Swallowing Trouble 101 

Wow, this is one of the best and informative videos I have ever seen on RU-vid. Excellent presentation by Dr. Bastian! Great explanation of a complex subject in a patient and calm manner. Thank you!

I think part of my problem swallowing, is anxiety related, because I tend to find it alot easier to eat food after a stiff drop of Gin.

Very good, clear explanation given in an excellent manner. Thanks !

The best explanation of swallowing problems I have come across. After Radio Therapy to the neck for cancer, I have been left with choking on foods for 5 years. The only thing is, I'm not in a hurry for the surgery you have recommended, but thank you for an excellent presentation using your model and knowledge. Priceless!

Thank you doctor! This has been helpful. The anxiety of food getting stuck has been unbearable. I have a doctors appointment and hopefully referred to an ENT.

You are amazing doctor, we all appreciate you.

I anxiety of food getting stuck has been nightmare for me for years now, every time i go to a doctor they tell me you are just fine and they couldn't know my issue nether i don't know but now watching this, i am almost 99% sure this is my issue ( Catcher opener ). sometimes i can eat everything go fine and another time i feel food get stuck in the middle down of my trout that will make my breath difficult ... thanks you Dr. Robert i Love you

I am from Ethiopia decades whth this swallowing problem. I liked and appreciate the way u teach, how u introduce and summerize so that non-medical men like me could understand the lesson. You are intellgent and in deed made me things cleared.

Excellent information delivered in a clear and concise manner, thank you!

When I went to my last check on my swallowing it was to drink something and just swallow,an e ray. After the the e ray in swallowing, she told me there was nothing they could do, this was on 2022, before I left to move to Texas, I’m was in California. She said I’d they would open something in May throat, I didn’t know what she meant. But, if they would open the part for me to swallow , that would not be good, because I would always be just throwing up my food, and cause reaction to my etsofagous. So, I just left I didn’t want to do anything more. I still have problems swallowing soft and meat and bread and potatoes. But, thank you Doctor for your teaching. Appreciate you so much. God bless on blessing others. Diana

Thank you so much for sharing . I have this swallowing for couple years , no Dr. knew what 's wrong with me , now i can tell my Dr.

Thanks Doc!!!! you are awesome at explaining this stuff!!!!

Thank you so much Doctor. I have been searching for months and thank God you came along. Now i can talk to my Doctor Intelligently about my symptoms. They tell me it's all in my mind but the chocking and breathing problems are real. Again, thank you.

You are so great. No doctor could ever explain of why or some reasons. I was lucky I found you... I salute you!!💋💋💋💋💋

Thanks to you for a nice and easy way to explain the swallowing problem.I am a patient of myasthenia gravis and suffering a alot.Its helpful for me.

i've recently discovered this weird sensation in my throat when i swallow where it feels like stuff is still there.... LET ME TELL YOU... it's just a sensation and nothing is actually there. It happens when I think about it then a few minutes after eating it passes. I don't know if its a fear of choking or vomiting or what but it's deff real. Just know your mind can play tricks on you

Dr., thank you for sharing. This is a very informative video for patients and professionals.

Thank you sir. my insight on dysphagia eval and mngt has increased because of this video.

Thank you very much for sharing Dr.

Thank you very much Dr.

Thank you so much for the video doctor. This was very helpful.

muy clara y didactica la explicacion!

Thanks so much for this information. I've been looking for answers for a while and now understand that I have a "pitcher" problem. Every bit of information leads further to an understanding of what is going on. I have been tested by a few doctors who have not helped and I don't want to get another barium swallow and more radiation. I put an illustration of a swallow in my kitchen and try to focus on my epiglottis closing (which seems to be where the problem is). This seems to help. I also have found that holding my head slightly forward , chin down seems to help. I have not choked on water for five days now!

Thank you for this video. This has been a lot of help and a clear discription of the possible problems.

