Having difficulty swallowing can be very frustrating. The first step toward bringing you relief is getting to the root of the problem. After taking a detailed history and performing a thorough exam, we examine the back of the throat with a small scope that is about the size of a strand of spaghetti. We place it gently in the nostril and move it slowly toward the back so that we can perform a comprehensive evaluation of the areas of the throat that are not visible by simply looking through the mouth with a tongue depressor. With this scope, we are able to see the voice box and the opening of the esophagus. For some patients, additional testing needs to be ordered including imaging and a test that evaluates your ability to swallow. Treatment is designed to address the root of the swallowing problem and may involve medications or in some instances surgery.