Chronic Throat Pain: Struggling with Swallowing and Breathing Issues - Otolaryngology

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Chronic throat pain, especially when associated with swallowing difficulties and breathing issues, can be quite distressing and may indicate underlying medical conditions that require careful evaluation and management. Based on your description, it seems that your symptoms began after an incident involving gastroesophageal reflux disease (GERD) and a traumatic event where you expelled blood after trying to remove a bone from your throat. This history is crucial as it may have contributed to your current symptoms.

Firstly, it is important to understand that swallowing difficulties (dysphagia) can arise from various causes, including structural abnormalities, inflammation, or neurological issues. Given your history of GERD, it is possible that chronic acid exposure has led to inflammation of the esophagus (esophagitis) or even strictures, which can make swallowing painful and difficult. The presence of blood during your previous episode raises concerns about potential injury to the esophagus or throat, which could also contribute to ongoing pain and difficulty swallowing.

Additionally, the fact that you experience significant pain and difficulty breathing, especially after eating, suggests that there may be an obstruction or severe irritation in your throat or esophagus. This could be exacerbated by certain foods, such as seafood, which may be more difficult to swallow or could trigger an allergic reaction, leading to swelling and further obstructing your airway.

It is also concerning that you have resorted to self-medicating with antibiotics without a clear diagnosis. While antibiotics can be helpful for bacterial infections, they are not effective against viral infections or other non-infectious causes of throat pain and swallowing difficulties. Misuse of antibiotics can lead to antibiotic resistance and other complications.

Given the severity of your symptoms, including the episodes of feeling like you cannot breathe, it is crucial to seek immediate medical attention. A healthcare provider will likely perform a thorough evaluation, which may include:
1. Physical Examination: A detailed examination of your throat and neck to assess for any visible abnormalities or signs of swelling.

2. Endoscopy: A procedure where a flexible tube with a camera is inserted through your mouth to visualize the esophagus and throat. This can help identify any structural issues, inflammation, or lesions.

3. Imaging Studies: X-rays or CT scans may be used to assess the anatomy of your throat and chest, looking for any obstructions or abnormalities.

4. Allergy Testing: If there is a suspicion of an allergic reaction to certain foods, testing may be warranted to identify specific allergens.

5. Swallowing Studies: These tests can evaluate how well you swallow and identify any functional issues.

In the meantime, here are some general recommendations to help manage your symptoms:
- Avoid Trigger Foods: Identify and avoid foods that exacerbate your symptoms, particularly those that are hard to swallow or known to cause allergic reactions.

- Eat Soft Foods: Opt for softer, easier-to-swallow foods that are less likely to cause discomfort.

- Stay Upright After Eating: Remaining upright for at least 30 minutes after meals can help reduce the risk of reflux and improve swallowing.

- Hydration: Ensure you are well-hydrated, as this can help ease swallowing difficulties.

- Avoid Self-Medication: Refrain from taking medications without consulting a healthcare provider, especially antibiotics.

In conclusion, your symptoms warrant a comprehensive evaluation by a healthcare professional. It is essential to address the underlying causes of your throat pain and swallowing difficulties to prevent further complications and improve your quality of life. Please seek medical attention as soon as possible to receive appropriate care and treatment.