Swallowing Difficulty (Dysphagia): What Causes It and When Should You Be Concerned? Most people swallow hundreds of times every day without noticing. When swallowing becomes uncomfortable, difficult or feels abnormal, it can quickly affect eating, drinking and quality of life. Some patients describe food “sticking” in the throat, while others notice coughing during meals, discomfort swallowing tablets or a persistent sensation of tightness in the throat. The medical term for swallowing difficulty is dysphagia . Swallowing problems can range from mild irritation to more significant conditions requiring specialist investigation. This article explains common causes of dysphagia, symptoms to look out for and when to seek ENT assessment. What is dysphagia? Dysphagia means difficulty swallowing. It may involve problems with: Swallowing solids Swallowing liquids Initiating a swallow Sensation of food sticking Pain during swallowing Coughing or choking while eating Symptoms ...
What to do if your child has a neck lump? Neck lumps can be due to enlarged lymph nodes, birth cysts or lumps or (only 10%) malignancy. When you notice a neck lump in a child, consider the presentation's age. Is the child getting associated B symptoms, i.e. night sweats, fever, unexplained weight loss, fatigue, loss of appetite, trouble breathing, itching or painful swelling in their belly? Note down any recent exposure to a person with flu-like symptoms, a young cat or any change in size or neck lumps becoming multiple. What happens when you visit an ENT surgeon with your child? The ENT surgeon will take a detailed history and perform a clinical examination of the tummy, ear, nose and throat. The ENT surgeon will request special blood tests, a chest X-Ray and an Ultrasound scan of the neck. Depending on the results, it may be required to do a sample surgical biopsy of the lymph node in a few cases. Which lymph node neck lumps in children are ENT surgeons more concerned ab...