I have uctd and I have been having difficulty initiating a swallow for a few years. It is not constant and most of the time there is no problem. I am just wondering if this is related to the uctd and if it will get worse. Also I have flares of joints in my hands aching-is this normal or is the aching constant? The rheumy said that the uctd could turn into lupus so maybe I am being paranoid. I am also losing hair. Other than that and always feeling tired, I feel somewhat normal!