Thank you very much for the information

Thank you for your respond. I will consider surgery since my first cp dilation helped some but not very much with my swallowing.

Thank you Doctor!!

thank you. Dr. that was very helpful.

finest lecture doctor

Excellent presentation Dr!

# 1 video in youtube.....

Thank you very much for this excellent video

its good information thanks

thank you for the info .it really helps .

Thank you so much for explaining swallowing problems so brilliantly. Now finally I know how to try to handle my pushing problem.

Nice information.

Great way to describe it Dr. ..I was diagnosed with CP Achalasia and I just had one dilation but it didn't help much I hope surgery can.. I may even have it done by you :)

Thank you so much for this information. So informative & well explained :)

thank you you described something I think it is with me the catcher is where the problems lies. so thank you for taking away the terror for me until I can get to the hospital or doctor on monday and thank you for telling me what I can eat I know I can eat ice cream ok with out nuts or berries or chips of chocolate . I was in a bad car accident two years ago and broke the seventh vertebrae in my neck since then I have had a problem swallowing but lately it is very much worse. than you so much for your great video.

Thank you, doc! Great explanation It helps me a lot ❤

Yes this was very helpful thank you

Peace you have done Amazing job with the break down I must go get check out at times when I drink somethings its seams my life is over can't breathe

I just tried your method with warm tea and it worked! It was a little uncomfortable (the tea shot out of my nose), but the food went down. Thank you for this great video.

very well explained

I’m convinced that my throat is just too small for pills 😞

Thank you so much for your well done explanation. Why many doctors don't explain it your way? Instead, the doctor sended me to a room where I was given a white thick liquid ( that tasted like chalk). And took several X-rays while I was drinking it. At the end, they say that they couldn't see anything. Now they want me to have done an endoscopic. But, I am not doing that, neither surgery. The reality that problemis very mild and some times. So, I am running out of Kaiser's offices

Thanks for sharing this important video I know now that I will need surgery

1. A subset of ear, nose, and throat doctors (laryngologists) focus on swallowing. 2) a subset of speech pathologists evaluate and do behavioral counseling. 3) A small subset of GI doctors. Best bet is to call large ENT groups whether private or university-based and ask the triage nurse: "Does any of your physicians specialize in swallowing problems?"

You did a good job explaining....My 77 year old wife has a swaloowoinh problem in a nursing home. Another nursing home did a swallow studuy and took her off puree and on machanical soft diet and it seem wo work good but this new nursing home speech therapist changed her t all puree diet and my wife will not eat it very good because of the taste. What can we do? She is loosing her strength and loosing weight and no energy because obviously she will not eat properly.......

I have the catcher problem. ... thank you for the explanation.

Simple informative video well explaining calmly by Dr Bastian. Wish all lessons were presented in that calm manner for maximum digestion by the students!. Great stuff DR!

I found the info on the catcher very informative: solid foods like meat, pills and gummy breads, tend to get stuck at the cryco pharyngeal junction where a spincter is for opening up the esophagus and this can be fixed by myotomy overnight at a hospital.

Very helpful, thanks very much!

wow Thanks i been trying to describe this to my docs to no avail for years i also have reflux..my gate is stuffed as pills and food feels like it gets stuck...described perfectly here THANK YOU

I need serious help. I'm way to young to have swallowing problems, but I have anxiety when swallowing cause I might choke and I get a funny feeling near the end of my mouth. I haven't had a decent meal in weeks and I can't eat anything. At school I take one bite of my lunch and right now I have the choking feeling please help!

I had a swallowing problem for a long time nearly every night and I now drink plenty of water during the day and that has solved the problem,but if occasionally I don’t drink enough then It will come back. Water is amazing.

very good .

Thanks. Very informative and helpful👍.

i have a both problem in pitcher and catcher because i felt all the symptoms that indicated after i finished to watch the video and also i have a GERD disease. I change my lifestyle it comes to eating, I only eat fruits and vegetables.

