

+Jessica S I sent you a private message...Hoping to hear back from you.

+Jessica S i had the same thing when i choked on nuts, and after that panic attack, difficult swallow, jumpy all the time, eating with ppl is fine but eating alone specially when watching tv is harsh and my throat isnt working normally which 2 go back to normal i have been 4 yrs with this..

+Ashkem GamZ I am doing.better now I started eating healthier and it worked, now I'm a very slow eater but at least I'm eating now, I just am very safe now I don't really eat much meat, but I also do alot of neck stretches to losen the tightness around my throat, and I had a doctor stretch my throat so it could help with my problem I have throat problems and get sick.easily, I'm probably going to get my tonsils removed their my main problem but I am doing good better now and I.hope everyone else gets better, just try and eat healthier, take small bites. :)

@@jessicad3409 Did you get your tonsils removed and did it make it any better? I'm asking because I'm feeling the same way you described not being able to swallow solid foods.

CPD means that the UES is failing to fail to relax appropriately each time you swallow. So, early in the disorder, it is occasional and mild, and might only affect a large vitamin pill or piece of steak. As the years pass, the episodes of lodgment at the mid-to-low neck become more frequent. Gradually, the person migrates diet (via food choice and/ or prolonged mastication) towards softer, more slippery, and eventually more puree-like consistencies. A simple videofluoroscopic swallow study shows a cricopharyngeus bar with or without Zenker’s diverticulum. The problem is resolved or diminished after successful cricopharyngeal myotomy. See www.bastianmedicalmedia.com for more details. Use the search window for the various terms above. (Please consider this informational, not medical advice. Don’t act without your personal physician's input.)

Do you have gerd

wow! did your barium swallow show anything?! i had a bad choking episode last week and now have a super tight throat and solids don’t go down. i’m suspecting it’s a tight muscle ….

@@sugaplumalex yeah you most likely have cricopharyngeal dysfunction. I have cricopharyngeal spasm, so I can still swallow, but it is painful for me to swallow liquids compared to solids. So like the exact opposite of you. My pain and tightness NEVER goes away. My surgeon's team originally thought it was globus, but globus isn't this painful. Or maybe I just have a VERY extreme version of globus compared to most people. I just had the Nissen fundoplication 3 weeks ago, but I haven't noticed a change in my CP spasm. Actually, it got WAY WORSE after the surgery because I think my UES nerves were irritated from being manipulated. My barium swallow shows perfect swallowing ability and my FEES test didn't show anything either. The only thing that potentially gave a clue to my hypertensive UES was the manometry, because my UES pressure was in the 90s for mmHg pressure. Not enough GIs and surgeons understand what the normal range for UES resting pressure is, they only understand normal mmHg for the LES. I hope you are feeling better.

I have difficulty swallow the food collect in my back throt when i bloating the food throw up to the mouth i have loss wight anima bad smell breath any the doctors in iraq field to detect my problem

What procedure did you have?

IF difficulty swalling is much greater with solids / pills, etc. than soft or liquid consistencies; IF the location of the sense of lodgment is mid-to-low neck; and if symptoms slowly increase over time, CPD sounds likely. The key test is not CT or barium swallow. It is instead a videofluoroscopic swallow study, often referred to as a modified barium swallow or even "cookie swallow."

Thanks for the quick response but food and liquid goes down with no problem at all it's more when swallowing my own saliva that problem occurs