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difficulty swallowing?
Jan 5, 2006

I recently developed a strange symptom. It started about a week ago, a few days after I had a cold (no fever, just runny nose and congestion, it went away in a couple of days). I have this sensation like there is something stuck in the back of my throat. While it has not prevented me from eating and I have not had difficulty breathing, it still bothers me. Sometimes it's not there, usually in the mornings when I wake up I dont feel it. Then as I start going about my day, it starts again. It feels right below my Adam's apple, to the back of my throat. One day I got so scared I went to the ER; the doctor said he was not concerned as I had no difficulty breathing, my voice was normal and I was not drooling. He did two X-rays that showed nothing out of the ordinary. However, the sensation is still there and it comes and goes during the day.

I am in good health, viral load undetectable, CD4 around 850. Please, any ideas?

Response from Dr. Henry

Standard X-rays and exams can miss problems in the esophagus or posterior pharynx. I suggest discussing with your HIV specialist whether a good ENT examination, barium swallow of upper endoscopy would be apppropriate to evaluate your dysphagia. Unlikely to be HIV or antiretroviral therapy related given your overall good HIV status. KH

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