Thank you

Good video information.

Thank you ❤

My sister has both of those problems right now. She is 66 and bedridden now with a lot of other health issues. She's had a hard time swallowing for years, but now she's in the hospital and her Dr says that her esophagus opening has the diameter size of a pencil eraser. 😢 For the past 3-4 years her doctor has been stretching (dilating) her esophagus every so often so she can eat, but now the Doctor is saying that there's nothing else they can do for her except put in a feeding tube. Her health is too poor for her to have surgery. Her weight has gone down to 140 lbs from 280 this past year. I'm afraid she's gonna die because she doesn't want to live with a feeding tube. Her doctor is saying that there is no other alternative. I'm holding on to hope and praying that something can be done for her. 🙏🙏😢 Thank you for this video!!

Great expanation. You Doctor explain this very well .Thank you .

Thank you so much Doctor -this was really informative - -just what I needed - brilliant stuff -

Thanks

I have a problem swallowing and it's happening a lot more lately. It's embarrassing in a restaurant when it happens. I know when it's going to happen, too. My throat seems to not be able to break up some food anymore. I try and swallow and the back of my throat fills up with phlegm (this happens after I have already swallowed the food). I panic and phlegm builds up in my throat and I have to spit it out in several napkins until the food that's lodged goes down the rest of my throat. I wish I could do something to correct it.

Very informative and helped me a lot! Thank you!

All of you with concerns should ask for a referral to a Speech Language pathologist that's specializes in swallowing disorders, or dysphagia. A true fear of swallowing is called phagophobia, and is related to anxiety. First, though you have to rule out a true swallowing problem.

Thank you very much for the explanation, I choke on food often and find anything dry very difficult. I have learned not to panic 😂❤

I noticed that i coughed and difficulty chewing my food before i swallowed and I also it hurt when swallowing the solid food down and I was told before no straw when drinking with straw

Yes I agree managing reflux is making simple steps. I wonder if reflux also causes CP Achalasia and or fish ingestion incident.

I feel like i have both of these problems as sometimes when i swallow my food or even saliva it feels like i am unable to fully complete the swallow and i fear that i may have aspirated it. I have suffered from GERD for a few years now but this swallowing issue started last year. The confusing part though is that i feel this odd esophageal spasm almost like a vibration in my chest(sometimes) BUT i relate to this video perfectly -.0

Great video I hope I never get this problem

Do hiatal hernias and the relative distance of the stomach confuse the muscles of swallowing? I started having swallowing tightness since getting GERD, and I suspect a hernia.

THANK YOU so much for the info. I have an appointment with an ear,nose throat on Friday to scope my throat I have bee having a chocking pro this is a bit different, in my case I chose I chock on my on spit I start to cough the what ever closes in my throat won't reopen making me gasping for any air I can get down. I saw the part were a Doctor may snip the thing open so [m not dying of not getting any air in. It gives me hope.

I have a dislocated hyoid bone, where it is pulled down and sitting on the thyroid cartilage, from a botched plastic surgery that surgeons are reluctant to concede even though one orthopedic doctor is certain just from palpating the area. Can a swallow test illustrate the action and position of the hyoid bone?

Nice work 👍

I was diagnosed with Eosinophilic Esophagitis. I ate something and had to go to the hospital (out of town). They got a Gastro doc to remove the food and do a dilation of my esophagus. There is a 6- food elimination diet. Remove thee ingredients and most often you are ok: milk, egg, wheat, soy, peanuts/treenuts, and seafood (fish/shellfish). I cut milk and tree nuts as non-essential things and got better. I decided to go vegan and added back tree nuts to my diet with no problems. Don't take Prilosec or any acid reducing drugs as they just make the doctor wealthy and reduce you calcium absorption.

