- Mar 28, 2021
- Learn about ALS
Hello, I am a 35 year old female in good overall health and very concerned about some symptoms which began about three months ago. I started having a feeling of “tightness” in my throat/esophagus and trouble swallowing. It feels as though it’s harder to bring food back and down, and specifically initiating a swallow. Sometimes I am eating and have food sitting at the back of my mouth and I try to swallow and nothing happens - I have to concentrate and wait a few seconds and then I can usually get it down. I can feel good traveling down my esophagus and it feels tight. I also have a feeling of burning in my tongue (mostly the sides) and the muscle under my chin and down the front of my neck feels worn out/tired. I am swallowing liquids without a problem. I also have a lot of mucus in my throat but no nasal congestion. I have had excess mucus/saliva in my mouth as well and sometimes have to spit it out. I know that reflux can cause some of these symptoms, but my understanding is that it wouldn’t contribute to a problem initiating a swallow and that is more of a neurological issue. It has not gone away and seems to be getting worse. I have not had any slurring or speech issues. Does this sound like early bulbar symptoms? Thank you in advance for any guidance you can offer!