When i swallow i feel it in my back

Anyone who is looking for the subject of back pain when swallowing specifically, between the shoulder blades (trapezius muscles) here is my story. One night while shopping in Wal-Mart I felt itching in my back and ignored it. The next day I went to eat in a restaurant and felt a sharp pain in my back, when I swallowed a chicken wing I ignored it. That night I ate dinner and felt the pain with each swallow. I said to myself if it does not go away in two days I will see a doctor. Sure enough it did not go away and I got extremely anxious. I went to see the doctor, after many hours on the internet. He sent me for a barium swallow, stating he never heard of such a thing. When I went to the Radiologist, ( who saw me personally for the swallow) he told me he had heard of it and it could happen with injury to the trapezius muscle. He also mentioned that the trapezius muscle is a long muscle and is related to the larynx, pharynx and sternocleidomastoid muscle via Cranial Never XI (Accessory nerve). I remember injuring that muscle seriously that day I went to Wal-Mart, but could not find any link between injury and this type of symptom. Sure enough when the muscle healed about 2 weeks later, the pain went away. I hope this helped anyone who is going crazy trying to find this information. Of course if you feel this is not your case, see a doctor right away.

Painful swallowing is any pain or discomfort while swallowing. You may feel it high in the neck or lower down behind the breastbone. Most often, the pain feels like a strong sensation of squeezing or burning. Painful swallowing may be a symptom of a serious disorder.

Considerations

Swallowing involves many nerves and muscles in the mouth, throat area, and food pipe (esophagus). Part of swallowing is voluntary. This means you are aware of controlling the action. However, much of swallowing is involuntary.

When i swallow i feel it in my back
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Problems at any point in the swallowing process (including chewing, moving food to the back of the mouth, or moving it to the stomach) can result in painful swallowing.

Swallowing problems can cause symptoms such as:

  • Chest pain
  • Feeling of food stuck in the throat
  • Heaviness or pressure in the neck or upper chest while eating

Causes

Swallowing problems may be due to infections, such as:

  • Cytomegalovirus
  • Gum disease (gingivitis)
  • Herpes simplex virus
  • Human immunodeficiency virus (HIV)
  • Pharyngitis (sore throat)
  • Thrush

Swallowing problems may be due to a problem with the esophagus, such as:

  • Achalasia
  • Esophageal spasms
  • Gastroesophageal reflux disease
  • Inflammation of the esophagus
  • Nutcracker esophagus
  • Ulcer in the esophagus, especially due to tetracyclines (antibiotic), aspirin and nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, naproxyn

Other causes of swallowing problems include:

  • Mouth or throat ulcers
  • Something stuck in the throat (for example, fish or chicken bones)
  • Tooth infection or abscess

Home Care

Some tips that may help you to ease swallowing pain at home include:

  • Eat slowly and chew your food well.
  • Eat pureed foods or liquids if solid foods are hard to swallow.
  • Avoid very cold or very hot foods if they make your symptoms worse.

If someone is choking, immediately perform the Heimlich maneuver.

When to Contact a Medical Professional

Contact your health care provider if you have painful swallowing and:

  • Blood in your stools or your stools appear black or tarry
  • Shortness of breath or lightheadedness
  • Weight loss

Tell your provider about any other symptoms that occur with the painful swallowing, including:

  • Abdominal pain
  • Chills
  • Cough
  • Fever
  • Heartburn
  • Nausea or vomiting
  • Sour taste in the mouth
  • Wheezing

What to Expect at Your Office Visit

Your provider will examine you and ask about your medical history and symptoms, including:

  • Do you have pain when swallowing solids, liquids, or both?
  • Is the pain constant or does it come and go?
  • Is the pain getting worse?
  • Do you have difficulty swallowing?
  • Do you have a sore throat?
  • Does it feel like there is a lump in your throat?
  • Have you inhaled or swallowed any irritating substances?
  • What other symptoms do you have?
  • What other health problems do you have?
  • What medicines do you take?

The following tests may be done:

  • Endoscopy with biopsy
  • Barium swallow and upper GI series
  • Chest x-ray
  • Esophageal pH monitoring (measures acid in the esophagus)
  • Esophageal manometry (measures pressure in the esophagus)
  • Esophagogastroduodenoscopy (EGD)
  • HIV testing
  • Neck x-ray
  • Throat culture

Alternative Names

Swallowing - pain or burning; Odynophagia; Burning feeling when swallowing

Images

  • When i swallow i feel it in my back
    Throat anatomy

References

Allen CT, Nussenbaum B, Merati AL. Acute and chronic laryngopharyngitis. In: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Head and Neck Surgery. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 61.

DeVault KR. Symptoms of esophageal disease. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis/Management. 11th ed. Philadelphia, PA: Elsevier; 2021:chap 13.

Pandolfino JE, Kahrilas PJ. Esophageal neuromuscular function and motility disorders. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis/Management. 11th ed. Philadelphia, PA: Elsevier; 2021:chap 44.

Wilcox CM. Gastrointestinal consequences of infection with human immunodeficiency virus. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis/Management. 11th ed. Philadelphia, PA: Elsevier; 2021:chap 35.

Review Date 7/1/2021

Updated by: Michael M. Phillips, MD, Emeritus Professor of Medicine, The George Washington University School of Medicine, Washington, DC. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

How come my back hurts when I swallow food?

Back pain after eating is likely caused by referred pain. Pay attention to other symptoms that may help your doctor diagnose your condition. If your back pain is caused by GERD or ulcers, you may need to make lifestyle adjustments. Those can include changes to your diet, reducing your weight, exercise, or medications.

Can you feel esophagus pain in your back?

Because of the intensity of heartburn associated with GERD, pain may radiate from the referred area of the esophagus to your lower back.

Can indigestion be felt in the back?

If you are experiencing chronic cases of GERD and heartburn, you may notice an increased intensity in your symptoms. Your chest pain may radiate to your back between your shoulder blades, lower back, and down into your abdomen. You should visit a doctor if your heartburn is manifesting as increased back pain.

Why does my back hurt between my shoulder blades when I swallow?

Acid Reflux Gastroesophageal reflux disease (GERD) may cause referred pain to the back in the area between the shoulder blades. Other symptoms of GERD include: Chest discomfort or ache. Hoarse voice.