Swallowing anxiety, or dysphagia anxiety, happens when people fear swallowing food or drinks. This can show up as trouble starting to swallow, feeling like you’re choking, or avoiding certain foods.

While it’s normal to sometimes feel uncomfortable swallowing, swallowing anxiety can affect your life. It might cause weight loss from avoiding foods, make eating out difficult, and even lead to malnutrition if not addressed.

Let’s dive into the symptoms of swallowing anxiety and learn how to spot and manage it!

Identifying Swallowing Anxiety

The first step in dealing with difficulty swallowing anxiety is recognizing its symptoms. Some common signs that may indicate a person has swallowing anxiety include:

Difficulty Swallowing

Difficulty swallowing is also known as dysphagia. It is one of the main symptoms of swallowing anxiety.

This can manifest as a feeling of food getting stuck in your throat. Or, difficulty initiating the act of swallowing.

Throat Tightness or Choking Sensation

People with swallowing anxiety may also experience a sensation of tightness in their throat. Or, they feel like they are choking when trying to swallow. This can be distressing and make them avoid eating certain foods altogether.

Dry Mouth or Difficulty Producing Saliva

Anxiety can also affect saliva production. This makes it difficult to swallow as the mouth may feel dry. This can also cause throat irritation and make swallowing more uncomfortable.

Heart Palpitations or Rapid Breathing

Anxiety can trigger physical symptoms. This includes heart palpitations and rapid breathing.

This can make it harder to swallow. These symptoms may also heighten the fear of choking and exacerbate swallowing anxiety.

Sweating and Trembling

In addition to heart palpitations and rapid breathing, people with swallowing anxiety may also experience sweating and trembling. These physical manifestations of anxiety can make it difficult to relax and focus on eating.

Intense Fear or Panic Over Swallowing

Perhaps the most telling symptom of swallowing anxiety is an intense fear or panic over the act of swallowing. This fear may be irrational and disproportionate to the actual risk. But, it can greatly impact a person’s eating habits and overall wellbeing.

Avoidance Behavior

As a coping mechanism, people with swallowing anxiety may exhibit avoidance behavior towards certain foods or eating situations. This can lead to weight loss and malnutrition if the fear of swallowing persists.

Anticipatory Anxiety

Some individuals with swallowing anxiety may also experience anticipatory anxiety, where they become anxious and worried about future eating situations. This can cause a constant state of worry and make it challenging to enjoy meals.

Hypervigilance

Hypervigilance, or being constantly on high alert, is another common symptom of swallowing anxiety. This can cause a person to constantly monitor their throat and breathing while eating, making it difficult to relax and enjoy the meal.

Negative Thoughts and Beliefs

Swallowing anxiety can also manifest as negative thoughts and beliefs surrounding eating, such as “I always choke on my food” or “Eating is dangerous.” These thoughts can reinforce the fear of swallowing and make it harder to overcome.

Managing Swallowing Anxiety

If you identify with any of the above symptoms, it’s important to seek help and learn ways to manage your swallowing anxiety. Here are some strategies that can be helpful in overcoming fear of swallowing:

Seek Professional Help

Swallowing anxiety therapy can be effective in addressing the root cause of fear and developing coping mechanisms. A therapist or counselor can also help you identify triggers and provide tools to manage anxiety. A qualified hypnotherapist can use hypnosis for anxiety in order to help make changes at a deep subconscious level.

Practice Relaxation Techniques

Deep breathing, progressive muscle relaxation, and mindfulness meditation are all helpful techniques for managing anxiety. They can help calm your mind and body, making it easier to swallow without fear.

Gradually Expose Yourself to Fear

Avoiding foods completely can reinforce the fear of swallowing. Gradually exposing yourself to foods that trigger anxiety with the support of a therapist or trusted loved one can help desensitize you to those fears.

Eat Slowly and Mindfully

Eating slowly and mindfully can help you focus on the present moment and be more aware of your body’s cues. This can also prevent choking by giving you time to chew food properly before swallowing.

Modify Food Texture and Consistency

If certain textures or consistencies trigger your swallowing anxiety, consider modifying them to make eating more comfortable. For example, blending foods into a smoothie or choosing soft foods can reduce the risk of choking.

Seek Support from Loved Ones

Talking to loved ones about your fears and struggles with swallowing anxiety can provide emotional support and help you feel less alone. They can also assist in creating a safe and understanding environment for meals.

Stay Hydrated

Drinking water regularly can help alleviate dry mouth and make swallowing easier. It’s important to stay hydrated, especially if you have difficulty producing saliva due to anxiety.

Use Distraction Techniques

Engaging in an activity or conversation while eating can help distract you from anxiety and make swallowing easier. You can also try listening to calming music or watching a show to relax your mind.

Be Patient and Kind to Yourself

Overcoming swallowing anxiety takes time and patience. It’s important to be kind to yourself and celebrate small victories along the way. Remember that progress is not always linear, and setbacks are a natural part of the process.

Challenge Negative Thoughts

Identifying and challenging negative thoughts surrounding eating can help break the cycle of anxiety. Ask yourself if there is evidence to support those thoughts and try reframing them in a more positive light.

Seek Support from Loved Ones

Having a strong support system can make managing swallowing anxiety easier. Talk to loved ones about your fears and ask for their understanding and support as you work towards overcoming them.

Medications

In some cases, medication may be prescribed to alleviate symptoms of anxiety. It’s important to work closely with a doctor and therapist to find the right medication and dosage for your specific needs.

Speech Therapy

Working with a speech therapist can also be beneficial in managing swallowing anxiety. They can help improve muscle control and coordination for swallowing, as well as provide techniques for managing anxiety during meals.

Overcome Your Swallowing Anxiety with this Guide

Swallowing anxiety is a real condition that can greatly impact a person’s life. By identifying the symptoms and seeking support, individuals with swallowing anxiety can learn how to manage their fears and enjoy eating without fear and discomfort. Remember, it’s never too late to seek help and overcome your fear of swallowing. So don’t let your anxiety hold you back from living a full and enjoyable life!

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By Martinj