What if it's not just a feeling of the catcher problem but it seems as though food is going past the opening into the esophagus and getting stuck inside of the esophagus almost as if the muscles inside of the esophagus are not pulling food down into the stomach and is causing a sensation of tightness on the left or right side of the throat and the pressure in the throat when breathing in?

Great info, thank you! You didn’t explain what cause this swallowing problem. When l speak my words are not clear. My doctor told me I may have had a mini stoke. He send me to a neurologist who send me to have an MRI. Of the brain and found nothing wrong. I going to see the neurologist next Monday 10th. 4 days from now. I will tell about this vidéo.

This is a problem that is probly overlooked after years ive been treated for everything but this ,never resolved , this is what i believe i need now ,great video ,but what occures that would of started this cituation in the first place.

This is all fine ,what happen and how to fix it stuff,BUT , What causes it,the origin of the problem is what I was looking for

Ty

Pls make video on How to treat laryngopharngeal reflux subsequent to hiatal hernia proton pump inhibitors doesnt work for me

I can't swollow my spit very well

A almost 4 years ago I was told I had stage 4 tongue cancer with 6 months to live... I had my tongue removed and got chemo/radiation haven't swallowed anything since April 2015 is it possible for me to relearn to swallow living on a feeding tube and cooking on spot it killing me where cancer failed

This deals only with the myotomy--or cutting of the cricopharyngeal . Now more people are getting it stretched (dilated)--no cutting, in-office procedure, with same benefits.

i think i have catcher problem. sometimes I swallow something in other to push the stuck food and that new thing , yeah does push it but it get stuck itself. cricopharyngeal myotomy cause bad breath?

I am 22 y.o have dysphagia at night more than at day And improve by antidepressant (cipralex).. Help me in diagnoses plz.

Would an endoscopy establish if its a pitcher or catcher problem?

I think I am expereincing the 'catcher' sphincter problem, however, mine has only occurred following a 'splinter' of some sort taken in with food at a cafe- that has been lodged in the back of my mouth tissues for over a year and a half now! I have been to several doctors, specialists, who are yet to even identify the foreign body. ( most likely a fine sliver of glass! not expected taken in with salad). I am at wits end with trying to get medical attention . to address. Why the ENT could not use a video endoscopy in the mouth to observe inflammation of tissues is beyond me, now I am experiencing more serious problems, that I would prefer they remove the foreign object first before operating to leaver the sphincter Open? Wouldn't that open you up to infection?

I have esophagitis. And every time I eat. I think about what if, Death. yes death. this video really help. I'm going to get the surgery soon. I think it's both pitcher and catcher.

Could a narrow upper jaw be a big cause for Dysphasia?

what happens to the food that went to breathing pipe n to chest

Do the tongue exercises help?

I’m 14 and I really need help here! I haven’t been able to swallow for about 10 months, when I got a stroke my whole left side of my body is like paralysed but I can move my leg and arm but they are super stiff when I move them or they spaz but my left side of my face can’t move but my eye can look around and I can close it but not close it like normal I can’t wink with my eye skin. I just want to swallow again ): the doctors find nothing. Help

i have a daily issue swollowing, its not the pitcher part but down deeper which must likely would be the catcher. i do drink around 3 diet cokes a day for years.. would the acid or maybe some reaction to the chemicals of the drink cause a throat issue like swelling.

i go for a esophagram and UGI next week i hope all is well for me i cant `get my food to gown down, when swollowing it feels like my throat is the size of a drinking straw

I think I definitely have a catcher problem. I can't swallow solids very well, but liquids and soft foods go down easy (like eggs, pudding, soft breads), but when I try to eat meat, cheese, chicken, etc it feels like I can't swallow it unless I tilt my head almost facing down and it goes down with ease. If I try to swallow normally (not tilting my head, it feels like I'm gonna choke on it and the gag reflex kicks in. Then after eating I feel like my throat is sore like I've been sick or something. I've been having this issue for almost a month now, I will be seeing my doctor next week.