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Constant forced burping, can't swallow food and lump in throat

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GERD & Acid Reflux
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Posted 1/11/2014 9:28 PM (GMT 0)
I'm at the end of my tether cry

I posted a thread about me waking up every night choking with throat spasms for almost 2 weeks.

As the days go on I am feeling worse. My throat always feels tight and I can't swallow food because it gets stuck in my upper throat then goes down slowly, even soup, yogurt and soft banana. I have hardly eaten for 3 days and what I have eaten has been liquid like. I am burping quite violently every few seconds and sometimes they get stuck and I can't breathe so have to put my hands over my head to force them out.

For the last 3 days I have had a lump feeling in my throat although its a little better today when it started it felt like a golf ball and it hurt to swallow. My swallowing felt lopsided and still feels strange like food is collecting at the back of my throat.

My stomach feels strange although I can't put my finger on why.

I am scared to go to sleep because I wake up suddenly in a panic with the sensation that something is stuck in my throat. If I miss my lansoprozole before bed I wake up choking on SOMETHING along with a throat spasm. If I it I wake up choking on a massive burp in my throat.

A and E are useless and said I swallowed a bug. My GP has referred me for an endoscopy but its 2 weeks away.

Please help I feel like I'm going out of my mind.

smhair smhair
Posted 1/11/2014 10:41 PM (GMT 0)
Hi Kay,
So sorry to hear that you are having such a rough time. I get quite a bit of this myself. I have LPR and this has caused mild upper dysphagia - trouble with food and liquid getting stuck at the upper sphincter as there is now a dysfunction due to the acid. The best thing is to ask your GP for a Videofluroscopy this will be done at the hospital with a speech language therapist - then they can actually tell what is going on with your upper sphincter - this is far better than a simple barium swallow. If the sphincter is now damaged you can try exercises - the shaker and Mendelssohn, but expect 2 months before you see an improvement, or you could try a dilation or there is Botox although this is a bit risky.
It may simply be that your throat is in a permanent spasm as the sphincter is trying really hard to keep the acid out by tightening itself, but then not relaxing for food and liquid. Please don't take Valium if your GP offers it as that will lead to a catch 22 situation.
A manometry will also show your upper sphincter pressure and if it's in the high zone.
I am looking towards a dilation, but if you can get your acid under control that will be the key for you.
Try soft foods with lots of sauces but keep away from acids like yoghurt. Also sleep on a wedge and keep a strict acid free diet. It will get better and there is treatment so keep positive!!
Posted 1/12/2014 12:35 AM (GMT 0)
Thanks for your reply. I will mention those to my GP. I agree with you on the valium I won't even take the buscopan muscle relaxant that I've been given because I figured that would allow more acid to escape if it somehow manages to relax the valves that there is a problem with.

My reflux started about 4 years ago. I never got heartburn or regurgitation the only symptom I had was a fluttering feeling in my throat and a feeling that I had been winded and air would rush out of my mouth. I had an endoscopy and they said there was a bit of inflammation of my esophagus and I was given gaviscon.

I was fine for the following 4 years although every now and again I would get the constant belching. These past few months have been extra stressful so my anxiety levels are sky high and I know this is making the problem worse. A few days before these problems started I managed to pop my jaw out of plavce causing TMJ which caused alot of muscle spasms in my face and a tight feeling in my throat so I'm wondering if that and the GERD and anxiety has caused all of this.
Posted 1/12/2014 9:54 AM (GMT 0)
Hi Kay,

I never got heartburn either. I got a hiatus hernia in April 2012 and then it felt like gas came up and burned my throat. I started to feel like a lump in my throat. This settled down for a while, but then the hernia got worse and I got a very sore throat, it wasn't red at that time but the swallowing problems started in June 2013.
I now have LPR and can feel the acid/reflux in my mouth, and my resting pressure at my UES is 140 - which is high, I also feel that this has affected my overall motility and can feel fluid and food trickle down, just like you.
There are a couple of videos on youtube which explain the difference between cricopharyngeal spasm and cricopharyngeal dysfunction - you might want to check them out to help explain it to your GP.
Posted 1/19/2015 2:58 AM (GMT 0)
I am having the lump in throat sensation. It starts at the trachea but will move up to the top of my throat. I am confused because I had a Heller Myotomy with fundoplication in November of 2014. I had been diagnosed with Jackhammer Esophagus (severe esophageal spasms).
In researching the lump in throat sensation, it looks like I need to consult an ENT. However, I have already had all the tests imaginable to determine Jackhammer. The only other thing that makes sense to do is cut out wheat and dairy for the recommended time to see if there is some type of allergy. I have been tested for food allergies, but nothing showed up. I am wondering if it could be enlarged tonsils or really who knows!!!
Posted 1/19/2015 10:17 PM (GMT 0)
try some digestive enzymes and probiotics tablets.
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