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Ung thư và Phòng ngừa : FAQ
[Foreign body sensation] I feel as if I am choking and have difficulty in breathing. Do I happen to have any problem in esophagus?
[2007-09-19 10:10] (1,454)

This symptom is called pharyngeal lump sensation or pharyngeal neurosis. If you simply feel as if foodstuff is blocked inside the throat, it is nothing serious. However, if such pharyngeal symptoms appear related with swallowing difficulties, weight loss, foul breath or vomitus, etc., the organic cause should be detected immediately. 

In general, several tests are conducted to eliminate the organic causes. First of all, laryngostenosis and pharyngeal test, and then endoscopy to observe gastroesophageal condition are conducted. Through these tests, the doctor observes the existence of any abnormal findings such as edema or inflammation in these areas. 

Most common organic causes include gastro-esophageal reflux disease or movement disorder of esophagus.

Gastro-esophageal reflux disease is a phenomenon where gastric acid flows backward to the esophagus because the sphincter located between the esophagus and stomach gets loose for whatever reason and fails to block the back-flow of gastric acid. This causes inflammation of the esophagus in severe cases. 

Patients with gastro-esophageal reflux disease simply feel as if some foodstuffs are blocked in their throats and may have some difficulty in breathing. They also experience symptoms such as ‘chest pain’, ‘heartburn’, and ‘pectus excavatum.’ They may describe their chest pain as a ‘feeling like red pepper powder sprinkled inside the chest’. Diagnosis requires 24-hour esophageal pH monitoring, but not for all the patients. In patients with light symptoms, they are advised to change their lifestyle and eating habits or they may be started on initial drug treatment. When the symptoms improve, the conclusive diagnosis is made and relayed to the patient accordingly. 

If the initial symptoms are severe from its early stages and are not improved by drug treatment, endoscopy can be conducted to judge the degree of severity of the disease, and to decide if further drug therapy could be used or if surgery is warranted. However, this disease may recur easily, and therefore the drug therapy should be constantly maintained even if the symptoms are temporarily improved. 

In case of gastro-esophageal reflux disease, the patient is required to abstain from drinking, smoking, coffee, chocolate, and fatty foods. Furthermore he/she needs to stop wearing tight cloths to the body surface and eating before going to bed if possible. It is better to sleep with the head on the pillow. In obese patients, only weight reduction may work.

Movement disorder of esophagus occurs because the normal conjugate movement of esophagus is not progressed in sequence, but done or undone simultaneously, which prevents the sphincter of esophagus from relaxing in the proper manner. The patients suffer from the foreign body sensation in esophagus, difficulty in swallowing or non-cardiac chest pain that occurs regardless of movement, etc. 

For the diagnosis of this disease, esophageal manometry is performed, and the treatment varies depending on the relevant cause.

In the event that such esophageal foreign body sensation appears related with swallowing difficulty, weight loss, foul smell or Dysphagia, etc., endoscopy or Esophagography needs to be performed so as to detect the organic causes such as tumor, ulcer, diverticulum, etc.

If it happens that no abnormalities were from all these tests, the condition may be related to what is called ‘globus hystericus’. This appears in people who are relatively sensitive, especially in women. It is helpful for these patients to be kept at rest.

Sắc đẹp & Phong cáchUng thư và Phòng ngừaLối sống lành mạnhSức khỏe tinh thần và stressGiới tính Nam/NữChủ đề nóng bỏng
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