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how to fix swallowing anxiety

hi, ive posted on this before but still have a swallowing anxiety since june, have lost over 30 pounds since then and not getting any better.  I have ruled out physical causes had barium swallow ct scan of neck with contrast and went to an ear nose throat doc who stuck a scope up my nose and down top of throat, he says after i tell him I take at least four benadryle a night to sleep that I probably have a sleep problems they say everything is fine. a couple of weeks ago I thought I was getting better cause I am able to eat crackers and cheese but since doing that it has become harder to eat the broth and stuff I used to and I realized I can eat them only cause I grind them to a paste so by the time I swallow more like pudding then solid food and I have stopped eating anything else used to eat pudding broth, etc now all I eat is crackers and cheese and liquids.  I still see my therapist but its not helping me get better at all. lately im just feeling sadder about my life and my suicidal thoughts are worsening everyday.  I feel like I haven't killed myself cause I am afraid to do that but like its only a matter of time before I do.  I feel like people who relly wanna die don't keep saying how they think about it so maybe I wont, I wish I could do it but I also think everyone has a breaking point and I wonder what mine is gonna be. I keep reaching out for help going to therapy and whatever but im not getting any better and I don't understand why. I thought if you felt these things and went for help you would get better I never had considered the possibility that some people don't get better. I just don't know what else to do I keep asking for help and I don't get anything back.
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Avatar universal
I went to several doctors already as I mentioned did barium swallowing ct with contrast and I saw an ear nose and throat specialist they told me no physical problem
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144586 tn?1284666164
First of all the swallowing disorder is a medical issue, unrelated to a psychiatric disorder. These are very difficult to disgnose and can have several etiologies, ranging from stroke to early-onset Parkinsons. The physicians who specialize in dysphagia are the ones to go to for an opinion. Determine is the problem is cicardian. That is does it improve at times of day. Sometimes this is due to a palsy of the cranial nerves due to diabetes or a viral infection. A good physician will try a steroid (prednisone) challenge to rule this etiology out. You need a good neurological consult.
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