Can silent reflux increase throat sensitivity ? Because I can feel even a tiny, unchewed piece of cookie in my throat after swallowing

Hello, I'm 21 years and I have had symptoms for 1.5 years. At the moment I am taking Gaviscon in the evening, I don't know if it helps me even though I don't have heartburn or regurgitation. I only eat smooth textures and I can drink liquids.

Symptoms:

  • I get a sensation of food stuck in my throat after swallowing (not with smooth textures).
  • When I drink a soda like coke zero, I get saliva in my mouth right after a sip; it’s the same with chocolate cake, for example. It leaves me with thick saliva after swallowing.
  • I no longer know how to form a food bolus and swallow automatically.
  • Sometimes, for example with mashed potatoes, when I bring them to the back of my throat, I have a blockage preventing me from swallowing for 1-2 seconds.
  • I often have mucus and sometimes phlegm, but more often in winter.
  • When I wake up, I have a bit of mucus in my throat.
  • I sometimes have gurgling sounds in my throat.
  • I can't swallow pills; I'm afraid to swallow them.

Test results:

  • Normal upper endoscopy and normal biopsies.
  • Normal FEES (I ate applesauce and soft cake).
  • Normal barium swallow.
  • Normal brain MRI.

High-resolution esophageal manometry:

Esophagogastric Junction

  • Proximal LES position (from the nostril): 44.3 cm
  • LES length: 2.6 cm (Normal: 2.7–4.8 cm)
  • Esophageal length (UES-LES): 25.7 cm
  • Intra‑abdominal LES length: 0.0 cm
  • Hiatal hernia: Yes, 1.1 cm

Pressures LES

  • Basal pressure (mean, respiratory): –7.7 mmHg Normal: 13–43 mmHg
  • Residual pressure (mean): –2.2 mmHg Normal: <15 mmHg

Pressures UES

  • Basal pressure (mmHg): 136.9 Normal: 34–104 mmHg
  • Residual pressure (mmHg): 3.0 Normal: <12 mmHg

Pharyngeal / UES Motility

  • Number of swallows evaluated: 10
  • Levels evaluated: 2.0 cm and 3.0 cm above the UES
  • Average peak pressure: 7.0 mmHg

Esophageal Motility

  • % failed: 10
  • % weak: 10
  • % ineffective: 20
  • % pan‑esophageal pressurization: 0
  • % premature contractions: 0
  • % fragmented: 0
  • % intact: 80
  • Number of hypercontractile swallows: 0
  • Distal latency: 8.0
  • Distal Contractile Integral (mean): 703.4 (mmHg·cm·s) (Normal: 500–5000 mmHg·cm·s)
  • Distal Contractile Integral (max): 1385.2 (mmHg·cm·s)
  • Contraction front velocity: 4.0 (cm/s) (Normal: <9.0)

Intensity of Esophageal Contractions

  • Normal peristalsis (DCI 450–8000 mmHg·cm·s): 80%
  • Weak peristalsis (DCI 100–450): 10%
  • Absent peristalsis (DCI < 100): 10%
  • Hypercontractile contractions (DCI > 8000): 0%

Morphology of Esophageal Contractions

  • Normal contractions: 90%
  • Premature contractions: 0%
  • Fragmented contractions (defects ≥ 5 cm with DCI > 450): 0%
  • Pan‑esophageal pressurization: 0%
reddit.com
u/AutomaticAnywhere204 — 3 days ago

21M – LES weak and hiatal hernia 1cm. I'm screwed?

Hello, I'm 21 years and I have had symptoms for 1.5 years. At the moment I am taking Gaviscon in the evening, I don't know if it helps me even though I don't have heartburn or regurgitation. I only eat smooth textures and I can drink liquids.

Symptoms:

  • I get a sensation of food stuck in my throat after swallowing (not with smooth textures).
  • When I drink a soda like coke zero, I get saliva in my mouth right after a sip; it’s the same with chocolate cake, for example. It leaves me with thick saliva after swallowing.
  • I no longer know how to form a food bolus and swallow automatically.
  • Sometimes, for example with mashed potatoes, when I bring them to the back of my throat, I have a blockage preventing me from swallowing for 1-2 seconds.
  • I often have mucus and sometimes phlegm, but more often in winter.
  • When I wake up, I have a bit of mucus in my throat.
  • I sometimes have gurgling sounds in my throat.
  • I can't swallow pills; I'm afraid to swallow them.

