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Mark-
18-12-08, 12:57
For the last year or so, I've been suffering from quite acute nervous swallowing, which is also obsessive.
The problem first started last year, I was at home sick, and out of nowhere I somehow focused on my swallowing. I couldn't stop swallowing and in the end resorted to spitting out the excess saliva into the sink. However, when I returned to school, I would usually forget about the problem as I was focused on other things. However, a few more sick days later, and the problem started to creep into my mind at school, nevertheless, it still rarely affected me at school, and at all.
Then, this year, I started at senior school in year 10. And unfortunately the obsessive swallowing problem worked its way into a nervous swallowing problem. It can best be described that I was nervous, so I thought "what if they notice me swallowing" and the obsessive problem quickly transformed into a nervous problem too.
At first, I think I was just nervous, but when I started in my Year 11 Jap class, I was extremely nervous, and it began the nervous swallowing.
The problem has been so bad all year that I never got to know anyone in my year 11 class, and it has stopped me from talking to most people.
For example, whenever I had to read to the class, or do a presenation, or talk to anyone other than good friends, it could result in 2 possible ways.
1. I look off to the side, or as casually I can swallow repeatedly.
2. I try to talk in an uninterrupted block and eventually my throat would feel as if it had to swallow, and my throat would involuntarily make a swallowing motion, forcing me to abruptly stop talking in a very weird pitch as I involuntarily swallowed.

This has been happening for the past year. At home by myself, I often obsessively swallow as well, and unless I forget about it, it is very hard to stop. I usually swallow about every 45 seconds to a minute on a swallowing routine, sometimes less often. Even when I am alone, just talking to myself usually still makes me swallow. When I try to stop swallowing, the saliva just pools in my mouth and I eventually have to swallow or spit it into the sink. I have no swallowing problems in my sleep.

I am going to Japan in 12 days, for a 3 and a half week exchange, staying with a host family. I know that if I don't tackle this problem before I leave then there's no way I'll be able to talk with all the people that I want to while I'm over there, and I'll have a very average trip.

Any suggestions as to how to combat this problem would be greatly appreciated.

House fan
18-12-08, 14:23
Hi Mark,

Unfortunately, the more you think of swallowing, the more you will feel the need to swallow. You are obviously well aware of it, but I'd be very surprised if anyone else has noticed it at all.

And anyway, what's the big deal if someone does notice it. Some people swallow more than others, some people yawn more than others, it's really not that big of deal my friend, so please don't get upset or let it get to you. If someone ever remarks about it and you feel embarassed, simply tell them your throat has been playing up recently, and I can assure you, they will instantly lose interest, and move on to talk about something else.

Anxiety alone is causing your problem, and the important thing is that you know that, and you also realise it cannot harm you in any way, so in the grand scale of things, does it really matter if you swallow a lot?

When you have a sore throat, you will undoubtedly swallow more, but probably won't even notice it, and probably couldn't care less if anyone else noticed. Have you ever been aware of a friend or family member swallowing more when they have a sore throat? I didn't think so, and trust me, no-one will have noticed you exercising your God given right to swallow as much as you please!

Don't be so hard on yourself Mark, with true acceptance, this will pass, but in the meantime, swallow away until your hearts content.

Hope this helps a bit.

House.

btg
19-12-08, 03:50
Hello Mark--

This is a common anxiety problem. If it's possible you might want to talk to a good therapist about it, just as that will help relieve some of the anxiety itself... as long as they have experience with OCD/anxiety disorders. It really isn't your fault. Getting rid of it is purely, as House said, done through acceptance. Meanwhile, here are some things to do that can help:
1. exposure--for the next two weeks you can try swallowing as much as possible during a minute or two, just once a day, then slowing the swallowing down, watching the saliva build, swallowing when it feels right, and so on.
2. exercise (but not to the point where you get stressed out), take walks, bike rides, whatever, especially sports that are mind-focused.
3. busy yourself, always working towards acceptance. don't avoid situations or people. i would also avoid timing yourself and doing other 'checking' stuff like obsessing over how much you're doing it. trust me, i've been there, a lot of people have. it sucks and sucks and sucks and feels like the world is going to end, but you can strive and work yourself out of it. please feel free to PM me if you want to talk more. i've had this problem for a bit and it has proved tremendously just from changing my mentality about it, but do not expect things to change over night.

about going to Japan--it's possible that the problem won't be gone in two weeks, maybe so, maybe not, as it's really hard to control things. however, if you keep judging yourself and feeling bad then that will only make things worse. you can say, 'i'm getting stressed out about this right now', attend to it, and then move on. try to get really involved with the language, traveling and meeting new people. the more you confront it, and then realize it is not so big a deal, the more you will just be able to forget about it.

good luck--like i said, pm me if you want to talk, as that might relieve some stress as well.

btg
19-12-08, 04:00
just to clarify--that exposure technique, swallowing as much as possible, probably shouldn't be relied on too much. realize that it's just one way of telling yourself 'this is okay, there's no reason to be stressed'

mulcahy
15-10-11, 22:33
I just want to know what mentality method you used. I've been fighting this for 2months ...have seen a counslor, priest, and just told everyone I'm close to. I hate it I have to kids and I want this out of my mind...it's ruining my life. There was one week I was so positive and it was a little there but some weeks are just awful. Any advice would be gladly appreciated. Thanks

stigmatisert
30-06-12, 16:16
Maybe the path to the solution
Got a swallowing problem too - and escalating painful.

ENTs, psychologist and "ordinary" GPs hardly knows how to or what specialists who may treat such, but L-O-G-O-P-E-Ds works with swallowing problems and know the mechanisms.

My GP took my "condition" as a "team-work" case at the center. They had concluded Logoped, as well.

I hope you don't get into the same pain-level as I've been into...


Tips1. Try to exhale before swallowing.
Tips2. If you have stabbing pain around your adams apple and a "strangeling grip" in the bottom of your throat, ask your doctor to try muscle-relaxing medication. Not magnesium and such, because the swallowing-muscles are involuntary muscles. (I succeded in using Rivotril).

The problem does not go away by medication. You have to learn again, how to swallow...


ad tips2: You aren't supposed to be on muscle-relaxing for months, but my worst stabbing pains went away by 3-4 weeks adjusting my doses from 1*0,5mg morning/evening to 2*0,5mg on top, and then back. (The medicine may infect your mind if you do this suddenly. I used 4 days on each dose-level).