Anxiety and swallowing problems

KMTE
Community Member

First time posting,

I've just been diagnosed with anxiety and am seeing a mental health worker next week. For the last week I've been paying heaps of attention to my swallowing and it feels like I think so much about it I forget how to do it and then it feels like I can't swallow and I might choke. That triggers my anxiety even more and then it starts to feel like something is trying to come up almost like I might be sick but without actually feeling sick. Then it all flows from there and I get an even worse choking/something coming up feeling and the trembling hands and light headed ness kicks in. Does anyone else experience this and have any tips on combating it?

Thanks 🙂

19 Replies 19

JellicoeGirl99
Community Member

Hey KMTE

I think seeing the mental health worker will help so much, it's always helped me to see someone who can explain to me what I'm going through and why, so good luck!

Meanwhile, I think your symptoms sound a bit like you're panicking about the choking feeling. I've had a similar experience where I focused on my swallowing and breathing way too much to the point I thought I couldn't get a grasp of them, however, both are automatic and even though this feels scary, panicking isn't life threatening. So it's important next time you feel this to stop the flow. The panic and light-headedness is usually a result of over-oxygenating your brain as a result of your breathing quickening without you realising. To combat this you should try controlled breathing; breathe in for 6 seconds and out for 8. Take your mind off your swallowing and other anxiety symptoms by using grounding techniques; think of 3 things you can see, hear, touch, etc. These have helped me so I hope they do the same for you.

All the best 🙂

JellicoeGirl

Guest_9809
Community Member

Hi there KMTE and welcome to the BB Forums.

Sorry to hear that you have recently been diagnosed with anxiety. But the good thing is that you are now doing something proactive to combat it. Good on you. I'm sure that seeing a mental health expert will benefit you greatly and will be able to teach you many self help methods to help you through your anxiety and to manage it well in future.

I also have an anxiety disorder (PTSD) and although I dont have a specific problem with swallowing, it is a common symptom of anxiety, especially during panic attacks. It should be noted however, that there are a number of illnesses and diseases which also have the symptom of difficulty in swallowing. So it may be a good idea to see your GP to rule out any other possibility.

For people with anxiety, the difficulty in swallowing occurs because of an over-sensitivity to our body. As you know, most bodily functions are automatic. You breathe without having to think about it. Your hand grips things without thinking about each individual finger. And when you swallow, you do so without consciously moving the muscles in your throat. However if you struggle with anxiety, especially during a panic attack, your mind becomes too focused on things that should be automatic, and you become overly aware of this. You can still swallow, but when you do so, it no longer feels like a natural reflex. The good news is that you're unlikely to choke, but your body is so overwhelmed with anxiety that what used to be an automatic response becomes less so.

How to help the situation? You can try taking a slow and very deliberate breath, and try to sip some water. This should reassure you that you are not choking and that you can indeed still swallow, and you are just overthinking the situation. Try to distract yourself by redirecting your attention to things other than your swallowing difficulties. If you are having an anxiety attack, try to ground yourself by counting backwards from 100, naming all the items on the table next to you, naming out loud the letters of the alphabet. Whatever you chose, the aim of the exercise is to distract you from whatever caused the anxiety in the first place.

I hope some of this advice helps to explain what is likely going on, as well as to offer possible ways to help you in the short term. In the longer term, I'm sure that your MH worker will provide you with tips and tools to help you develop your own methods in overcoming your anxiety.

Taurus

BlueGrass
Community Member

Hi KMTE

Re the swallowing. Speak with your doc. I had (still have) similar type issue, and it is catarrh. Sometimes it feels like the swallow mechanism 'jams' or 'locks'.

The specialist I was referred to said it's management, and most people find avoiding dairy, wheat and citrus, or any one or two of those, lessens it. I think potato also affects me.

Try to relax your throat muscles anyway, that might help. I find it frustrating and sometimes a tad frightening, so one would think I'd be more careful avoiding ice cream (which I had for sweets and am now suffering ).

hugs

KMTE
Community Member
Thanks for your responses. I went to the doctors last week and he said it was definitely anxiety related but all he did was look down my throat and ask some questions. This week has been pretty good I haven't seemed to focus on swallowing and it's hardly caused an issue. I had a slight something coming up in my throat feeling (without the swallowing feeling) on Sunday with some burning in my chest which I thought might have been heartburn/ reflux so I took an over the counter heartburn tablet and it disappeared. And I didn't let the panic take over me anywhere near as much as I did last week. Also I've had a bit of food repeating on me and some chest burn/pain so I thought maybe heartburn/reflux could cause the swallowing sensation to some extent too. Also I had a meeting for my local sports club last night and when it was my turn to speak in front of everyone I had the lump/ swallowing sensation again and managed to overcome it and say my piece. Also I never actually have any trouble swallowing food or water just every now and again my saliva. And whenever the swallowing sensation comes it comes with a nervous butterfly feeling in my stomach and a bit of panic. I also hold my jaw quite clenched which creates a dryish feeling and I thought maybe this could cause it? I've only ever experienced this swallowing/ lump throat sensation since my anxiety diagnosis. I know you guys aren't doctors it just brings some relief sharing my experiences with people with similar experiences. I am off to my health care worker tomorrow after a long waiting list so hopefully I will be on the road to feeling better soon.

BlueGrass
Community Member

Hi KMTE

Interesting re the jaw clenching. My jaw and upper neck used to ache, so I've tried to train myself to always have my teeth apart, not touching as is natural.

It's relieved the pain, ans as soon as I get ache, I realise I am clenching again.

So pleased you are getting things under control. The mind is an incredibly powerful thing.

hugs

KMTE
Community Member
Thankyou BlueGrass 🙂

KMTE
Community Member
So the appointment with my health care nurse went great. It's so easy to see things rationally and believe it's the anxiety while your there but not so much when your at home and the mind starts to go into overdrive and the symptoms start filtering in again. The swallowing thing has only happened probably 3 times this week and instead of going full blown panic I managed to just get on with things. But yesterday I wanted to say something to my husband and it felt like I couldn't get the words to my mouth and my jaw felt almost clenched. It lasted a split second and my husband said he didn't even notice it. I've been noticing lately I've been holding my mouth really firm and jaw really tense which the doctor said is just part of my coping/anxiety. So after that I went in full blown panic chest pain, shallow breathing, light headed just full panic thinking i have a neuro disorder. I must note that all my family and doctor say they notice no change in my voice or speech and 99.99% of the time I have no trouble

SureJersey
Community Member

Hi KMTE

Just wanted to check in and see how you've been? I have the same symptom, swallowing is so hard, I have trouble eating, mainly have liquids. I know I've developed anxiety, have seen psychiatrist and psychologist, have had my throat scan and diagnosed with Hashimotos, my thyroid is currently swollen 19ml. I've been told this shouldn't affect my swallowing. I get throat burn, like lots of bubbles of air pushing up through my throat right after I've eaten. I go nowhere without my water, it helps to ground me when I worry, and I drink to prove myself there's no problem. I spit put my own saliva. I am booked for an endoscopy to check down my throat. I'm just not sure what symptom to attribute to what anymore. I hope you've found peace

KMTE
Community Member

Hey sureJersey,

Sorry you find yourself in the same situation. Im travelling prettt well at the moment. We discovered i have acid reflux and heartburn which was contributing to the swallowing problem. Also i became too conscious of the swallowing so was doing it too much and always checking if i could swallow whicg