Here is My Question:
Sometimes when I get sick, I have a hard time swallowing (usually drinks, but sometimes even my own saliva). Before diagnosis, I used to think it was because of enlarged tonsils, but my doctors never saw anything extraordinary other than a run-of-the-mill virus or occasionally an infected throat. As I am sick again and have choked on a glass of water, I remember decades of this happening. What are your thoughts and what should I do? It's embarrassing and a little terrifying.
If not done already, your providers can consider a consultation with a speech language pathologist (who can evaluate your swallow). Occasionally, they may order a barium swallow imaging study to evaluate the different phases of of your swallow and help determine if their is impairment in the reflex (and if neurologically based).
A. Scott Nielsen MD MMSc
Neurologist and MS Specialist at Kaiser Permanente
Also here is a blog about swallowing http://www.healthcarejourney.com/dysphagia.html.
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