Test results:

  • Normal upper endoscopy and normal biopsies.
  • Normal FEES (I ate applesauce and soft cake).
  • Normal barium swallow.
  • Normal brain MRI.

High-resolution esophageal manometry:

Esophagogastric Junction

  • Proximal LES position (from the nostril): 44.3 cm
  • LES length: 2.6 cm (Normal: 2.7–4.8 cm)
  • Esophageal length (UES-LES): 25.7 cm
  • Intra‑abdominal LES length: 0.0 cm
  • Hiatal hernia: Yes, 1.1 cm

Pressures LES

  • Basal pressure (mean, respiratory): –7.7 mmHg Normal: 13–43 mmHg
  • Residual pressure (mean): –2.2 mmHg Normal: <15 mmHg

Pressures UES

  • Basal pressure (mmHg): 136.9 Normal: 34–104 mmHg
  • Residual pressure (mmHg): 3.0 Normal: <12 mmHg

Pharyngeal / UES Motility

  • Number of swallows evaluated: 10
  • Levels evaluated: 2.0 cm and 3.0 cm above the UES
  • Average peak pressure: 7.0 mmHg

Esophageal Motility

  • % failed: 10
  • % weak: 10
  • % ineffective: 20
  • % pan‑esophageal pressurization: 0
  • % premature contractions: 0
  • % fragmented: 0
  • % intact: 80
  • Number of hypercontractile swallows: 0
  • Distal latency: 8.0
  • Distal Contractile Integral (mean): 703.4 (mmHg·cm·s) (Normal: 500–5000 mmHg·cm·s)
  • Distal Contractile Integral (max): 1385.2 (mmHg·cm·s)
  • Contraction front velocity: 4.0 (cm/s) (Normal: <9.0)

Intensity of Esophageal Contractions

  • Normal peristalsis (DCI 450–8000 mmHg·cm·s): 80%
  • Weak peristalsis (DCI 100–450): 10%
  • Absent peristalsis (DCI < 100): 10%
  • Hypercontractile contractions (DCI > 8000): 0%

Morphology of Esophageal Contractions

  • Normal contractions: 90%
  • Premature contractions: 0%
  • Fragmented contractions (defects ≥ 5 cm with DCI > 450): 0%
  • Pan‑esophageal pressurization: 0%
reddit.com
u/AutomaticAnywhere204 — 8 days ago
▲ 2 r/GERD

21M – LES weak and hiatal hernia 1cm. I'm screwed?

Hello, I'm 21 years and I have had symptoms for 1.5 years. At the moment I am taking Gaviscon in the evening, I don't know if it helps me even though I don't have heartburn or regurgitation. I only eat smooth textures and I can drink liquids.

Symptoms:

  • I get a sensation of food stuck in my throat after swallowing (not with smooth textures).
  • When I drink a soda like coke zero, I get saliva in my mouth right after a sip; it’s the same with chocolate cake, for example. It leaves me with thick saliva after swallowing.
  • I no longer know how to form a food bolus and swallow automatically.
  • Sometimes, for example with mashed potatoes, when I bring them to the back of my throat, I have a blockage preventing me from swallowing for 1-2 seconds.
  • I often have mucus and sometimes phlegm, but more often in winter.
  • When I wake up, I have a bit of mucus in my throat.
  • I sometimes have gurgling sounds in my throat.
  • I can't swallow pills; I'm afraid to swallow them.

Test results:

  • Normal upper endoscopy and normal biopsies.
  • Normal FEES (I ate applesauce and soft cake).
  • Normal barium swallow.
  • Normal brain MRI.

