What should I do if I can’t get food down in my chest?

Dysphagia can be caused by diseases such as cardia, esophagitis and esophageal cancer, etc. Drugs and endoscopic treatments can be taken to deal with different causes of dysphagia.
1. Pancreatic achalasia: pancreatic achalasia is caused by decreased peristalsis of the esophagus and weakening of the lower esophageal sphincter, and the typical symptoms are difficulty in swallowing and choking on food. Smooth muscle relaxants such as nifedipine can be taken to relax the lower esophageal sphincter to relieve the symptoms, and endoscopic balloon dilatation can also be used for treatment.
2. Esophagitis: Esophagitis refers to the inflammatory changes caused by irritation or injury to the mucosa of the esophagus, which can be manifested as dysphagia. It can be treated with proton pump inhibitors such as omeprazole, prokinetic drugs such as mosapride, and mucosal protective agents such as aluminum thioglycollate.
3. Esophageal cancer: the typical symptom of esophageal cancer is progressive dysphagia. Endoscopic resection, surgery, radiotherapy and chemotherapy can be adopted according to the specific conditions of patients.
The above drugs are recommended to be used under the guidance of professional physicians. When patients have the above symptoms, they should go to the hospital in time and follow the doctor’s instruction for examination and treatment without delay.