u/Imaginary-Survey884

Chronic swallowing issues and locking sensation after appendectomy / intubation

Hi everyone, I’ve been dealing with a swallowing issue for the past 4 years that is ruining my social life, and I really need some advice.
It all started after an appendectomy 4 years ago (general anesthesia and intubation). Right after surgery, my body started producing excessive saliva, and I couldn't swallow it, so I had to spit into tissues for months. Over time, my ability to swallow solid food improved; I can now eat large bites without any issues. However, the problem persists with liquids.
Whenever I take a large gulp of water, soda, or alcohol, I feel a mechanical lock in my throat. It feels as if a valve or hatch slams shut, and I cannot push the liquid down. I have to hold the liquid in my mouth for a while until it slowly goes down.
Strangely, this is much milder when I am home alone, but it peaks when I am out with friends or in crowded social settings. Sometimes when eating out, I can't even swallow the last bite of my food and have to spit it into a napkin. My heart doesn't race and my hands don't sweat—it doesn't feel like a classic panic attack or anxiety. It feels entirely like a mechanical failure.
Could this be cricopharyngeal dysfunction (R-CPD) or a nerve/muscle coordination issue caused by intubation trauma? Has anyone experienced something similar after surgery and found relief through Botox or other treatments? I am planning to see an ENT doctor soon, but I would love to hear your experiences. Thanks!

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u/Imaginary-Survey884 — 5 days ago