What Is Dysphagia?
Dysphagia is a problem in swallowing. You may have the feeling that there is something stuck in your throat or that is or hick in your chest when you eat or you may develop undergoing cough or choking when eating or you may also experience pain. It is mild to extreme obstruction and has been designated with the ICD-10 code R13.x to be diagnosed and tracked.
Common Causes and Risk Factors
- Age (risk rises after 50)
- Gastroesophageal reflux disease (GERD)
- Marked by neurological disorders (stroke, Parkinson's disease)
- Skeletal muscle disorders (scleroderma, myositis)
- Surgery of the head or neck, radiotherapy
- Structural malformations (esophageal malformations, tumors)
Signs and Symptoms
- Feeling of swollen throat or chest
- During meals coughing, choking, or gagging
- Pain or discomfort when swallowing (odynophagia)
- Unintended weight loss
- Much drool and question of being unable to work saliva
- Vomiting of semi-calciated liquid food or liquids
Expert Treatment for Dysphagia by Dr. Bharat Pothuri
Dr. Pothuri is going to follow a step-by-step diagnosis:
Medical History & Symptom Review
He starts by talking about your swallowing problems, medical history, and the associated symptoms to be aware of the cause.
Barium Swallow X-ray
This will be followed by a request to drink a contrast solution as the X-ray images are then used to monitor the motion of the contrast solution in your esophagus which is normally used to identify obstruction or Problems with Motility.
Upper Endoscopy (EGD)
A small tube called an endoscope is then inserted into your mouth in order to inspect the walls of your esophagus and stomach. In case of inflammation or any other problems, a biopsy can be performed.
Esophageal Manometry
The test is used to evaluate esophagus muscle contractions coordination and pressure by measuring it which is essential in detecting a motility disorder.
pH Testing (if acid reflux is suspected)
A probe testing shows the level of acid in your esophagus in 24 hours to find out whether GERD is the cause of your swallowing difficulty.
Frequently Asked Questions
What is dysphagia?
Dysphagia refers to the problem with swallowing. It can also either impact either liquids or solids or vice versa, as well as lead to coughing or choking over food.
What are the main causes of dysphagia?
Usual causes are neurological (stroke, Parkinson), GERD, esophageal strictures, head and neck (cancer) and muscle disorders.
How is dysphagia diagnosed?
Diagnosis is commonly either through barium swallow X-ray, upper endoscopy (EGD) or through videofluoroscopic swallow study in the presence of a speech pathologist.
What treatments are available?
The treatment is dependent on the cause. Successful treatments that can be applied include swallowing therapy, esophageal strictures, medication that reduces acid and surgery where necessary.
Can diet changes help with dysphagia?
Yes. Speech-language pathologist can prescribe thickened liquids or pureed food in order to make the act of swallowing foods and beverages safe and easier.
When should I see a doctor?
Request assessment in case of weight loss, chronic chest infection, choking or issues with food getting stuck in your throat including two weeks.
Is dysphagia dangerous?
Dysphagia may cause malnutrition, dehydration and aspiration pneumonia without treatment. The risks that are eliminated always at an early stage.
How long does recovery take?
Recovery varies widely. Surgical or endoscopic remedies can solve the symptoms faster though swallowing therapy can consummate the task within several weeks.