Swallowing Issue Reviews
Patient: Pete, 33, Professional Musician
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Pete had bad stomach issues for the last 10 years, which presented as incredibly high levels of pain when eating and drinking.
Although he has always had swallowing issues with a lot of reflux as a baby and vomiting spells as a child. As such he’s never been a foodie or someone who enjoyed food, as eating and drinking has always been accompanied by pain to some degree. Doctors labelled him a fussy eater and in his adult life he was diagnosed as having acid reflux and given medication – which didn’t do anything – and later as having an overgrowth of Helicobactor Pylori a gut bacteria. Pete had endoscopies, but these procedures can’t pick up swallowing issues – as you can’t eat or drink during one.
Pete’s symptoms worsened considerably 6 months ago, when all of a sudden he could not eat or drink anything – including tea and water – without vomiting. This persisted for several days, some days he could keep down every other meal and some days nothing. There were multiple days where he had no food or water. Despite the severity of his symptoms he was told he would need to wait months to see a gastroenterologist
It was psychologically extremely challenging, as Pete was starving hungry but his body was forcing him to stop eating and drinking. He was severely depressed and googled searched his symptoms. He came across Dr Rehan Haidry, the UK’s leading expert on swallowing issues. He had a barium swallow, a test which monitors how the oesophagus behaves when food or drink is consumed. The results diagnosed a very severe case of achalasia where nerves in the gullet misbehave and prevent food entering the stomach
Pete researched the treatment options available to him. Botox injections to the affected area would need to be repeated every 3-6 months, a balloon treatment is another temporary solution which sometimes has to be repeated after a few years and surgery would leave him with scars on his abdomen and involve a short stay in hospital.
Pete decided to have a POEM procedure. A relatively new treatment to UK hospitals, which has been used for some time in the US. As a lead singer his only concern was if it might impact his vocal chords, but was assured the less invasive procedure would not impact them in any way. Pete’s treatment took 20 minutes and he was discharged within 24 hours. He was prescribed painkillers but didn’t need any.
Back at home Pete was told to start off with a soft diet and he tried soup for his first meal. Pete was so overwhelmed at the difference he cried – and he cried again when he ate his first steak with no problems a few weeks later. He’s even got a little Belly coming along! For many years Pete has performed ‘on empty’ with just adrenaline for fuel, to now be able to eat and drink normally he feels energised during all performances.
Being able to eat and drink normally is something most of us take for granted. I would advise anyone experiencing symptoms around swallowing, if their current medication isn’t working push to have further investigation. By ignoring my symptoms I ended up in a crisis and it was a really miserable time in my life.
Press coverage: Mirror
Link to article: Click Here
Patient: Martin, 82, Surveyor
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I had swallowing issues for about 2-3 years – choking on food, regurgitating mouthfuls and chronic coughing while eating. It wouldn’t happen after every meal, maybe every other day and certain foods like bread were really triggering. I ignored it as I didn’t feel it was life threatening, but my daughter who heard one of my coughing attacks insisted I speak to my GP.
My GP referred me to the hospital to conduct tests. I had an X-ray and then an endoscopy which diagnosed me with something called Zenker’s – essentially a condition where a pouch had formed in my gullet and food and drink was getting trapped. My doctor told me there was two ways to treat it. On the NHS its only surgery under a general anaesthetic which I was wary about at my age. The doctors cut through your skin and your throat, so it’s more invasive, a longer recovery and more risky. There was a new way of treating it through the mouth (called Z-POEM), but only one doctor in the UK was trained in it and it was only available privately. After a battle with my insurance company they agreed to fund me.
I went to the Cleveland Clinic and was given light sedation and the whole procedure is performed with an endoscopy down the throat. I was back in recovery within the hour and discharged the following morning. I had a sore throat for a week or so, but aside from that no side effects.
I can now eat whatever I like and don’t vomit, cough or choke. I can now enjoy my food and can happily eat out without any embarrassment.
Press coverage: Daily Mail
Link to article: Click Here
Patient: Bronwyn, 54, Film Publicist
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I had suffered difficulty with swallowing food and drink for around 11 years. My swallowing issues became more pronounced after I had my son and it worsened gradually over time. It would feel like painful spasms in my chest and often regurgitation of food or drink. I would never be able to go to bed or even lay back after eating or drinking. Waking up choking is a really scary experience, so I would need to time my meals for at least 5 hours before I would go to bed. I had to be really careful with my diet –bread, pastries, muffins were my trigger foods, but soft options like soup were more manageable. You can forget meat it was a big trigger for me, but very crunchy food was ok and strangely water would also trigger the sensations, so the other end of the spectrum.
I was diagnosed as having reflux and was prescribed PPIs – which did nothing. I had 3 or 4 endoscopies which showed nothing (as you can’t eat during an endoscopy, so the problem with food couldn’t be observed. I was told – as a lot of women are by the medical professional – it’s hormones, it’s stress, it’s anxiety. I actually did a lot of my own research and self-diagnosed as having achalasia a pretty long time ago! I was told it couldn’t be achalasia – it’s too rare and it only happens to elderly people.
I was in Germany for business and I was being seen by a radiographer for an issue with my spine. I was having MRI of my thoracic and the radiologist was keeping me on the table for a really long time. He ordered an immediate CT of my chest to see if there was an obstruction pressing on my oesophagus creating an inability to allow liquid to go down and creating narrowing. It was quite nerve wracking. At the end he told me there was no tumours but he had noticed liquid sloshing around in my oesophagus – it wasn’t draining and he observed no peristalsis to move the liquid into my stomach. He said, ‘You probably have achalasia’.
So I was then sent for a different diagnostic – something called a barium swallow – which showed conclusively I had Achalasia. I was actually quite angry at the doctors that I had the condition I suspected all along and was told I couldn’t possibly have. Achalasia affects people of all ages from and even teenagers and children in some cases.
This year, after delays due to Covid-19 and moving house, I finally had a procedure to treat my swallowing issues called POEM. I was treated by Dr Rehan Haidry who was frankly amazing as I was so nervous and anxious, but he put me totally at ease. After the procedure I was groggy of course and I had pain in my neck, but I could immediately swallow – I felt this movement down the gullet like it’s supposed to.
The procedure has totally changed my life. I can lay down after eating, I can go to bed straight after eating, I can eat with friends and talk and relax – where before I had to concentrate on every mouthful. I can eat a normal variety of foods of different textures. I can eat out at a restaurant, without worrying I might regurgitate food.
I would advise anyone who recognises their symptoms to push to be tested for Achalasia. Yes it’s rarer than reflux or heartburn, but it’s a miserable condition to suffer from. And the treatment for it is straightforward and permanent – POEM has made such a difference to my quality of life.
Get In Touch
For any enquiries about conditions, tests or treatments, please feel free to call Dr Rehan Haidry’s medical secretary Debra Hyams on:
Tel: 0203 423 7609 | Email: rhaidrymedsec@ccf.org