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Difficulty swallowing help

Difficulty swallowing help!

Since this morning I have had difficulty swallowing. On Tuesday I received a fascia treatment/cupping treatment. I have problems with the 1st and 2nd cervical vertebrae, which is why I am in sports physiotherapy.
Then on Tuesday I took 1/2 Hoggar Night (couldn't fall asleep) and then 2 Fenistil in the evening (I suffer from histamine intolerance). I could hardly sleep for 3 nights or slept irregularly. I have Hashimoto's and when I have a thyroid flare-up I sleep very poorly (that's why I rarely take Hoggar Night). Two weeks ago on Tuesday, I had a follow-up examination of my thyroid and have the best values in a long time.

I train excessively for 2 hours every day (7 days a week), I am a semi-professional athlete and self-employed. I am also very very cold. However, the lump-like feeling in my throat bothers me, as well as the difficulty swallowing. Currently, I am using Tantum Verde because I have an internal canker sore.
Could the combination of poor sleep, overexertion, Hashimoto's, antihistamines, and my cervical spine problems cause such difficulty swallowing?
Could it be that I have overexerted myself and this is the result?
I am totally exhausted, tired, and have difficulty swallowing.
What can I do to get rid of the difficulty swallowing? Rest? Drink tea?
Rest over the weekend?

Dr. med. Ralf Berg

Dear patient,

I consider your conclusion that the swallowing difficulties in your case are indeed a manifestation of psychophysical overload to be accurate. You have also correctly diagnosed the therapy (rest, relaxation).
It is not entirely impossible, through the internet, that a throat or tonsil infection is on the way. If the symptoms worsen and fever develops, you should visit your general practitioner or, this weekend, the appropriate emergency clinic to have a doctor inspect your throat.
Based on your description, the most likely scenario is that your symptoms can be categorized within the framework of a "globus" syndrome, which is the sensation of a lump in the throat that we feel in cases of physical overload or blockage, without any organic findings by a general practitioner or ENT specialist.
Specifically, I would advise you to:
1. Rest for the entire weekend, 2. Gargle up to 6 times deeply in the throat, 3. Monitor your temperature (preferably orally and rectally).
If by tomorrow the chills (very, very cold) do not go away or if oral temperatures exceed 38 degrees, I would recommend having a doctor inspect your throat and tonsils at the emergency clinic. In case your swallowing difficulties and feeling of cold are indeed early signs of a throat infection/tonsillitis, he will then prescribe appropriate medication.
In my opinion, this has nothing to do with your other symptoms or medical history. Thank you for providing an accurate and detailed description of your medical history.

With best regards and wishes for your health,

Dr. R. C. Berg

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Experte für General medicine

Dr. med. Ralf Berg

Dr. med. Ralf Berg

Ühlingen-Birkendorf

Studium an der Universität Freiburg
Promotion überdas Monitoring bei Narkosen Universität Freiburg.
Facharztausbildung zum Anästhesisten und FA für Allgemeinmedizin in Freiburg und Hamburg,
Vorlesungsassisten am Lehrstuhl für Allgemeinmedizin an der Uni Hamburg

Rettungsdienstliche Tätigkeiten in Hamburg, Schleswig-Holstein, Niedersachsen, Baden-Württemberg, Hessen und in der Schweiz.

Seit 1998 in eigener Praxis niedergelassen, Nebentätigkeit als Anästhesist und Notdienstätigkeit in Kliniken und ambulant. Leitung von Fortbildungs- und Qualitätszirkeln, Mitglied im DHÄV und der AGSWN, Qualitätszirkel Moderator, Forschungspraxis der Universität Heidelberg , Ausbildungspraxis für Allgemeinmedizin im Rahmen der Verbundweiterbildung der Uni Heidelberg

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