High-resolution esophageal manometry:

Esophagogastric Junction

  • Proximal LES position (from the nostril): 44.3 cm
  • LES length: 2.6 cm (Normal: 2.7–4.8 cm)
  • Esophageal length (UES-LES): 25.7 cm
  • Intra‑abdominal LES length: 0.0 cm
  • Hiatal hernia: Yes, 1.1 cm

Pressures LES

  • Basal pressure (mean, respiratory): –7.7 mmHg Normal: 13–43 mmHg
  • Residual pressure (mean): –2.2 mmHg Normal: <15 mmHg

Pressures UES

  • Basal pressure (mmHg): 136.9 Normal: 34–104 mmHg
  • Residual pressure (mmHg): 3.0 Normal: <12 mmHg

Pharyngeal / UES Motility

  • Number of swallows evaluated: 10
  • Levels evaluated: 2.0 cm and 3.0 cm above the UES
  • Average peak pressure: 7.0 mmHg

Esophageal Motility

  • % failed: 10
  • % weak: 10
  • % ineffective: 20
  • % pan‑esophageal pressurization: 0
  • % premature contractions: 0
  • % fragmented: 0
  • % intact: 80
  • Number of hypercontractile swallows: 0
  • Distal latency: 8.0
  • Distal Contractile Integral (mean): 703.4 (mmHg·cm·s) (Normal: 500–5000 mmHg·cm·s)
  • Distal Contractile Integral (max): 1385.2 (mmHg·cm·s)
  • Contraction front velocity: 4.0 (cm/s) (Normal: <9.0)

Intensity of Esophageal Contractions

  • Normal peristalsis (DCI 450–8000 mmHg·cm·s): 80%
  • Weak peristalsis (DCI 100–450): 10%
  • Absent peristalsis (DCI < 100): 10%
  • Hypercontractile contractions (DCI > 8000): 0%

Morphology of Esophageal Contractions

  • Normal contractions: 90%
  • Premature contractions: 0%
  • Fragmented contractions (defects ≥ 5 cm with DCI > 450): 0%
  • Pan‑esophageal pressurization: 0%
reddit.com
u/AutomaticAnywhere204 — 8 days ago
▲ 11 r/LPR

Why is it that after a sip of soda, whether sweetened or not, I get mucus right after swallowing? The same thing happens with chocolate cake.

reddit.com
u/AutomaticAnywhere204 — 10 days ago

Is it acid reflux ? I think I'm cooked.

Hello, I'm 21 years and I have had symptoms for 1.5 years. At the moment I am taking Gaviscon in the evening, I don't know if it helps me even though I don't have heartburn or regurgitation. I only eat smooth textures and I can drink liquids.

Symptoms:

  • I get a sensation of food stuck in my throat after swallowing (not with smooth textures).
  • When I drink a soda like coke zero, I get saliva in my mouth right after a sip; it’s the same with chocolate cake, for example. It leaves me with thick saliva after swallowing.
  • I no longer know how to form a food bolus and swallow automatically.
  • Sometimes, for example with mashed potatoes, when I bring them to the back of my throat, I have a blockage preventing me from swallowing for 1-2 seconds.
  • I often have mucus and sometimes phlegm, but more often in winter.
  • When I wake up, I have a bit of mucus in my throat.
  • I sometimes have gurgling sounds in my throat.
  • I can't swallow pills; I'm afraid to swallow them.

Test results:

  • Normal upper endoscopy and normal biopsies.
  • Normal FEES (I ate applesauce and soft cake).
  • Normal barium swallow.
  • Normal brain MRI.

High-resolution esophageal manometry:

Esophagogastric Junction

  • Proximal LES position (from the nostril): 44.3 cm
  • LES length: 2.6 cm (Normal: 2.7–4.8 cm)
  • Esophageal length (UES-LES): 25.7 cm
  • Intra‑abdominal LES length: 0.0 cm
  • Hiatal hernia: Yes, 1.1 cm

Pressures LES

  • Basal pressure (mean, respiratory): –7.7 mmHg Normal: 13–43 mmHg
  • Residual pressure (mean): –2.2 mmHg Normal: <15 mmHg

Pressures UES

  • Basal pressure (mmHg): 136.9 Normal: 34–104 mmHg
  • Residual pressure (mmHg): 3.0 Normal: <12 mmHg

Pharyngeal / UES Motility

  • Number of swallows evaluated: 10
  • Levels evaluated: 2.0 cm and 3.0 cm above the UES
  • Average peak pressure: 7.0 mmHg

