### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hello doctor i am experiencing some kind of electrical ping on the left side of the back of the neck near the left shoulder behind the clavicle. sometimes when i try to swallow my saliva i will feel the pain. whenever i swallow no thing at certain point at specific angle i will feel the pain.. i am so curious is it something related to nerve disease

### output:

Hi, welcome to our site. I am Chat Doctor, MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your Quertle symptoms are quite suggestive of a possible nerve impingement when they come out of the spinal cord through the vertebral column. I feel it can be said that this would explain the cause of all your symptoms. However, pain in swallowing cannot be really attributed to it. Short of an examination, I would suggest an MRI of the brain and screen of spine to be sure. I hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. You can upload them on the site. You can upload them with the query, or if you have a problem, send them to attachments@ChatDoctor .com with Sub: ATTN Your Name. Once we receive the photos or diagnostic reports, my team will send reports / pictures to me. Please do understand that some details could be extracted from a detailed history and examination. Please click on Thanks/Helpful if found useful. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck. Chat Doctor. MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology)