DYSPHAGIA

Trouble gulping your food or liquids is known as dysphasia. This is frequently associated with weight loss, poor nutrition and vomiting) implies it takes additional time and exertion to move food or fluid from your mouth to your stomach. Dysphagia may likewise be related with pain. At times, gulping might be impossible.

SYMPTOMS:

  1. Having pain while swallowing (odynophagia)
  2. Being unable to swallow
  3. Having the sensation of food getting stuck in your throat or chest or behind your breastbone (sternum)
  4. Drooling of saliva
  5. Hoarseness of voice
  6. Bringing food back up in to mouth  (regurgitation)
  7. Having frequent heartburn
  8. Having food or  acid back up into your throat
  9. Unexpectedly losing weight
  10. Coughing or gagging when swallowing
  11. Eating very smaller pieces or avoiding certain foods because of trouble swallowing

CAUSES:

  1. Achalasia
  2. Diffuse spasm
  3. Esophageal stricture
  4. Esophageal tumours
  5. Foreign bodies
  6. Esophageal ring
  7. GERD
  8. Eosinophilic esophagitis
  9. Scleroderma
  10. Radiation therapy

HOW IT IS DIAGNOSED?

  1. X-ray with a contrast material (barium X-ray)
  2. Dynamic swallowing study
  3. A visual examination of your oesophagus (endoscopy)
  4. Fibre-optic endoscopic evaluation of swallowing (FEES)
  5. Esophageal muscle test (manometry)
  6. Imaging scans

TREATMENT:

Treatment for dysphagia depends on the type or cause of your swallowing disorder.

1) Oropharyngeal dysphagia: For oropharyngeal dysphagia, your primary care physician may refer you to a discourse or gulping specialist, and treatment may include:

2) Learning exercise: Certain activities may help arrange your gulping muscles or re stimulate the nerves that trigger the gulping reflex. 

Getting the hang of gulping procedures: You may likewise learn approaches to put food in your mouth or to situate your body and head to enable you to swallow. You might be encouraged activities and new gulping methods to help make up for dysphagia caused by neurological issues, for example, Alzheimer’s ailment or Parkinson’s illness.

Esophageal dysphagia

Treatment approaches for esophageal dysphagia may include:

Esophageal dilation. For a tight esophageal sphincter (achalasia) or an esophageal injury, your primary care physician may use an endoscope with an uncommon inflatable connected to tenderly stretch and grow the width of your throat or pass an adaptable tube or tubes to extend the throat (widening).

Surgical procedure: For an esophageal tumor, achalasia or pharyngoesophageal diverticulum, you may require medical procedure to make your esophageal way.

Drugs: Trouble gulping related with GERD can be treated with solution oral meds to diminish stomach corrosive. You may need to take these meds for an all-encompassing period. On the off chance that you have eosinophilic esophagitis, you may require corticosteroids. In the event that you have esophageal fit, smooth muscle relaxants may help.

SURGERY:

Surgical procedure might be prescribed to diminish gulping issues caused by throat narrowing or blockages, including hard outgrowths, vocal line loss of motion, pharyngoesophageal diverticulum, GERD and achalasia, or to treat esophageal malignancy. Discourse and gulping treatment is generally useful after medical procedure.

The kind of surgical treatment relies upon the cause for dysphagia. A few examples are:

Laparoscopic heller myotomy: It is used to cut the muscle at the lower end of the throat (sphincter) when it neglects to open and discharge food into the stomach in individuals who have achalasia.

Per-oral endoscopic myotomy (POEM): The specialist uses an endoscope embedded through your mouth and down your throat to make an entry point in within coating of your throat. At that point, as in a heller myotomy, the specialist cuts the muscle at the lower end of the esophageal sphincter.

Esophageal Dilation:  Your primary care physician embeds a lit tube (endoscope) into your throat and blows up a joined inflatable to delicately extend and grow its width (widening). This treatment is used for a tight sphincter muscle toward the finish of the throat (achalasia), a narrowing of the throat (esophageal injury), an irregular ring of tissue situated at the intersection of the throat and stomach (Schatzki’s ring) or a motility issue. On the other hand, your PCP may pass an adaptable tube or tubes of various distances across rather than an inflatable.

Stent placement: The specialist can likewise embed a metal or plastic tube (stent) to prop open a narrowing or blockage in your throat. A few stents are lasting, for example, those for individuals with esophageal disease, while others are impermanent and are removed later.

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