Esophageal Motility

  • % failed: 10
  • % weak: 10
  • % ineffective: 20
  • % pan‑esophageal pressurization: 0
  • % premature contractions: 0
  • % fragmented: 0
  • % intact: 80
  • Number of hypercontractile swallows: 0
  • Distal latency: 8.0
  • Distal Contractile Integral (mean): 703.4 (mmHg·cm·s) (Normal: 500–5000 mmHg·cm·s)
  • Distal Contractile Integral (max): 1385.2 (mmHg·cm·s)
  • Contraction front velocity: 4.0 (cm/s) (Normal: <9.0)

Intensity of Esophageal Contractions

  • Normal peristalsis (DCI 450–8000 mmHg·cm·s): 80%
  • Weak peristalsis (DCI 100–450): 10%
  • Absent peristalsis (DCI < 100): 10%
  • Hypercontractile contractions (DCI > 8000): 0%

Morphology of Esophageal Contractions

  • Normal contractions: 90%
  • Premature contractions: 0%
  • Fragmented contractions (defects ≥ 5 cm with DCI > 450): 0%
  • Pan‑esophageal pressurization: 0%
reddit.com
u/AutomaticAnywhere204 — 11 days ago
▲ 4 r/GERD

Is it acid reflux ? I think I'm cooked.

Hello, I'm 21 years and I have had symptoms for 1.5 years. At the moment I am taking Gaviscon in the evening, I don't know if it helps me even though I don't have heartburn or regurgitation. I only eat smooth textures and I can drink liquids.

Symptoms:

  • I get a sensation of food stuck in my throat after swallowing (not with smooth textures).
  • When I drink a soda like coke zero, I get saliva in my mouth right after a sip; it’s the same with chocolate cake, for example. It leaves me with thick saliva after swallowing.
  • I no longer know how to form a food bolus and swallow automatically.
  • Sometimes, for example with mashed potatoes, when I bring them to the back of my throat, I have a blockage preventing me from swallowing for 1-2 seconds.
  • I often have mucus and sometimes phlegm, but more often in winter.
  • When I wake up, I have a bit of mucus in my throat.
  • I sometimes have gurgling sounds in my throat.
  • I can't swallow pills; I'm afraid to swallow them.

Test results:

  • Normal upper endoscopy and normal biopsies.
  • Normal FEES (I ate applesauce and soft cake).
  • Normal barium swallow.
  • Normal brain MRI.

High-resolution esophageal manometry:

Esophagogastric Junction

  • Proximal LES position (from the nostril): 44.3 cm
  • LES length: 2.6 cm (Normal: 2.7–4.8 cm)
  • Esophageal length (UES-LES): 25.7 cm
  • Intra‑abdominal LES length: 0.0 cm
  • Hiatal hernia: Yes, 1.1 cm

Pressures LES

  • Basal pressure (mean, respiratory): –7.7 mmHg Normal: 13–43 mmHg
  • Residual pressure (mean): –2.2 mmHg Normal: <15 mmHg

Pressures UES

  • Basal pressure (mmHg): 136.9 Normal: 34–104 mmHg
  • Residual pressure (mmHg): 3.0 Normal: <12 mmHg

Pharyngeal / UES Motility

  • Number of swallows evaluated: 10
  • Levels evaluated: 2.0 cm and 3.0 cm above the UES
  • Average peak pressure: 7.0 mmHg

Esophageal Motility

  • % failed: 10
  • % weak: 10
  • % ineffective: 20
  • % pan‑esophageal pressurization: 0
  • % premature contractions: 0
  • % fragmented: 0
  • % intact: 80
  • Number of hypercontractile swallows: 0
  • Distal latency: 8.0
  • Distal Contractile Integral (mean): 703.4 (mmHg·cm·s) (Normal: 500–5000 mmHg·cm·s)
  • Distal Contractile Integral (max): 1385.2 (mmHg·cm·s)
  • Contraction front velocity: 4.0 (cm/s) (Normal: <9.0)

Intensity of Esophageal Contractions

  • Normal peristalsis (DCI 450–8000 mmHg·cm·s): 80%
  • Weak peristalsis (DCI 100–450): 10%
  • Absent peristalsis (DCI < 100): 10%
  • Hypercontractile contractions (DCI > 8000): 0%

Morphology of Esophageal Contractions

  • Normal contractions: 90%
  • Premature contractions: 0%
  • Fragmented contractions (defects ≥ 5 cm with DCI > 450): 0%
  • Pan‑esophageal pressurization: 0%
reddit.com
u/AutomaticAnywhere204 — 12 days ago
▲ 2 r/LPR

Is it LPR? I think I'm cooked.

Hello, I'm 21 years and I have had symptoms for 1.5 years. At the moment I am taking Gaviscon in the evening, I don't know if it helps me even though I don't have heartburn or regurgitation. I only eat smooth textures and I can drink liquids.

Symptoms:

  • I get a sensation of food stuck in my throat after swallowing (not with smooth textures).
  • When I drink a soda like coke zero, I get saliva in my mouth right after a sip; it’s the same with chocolate cake, for example. It leaves me with thick saliva after swallowing.
  • I no longer know how to form a food bolus and swallow automatically.
  • Sometimes, for example with mashed potatoes, when I bring them to the back of my throat, I have a blockage preventing me from swallowing for 1-2 seconds.
  • I often have mucus and sometimes phlegm, but more often in winter.
  • When I wake up, I have a bit of mucus in my throat.
  • I sometimes have gurgling sounds in my throat.
  • I can't swallow pills; I'm afraid to swallow them.

Test results:

  • Normal upper endoscopy and normal biopsies.
  • Normal FEES (I ate applesauce and soft cake).
  • Normal barium swallow.
  • Normal brain MRI.

High-resolution esophageal manometry:

Esophagogastric Junction

  • Proximal LES position (from the nostril): 44.3 cm
  • LES length: 2.6 cm (Normal: 2.7–4.8 cm)
  • Esophageal length (UES-LES): 25.7 cm
  • Intra‑abdominal LES length: 0.0 cm
  • Hiatal hernia: Yes, 1.1 cm

Pressures LES

  • Basal pressure (mean, respiratory): –7.7 mmHg Normal: 13–43 mmHg
  • Residual pressure (mean): –2.2 mmHg Normal: <15 mmHg

Pressures UES

  • Basal pressure (mmHg): 136.9 Normal: 34–104 mmHg
  • Residual pressure (mmHg): 3.0 Normal: <12 mmHg

Pharyngeal / UES Motility

  • Number of swallows evaluated: 10
  • Levels evaluated: 2.0 cm and 3.0 cm above the UES
  • Average peak pressure: 7.0 mmHg

Esophageal Motility

  • % failed: 10
  • % weak: 10
  • % ineffective: 20
  • % pan‑esophageal pressurization: 0
  • % premature contractions: 0
  • % fragmented: 0
  • % intact: 80
  • Number of hypercontractile swallows: 0
  • Distal latency: 8.0
  • Distal Contractile Integral (mean): 703.4 (mmHg·cm·s) (Normal: 500–5000 mmHg·cm·s)
  • Distal Contractile Integral (max): 1385.2 (mmHg·cm·s)
  • Contraction front velocity: 4.0 (cm/s) (Normal: <9.0)

Intensity of Esophageal Contractions

  • Normal peristalsis (DCI 450–8000 mmHg·cm·s): 80%
  • Weak peristalsis (DCI 100–450): 10%
  • Absent peristalsis (DCI < 100): 10%
  • Hypercontractile contractions (DCI > 8000): 0%

Morphology of Esophageal Contractions

  • Normal contractions: 90%
  • Premature contractions: 0%
  • Fragmented contractions (defects ≥ 5 cm with DCI > 450): 0%
  • Pan‑esophageal pressurization: 0%
reddit.com
u/AutomaticAnywhere204 — 12 days ago

Head &amp; Shoulders a good shampoo ?

My scalp gets a little oily the day after washing, and I have very fine flakes of dandruff that I can feel when I run my fingers over it. I recently started using Head & Shoulders shampoo and I was wondering if I can use it every day ? Or should I alternate with a gentle shampoo ?

reddit.com
u/AutomaticAnywhere204 — 15 days ago

Head &amp; Shoulders bad for the scalp ?

Hello (21M), my scalp gets a little oily the day after I wash my hair, and when I run my fingers through it, I notice tiny flakes on my scalp. I recently started using head & shoulders, but I've seen negative reviews about it. Is it actually a bad shampoo for your hair ?

reddit.com
u/AutomaticAnywhere204 — 15 days ago
▲ 3 r/LPR

21M - I often have mucus forming in my throat and a sensation of food being stuck in my throat after swallowing.

