12 year old with difficulty swallowing solids

Patient : I have a 12 year old female that has trouble swallowing food. We have tried to have her eat smaller amounts of food with more liquids and chew longer when eating. She still feels as though she is choking and her esopahgus is narrowed. She has the urge to cough to relieve her symptoms, but does not help. She has had a neck and chest x-ray and revealed no object present. No other test schedule and she still cannot tolerate any solid food at all, only liquids for past week.
Doctor :   She should be seen by a doctor as soon as possible because she apparently has a problem with her oesophagus. The cause c ould be mechanical; it could be a mass or structure outside the oesophagus compressing on it, and/or intrinsic narrowing of the oesophagus itself. There are a number of causes (e.g. fungal infections, strictures, inflammatory conditions, tumors, etc); the cause should be identified then treated. Neck and chest xrays will only detect foreign objects and bony structures; the oesophagus cannot be well demonstrated and she may need more advanced imaging procedures (endoscopy). I do hope this helps and I wish you well always.

Related Q&A

Q: My 8 year old has constipation. Muscle pain, dizziness, fatigue, and belly pain. Normal labs except high absolute n...

Q: I have a collection of red itchy bumps on my penis shaft. I believe it's friction burn but I'm not positive.

Q: I AM A 68 YEAR OLD MALE AND HAVE BEEN GIVEN CYCLOBENZAPRINE, 10 MG. FOR MUSCLE SPASMS IN MY SHOULDER AND UPPER BACK, ...

Q: So this may be totally normal but im not sure. So im 4 months postpartum. I stopped breastfeeding at the beginning of...

Q: I am concerned about having ascites. I have been a heavy drinker for a number of years. I had acute alcoholic hepatit...

 


DOCTOR ADVISORY BOARD
218

Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician
173

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician
138

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist
98

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon
CNN
BBC
MSNBC
CBS
abcNews
FoxNews