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Are there medications for swallowing-difficulty?


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#1 rainbow

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Posted 19 September 2008 - 08:34 AM

Hi!
As you know I am new here.. and aksing a lot of questions. This time I wonder about the loss of muscle control of the Esophagus, which can cause difficulty swallowing. Are there any medications to help this? Can they stop it or give you the ability to swallow back? Or is the function gone for ever if it's gone?
Can anyone tell about their experiences with this exact problem?
Thanks, and have a nice weekend!

#2 canon

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Posted 19 September 2008 - 10:45 AM

Hi rainbow,

Yes there are many medications for different esophageal problems but you should have a doctor/GI doctor help you figure out what would be best for you with whatever difficulty you may be having. Sometimes the difficulty can be caused by lack of valve control, movement control or a combination of things and that's where doctors help the most. Helping you to figure out things.

If you do have these problems get them checked out to prevent damage as much as possible.

Take care,

Judy
A happy heart is good medicine.

#3 Margaret

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Posted 19 September 2008 - 12:32 PM

Hi Rainbow ,

In the beginning, my son (20 years old) complained of food getting 'stuck' and a swallowing study showed that the esophagus had stopped pushing food down....esophageal dysmotility. In the study, they coat food with that white barium stuff and have you eat it while they X-ray it going down. It isn't hard and doesn't take that long to do. After he was put on Plaquenil, it took about 3 months before he told me that his 'food tube' was working again. He has been on medications for GERD....reflux....for the past 10 years. That is when your food comes back up from the stomach into the esophagus and burns/erodes the esophagus. He also had the esophageal spasms...........they feel like a heart attack, I hear. The doctor gave him Nitro tablets for under his tongue when they came on and they helped immediately. He's been on the Plaquenil for over a year now and everything has been OK.....no problems swallowing or esophageal spasms. Sounds like you need a good gastro doctor, too.

Take care, Everyone.
Margaret

#4 janey

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Posted 22 September 2008 - 04:45 PM

Rainbow,
I met with my rheumatologist on Friday and this was one of the topic on my list to discuss. I've been having problems swallowing (right at the entrance to the throat) plus I've had more recurring reflux during the day. He attributed it to a weakening of the muscle in the esophagus (swallow) and decreased emptying of the stomach. So he prescribe me Reglan and scheduled a Barium swallow for tomorrow. Margaret described the Barium swallow. I'm not suppose to start the Reglan until after the test tomorrow so I'm can't say if it works or not. I'll let you know what I experience once I start it.

We do have a short section on treatments for dysphagia (difficulty swallowing) if you'd like to check it out. If would give you some options to discuss with your doctor. It sure can be frustrating. I cough enough as it is and to add choking to it is not fun. I keep having to remind myself to eat very slow and "don't talk" when eating. That causes me to choke every time.

I hope you find a solution. Please share if you do.

Big hugs
Janey Willis
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(Retired) ISN Assistant Webmaster
(Retired) ISN News Director
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International Scleroderma Network (ISN)

#5 PrincessB

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Posted 22 September 2008 - 08:37 PM

Hello,

I don't so much have difficulty swallowing, but I get terrible reflux caused by lazy (!) oesophagus muscles. I take omeprazole (Prilosec) for it and I can't recommend it enough. If I run out and have a couple of days without it, I am in pain all day from the reflux.

B x
Diagnosed diffuse systemic scleroderma December 2005 (on my 30th birthday, as if turning 30 wasn't enough?!)

#6 Lucy

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Posted 23 September 2008 - 01:24 PM

Hi Rainbow,

I had the same experience I was having problems swallowing (right at the entrance to the throat) plus I had decreased emptying of the stomach. I was to the point I hated food and to eat and always felt yuky (not a word but describes best how I felt each day).

My Doctor who is a Sclero expert prescribed to me Domperidone Maleate 10MG. I take one tablet before each meal and one at bedtime.

It has changed my life, oh my, I am no longer having any problems it took one day on the medication and ..... it also made my bowels regular in the morning after my breakfast which I was also having trouble with.

One of the best medication results I have ever had.
Lucy
Diffused Scleroderma
Diagnosed Dec/06
First Sympton Nov/05

#7 janey

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Posted 23 September 2008 - 03:17 PM

Lucy,
I'm glad to read that you have had such success with Domperidone. However for those of us in the you.S. Domperidone is not an option. Domperidone is not approved by the FDA for use in the United States because of problems with patients taking the intravenous form. For those interested; here is the FDA Warning for Domperidone.

I hope it continues to work well for you. It's always good to find something that works.

Big Hugs,
Janey Willis
ISN Support Specialist
(Retired) ISN Assistant Webmaster
(Retired) ISN News Director
(Retired) ISN Technical Writer for Training Manuals
International Scleroderma Network (ISN)

#8 beanie

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Posted 24 September 2008 - 01:12 AM

I am 39 and since about 16 have had problems with food getting "stuck" and reflux. I started having dilations when I was 21 and put on acid inhibitors, currently omeprazole. The dilations do help and I can tell when it is almost time for another, one about once a year. It is done under sedation so there is not much discomfort. Hope that helps some.

Michelle