Symptoms:

  • If I eat solid food, I have to chew it thoroughly to avoid the sensation in my throat (I don't have a problem with smooth textures or liquids).
  • I no longer know how to form a food bolus and swallow automatically.
  • The sensation of food being stuck in the throat right after swallowing.
  • I often have mucus and sometimes phlegm, but more often in winter.
  • I sometimes have gurgling sounds in my throat.

Test results:

  • Normal upper endoscopy and normal biopsies.
  • Normal FEES (I ate applesauce and soft cake).
  • Normal barium swallow.
  • Normal brain MRI.

High-resolution esophageal manometry:

Esophagogastric Junction

  • Proximal LES position (from the nostril): 44.3 cm
  • LES length: 2.6 cm (Normal: 2.7–4.8 cm)
  • Esophageal length (UES-LES): 25.7 cm
  • Intra‑abdominal LES length: 0.0 cm
  • Hiatal hernia: Yes, 1.1 cm

Pressures LES

  • Basal pressure (mean, respiratory): –7.7 mmHg Normal: 13–43 mmHg
  • Residual pressure (mean): –2.2 mmHg Normal: <15 mmHg

Pressures UES

  • Basal pressure (mmHg): 136.9 Normal: 34–104 mmHg
  • Residual pressure (mmHg): 3.0 Normal: <12 mmHg

Pharyngeal / UES Motility

  • Number of swallows evaluated: 10
  • Levels evaluated: 2.0 cm and 3.0 cm above the UES
  • Average peak pressure: 7.0 mmHg

Esophageal Motility

  • % failed: 10
  • % weak: 10
  • % ineffective: 20
  • % pan‑esophageal pressurization: 0
  • % premature contractions: 0
  • % fragmented: 0
  • % intact: 80
  • Number of hypercontractile swallows: 0
  • Distal latency: 8.0
  • Distal Contractile Integral (mean): 703.4 (mmHg·cm·s) (Normal: 500–5000 mmHg·cm·s)
  • Distal Contractile Integral (max): 1385.2 (mmHg·cm·s)
  • Contraction front velocity: 4.0 (cm/s) (Normal: <9.0)

Intensity of Esophageal Contractions

  • Normal peristalsis (DCI 450–8000 mmHg·cm·s): 80%
  • Weak peristalsis (DCI 100–450): 10%
  • Absent peristalsis (DCI < 100): 10%
  • Hypercontractile contractions (DCI > 8000): 0%

Morphology of Esophageal Contractions

  • Normal contractions: 90%
  • Premature contractions: 0%
  • Fragmented contractions (defects ≥ 5 cm with DCI > 450): 0%
  • Pan‑esophageal pressurization: 0%
reddit.com
u/AutomaticAnywhere204 — 1 month ago

21M - How can I be sure it's just a sensation or if food is really getting stuck in my throat? This has been going on for 1 year and 5 months.

Symptoms:

  • If I eat solid food, I have to chew it thoroughly to avoid the sensation in my throat (I don't have a problem with smooth textures or liquids).
  • I no longer know how to form a food bolus and swallow automatically.
  • The sensation of food being stuck in the throat right after swallowing.
  • I often have mucus and sometimes phlegm, but more often in winter.

Test results:

  • Normal upper endoscopy and normal biopsies.
  • Normal FEES (I ate applesauce and soft cake).
  • Normal barium swallow.
  • Normal brain MRI.

High-resolution esophageal manometry:

Esophagogastric Junction

  • Proximal LES position (from the nostril): 44.3 cm
  • LES length: 2.6 cm (Normal: 2.7–4.8 cm)
  • Esophageal length (UES-LES): 25.7 cm
  • Intra‑abdominal LES length: 0.0 cm
  • Hiatal hernia: Yes, 1.1 cm

Pressures LES

  • Basal pressure (mean, respiratory): –7.7 mmHg Normal: 13–43 mmHg
  • Residual pressure (mean): –2.2 mmHg Normal: <15 mmHg

Pressures UES

  • Basal pressure (mmHg): 136.9 Normal: 34–104 mmHg
  • Residual pressure (mmHg): 3.0 Normal: <12 mmHg

