After the first bite of food, throat will block up?

My son is a 32 yr old 6′ 2″ 195 lb seemingly healthy man EXCEPT sometimes when he eats within the first bite of food his throats will block up. It will constrict causing pain but relax. Sometimes after a minute or more the food will work it’s way down and he can continue to eat but on many occasions the food will not go down. He can not eat or drink anything as nothing will pass he then will have to make himself throw up to dislodge the food. But will not then be able to eat for a long while. This might happen15-20 times a month. He has tried drinking before he eats but makes no difference. He has had the problem for about 8 years. Because of no insurance he has not tried medical treatment. As his mother, I am very concerned for his health. There doesn’t seem to be any particular food that triggers the problem.

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Dr.HoneyDr Ahmed FawzyDr. Ayman Darrag Recent comment authors
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Dr. Ayman Darrag
Dr. Ayman Darrag

My opinion if he has no other symptoms like reflux or gastric problem ,then this most probably is a problem with a hiatal hernia that causes the food to stop in the esophagus for some time and make it difficult to swallow,to exclude other causes get him an esophageal barium xray .
Ganaton 50mg three times with meals a day can help him through helping the tone of the GIT.

Dr Ahmed Fawzy
Dr Ahmed Fawzy

This is called Barrett’s Esophagus , your son should avoid spicy foods ,fatty foods, carbonated beverages ,chocolate, coffee and caffeinated products,tomato-based foods
He can also use omeprazole, however sooner or later will he will have to see a doctor to preform esophageal dilatation, keep in mind that if ignored it can turn cancerous
Good Luck


It can be due to a number of causes like abnormal spasms of Oesophageal muscles, Achalasia, some nerve or brain related disorders, An abnormal ring of tissue that forms where the esophagus and stomach meet (called Schatzki’s ring) etc..
So you should consult an Emergency room and get evaluated and first of all an Endoscopy can be done to view the throat and Oesophagus and further investigations and management can be planned accordingly..