Posted by: BMJ | 2011/01/05

Throat problems

Doc, my 7 year old son has developed what seems to be a swallowing problem. It started around 6 weeks ago. He seemed to clear his throat a lot and ''choke'' on food. He needed to swallow a lot of liquid with food the get the food down. He does not have any pain. It seemed to get more and more noticable. Unfortunately our ENT was out of town and we then also went away. Some days he seems ok. He does not clear his throat anymore but he stll seems to have difficulty swallowing. He hold his neck and looks down when he swallows. He insits he has no pain. He is very healthy. His tonsils and adenoids are out. He has a husky voice that seems even huskier than normal now. He does not have a pnd. What on earth could be wrong?

Thank you

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Our expert says:
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Dear BMJ

It is impossible to comment in this case without a thorough examination. You need to see your ENT as soon as you are back, as the change in voice implies a possible connection to the laryngeal area. He will require an examination of the glottis, and other possible ways to examine the swallowing mechanism, or to image the throat/ esofagus. This may include a barium swallow, if your doctor sees the need for that. It would be important to find a reason for the problem in his case.


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