Pharyngeal / UES Motility

  • Number of swallows evaluated: 10
  • Levels evaluated: 2.0 cm and 3.0 cm above the UES
  • Average peak pressure: 7.0 mmHg

Esophageal Motility

  • % failed: 10
  • % weak: 10
  • % ineffective: 20
  • % pan‑esophageal pressurization: 0
  • % premature contractions: 0
  • % fragmented: 0
  • % intact: 80
  • Number of hypercontractile swallows: 0
  • Distal latency: 8.0
  • Distal Contractile Integral (mean): 703.4 (mmHg·cm·s) (Normal: 500–5000 mmHg·cm·s)
  • Distal Contractile Integral (max): 1385.2 (mmHg·cm·s)
  • Contraction front velocity: 4.0 (cm/s) (Normal: <9.0)

Intensity of Esophageal Contractions

  • Normal peristalsis (DCI 450–8000 mmHg·cm·s): 80%
  • Weak peristalsis (DCI 100–450): 10%
  • Absent peristalsis (DCI < 100): 10%
  • Hypercontractile contractions (DCI > 8000): 0%

Morphology of Esophageal Contractions

  • Normal contractions: 90%
  • Premature contractions: 0%
  • Fragmented contractions (defects ≥ 5 cm with DCI > 450): 0%
  • Pan‑esophageal pressurization: 0%
reddit.com
u/AutomaticAnywhere204 — 1 month ago

21M - I've had a sensation of food stuck in my throat after swallowing for over a year. What do you think I have?

Symptoms:

  • If I eat solid food, I have to chew it thoroughly to avoid the sensation in my throat (I don't have a problem with smooth textures or liquids).
  • I no longer know how to form a food bolus and swallow automatically.
  • The sensation of food being stuck in the throat right after swallowing.
  • I often have mucus and sometimes phlegm, but more often in winter.

Test results:

  • Normal upper endoscopy and normal biopsies.
  • Normal FEES (I ate applesauce and soft cake).
  • Normal barium swallow.
  • Normal brain MRI.

High-resolution esophageal manometry:

Esophagogastric Junction

  • Proximal LES position (from the nostril): 44.3 cm
  • LES length: 2.6 cm (Normal: 2.7–4.8 cm)
  • Esophageal length (UES-LES): 25.7 cm
  • Intra‑abdominal LES length: 0.0 cm
  • Hiatal hernia: Yes, 1.1 cm

Pressures LES

  • Basal pressure (mean, respiratory): –7.7 mmHg Normal: 13–43 mmHg
  • Residual pressure (mean): –2.2 mmHg Normal: <15 mmHg

Pressures UES

  • Basal pressure (mmHg): 136.9 Normal: 34–104 mmHg
  • Residual pressure (mmHg): 3.0 Normal: <12 mmHg

Pharyngeal / UES Motility

  • Number of swallows evaluated: 10
  • Levels evaluated: 2.0 cm and 3.0 cm above the UES
  • Average peak pressure: 7.0 mmHg

Esophageal Motility

  • % failed: 10
  • % weak: 10
  • % ineffective: 20
  • % pan‑esophageal pressurization: 0
  • % premature contractions: 0
  • % fragmented: 0
  • % intact: 80
  • Number of hypercontractile swallows: 0
  • Distal latency: 8.0
  • Distal Contractile Integral (mean): 703.4 (mmHg·cm·s) (Normal: 500–5000 mmHg·cm·s)
  • Distal Contractile Integral (max): 1385.2 (mmHg·cm·s)
  • Contraction front velocity: 4.0 (cm/s) (Normal: <9.0)

Intensity of Esophageal Contractions

  • Normal peristalsis (DCI 450–8000 mmHg·cm·s): 80%
  • Weak peristalsis (DCI 100–450): 10%
  • Absent peristalsis (DCI < 100): 10%
  • Hypercontractile contractions (DCI > 8000): 0%

Morphology of Esophageal Contractions

  • Normal contractions: 90%
  • Premature contractions: 0%
  • Fragmented contractions (defects ≥ 5 cm with DCI > 450): 0%
  • Pan‑esophageal pressurization: 0%
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u/AutomaticAnywhere204 — 1 month ago