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My symptom is that I feel in the back of tongue and throat a bump or something, with the need of swallowing, and to cough, but unable. By moving the tongue back and forth I feel the lump rub the roof of the mouth and near the gag reflex are, when swallowing it moves from left to right and middle, and down to the adams apple area. After about a ½ hr, it burns and feels like it is swelling and feels like a bad toothache. Unable to sleep do to the chocking sensation, the throat becomes very dry, and it dissipates in 12 to 24 hrs. This always happens with in minutes of after eating anything, I've been on mash potato and putting diet for the last 60 days, now it reoccurs with just eating putting. I have been seen by many specialists and tests, (4) Endoscopy (1) CT, and (2) barium swallow (without the symptom) over the last several weeks and many times in the ER. No one has suggested a solution to this chronic health concern and no relief.

I have been told that I have a small zenker's diveticulum, and a small Hiatal Hernia, and. Barrett’s esophagus, bone spurs growing on the cervial spine.


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replied February 8th, 2010
Eating Disorders Answer A9844
Hi, welcome to the ehealth forum and I am glad to help you.
You seem to be concerned by dysphagia (difficulty in swallowing),sense of lump in throat and the diagnosis of Zenker's diverticulum, hiatal hernia and Barrett's esophagus.
As your symptoms appear after eating, you are experiencing dysphagia (difficulty in swallowing) which is a known with Zenker's diverticulum. This diverticulum is outpouching of lower pharynx and is more common in old age. The diagnosis is confirmed by barium swallow. Aspiration and pneumonia are potentially serious complications. If small in size (<1cm), the diverticulum can be left as such but if it is causing disturbing symptoms, it can be treated by endoscopic stapling.
Hiatus hernia per se does not cause any symptoms. The condition promotes reflux of gastric contents (via its direct and indirect actions on the anti-reflux mechanism) and thus is associated with gastroesophageal reflux disease (GERD). In this way a hiatus hernia is associated with all the potential consequences of GERD - heartburn, esophagitis, Barrett's esophagus and esophageal cancer. However the risk attributable to the hiatus hernia is difficult to quantify, and at the most is low. The risk of malignancy is associated with Barrett's esophagus for which patient can be followed up by endoscopy and biopsy.
Hope this helps. Take care.
Note: This post is not to emphasise final diagnosis as the same cannot be made online and is aimed just to provide medical information and no treatment suggested above be taken without face to face consultation with health care professional.




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