Definition

Dysphagia is a problem that happens when you swallow. It’s hard to get food down the tube that goes from the mouth to the stomach.

Esophagus and Stomach
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Causes

Esophageal dysphagia is caused by damage or disease of the throat. :

  • Achalasia—food or drink doesn’t move toward the stomach as it should
  • Damage to nervous system that affects how muscles in the throat work
  • Narrowing of the throat— esophageal stricture
  • Esophageal cancer
  • Inflammation—esophagitis

Risk Factors

Factors that increase the risk of esophageal dysphagia include:

Symptoms

Common symptoms include:

  • Having a hard time when you swallow
  • A feeling of food being stuck
  • Pain when you swallow
  • Regurgitation
  • Drooling, coughing, choking
  • Wheezing
  • Hoarse voice
  • Problems getting enough fluids or nutrition

Diagnosis

You will be asked about your symptoms and past health. A physical exam will be done. The doctor will run tests to find out what is causing swallowing problems. Tests may include:

  • A test to look for problems while you swallow
  • An upper GI endoscopy—a scope is used to view throat from back of mouth to the stomach
  • A barium swallow—x-ray that uses a special dye to highlight throat
  • Tests on the muscles of the esophagus

Treatment

Treatment depends on the cause. You may need:

  • Esophageal dilation —making the esophagus wider where it narrows
  • Surgery—to treat GERD or take out something that is blocking the path
  • Dietary changes such as:
    • Not eating foods that cause problems
    • Eating softer or pureed foods
    • Using a feeding tube if needed
  • Speech therapy—this will teach you to swallow without choking
  • Medicines—to treat specific causes, relax muscles, or reduce acid

Prevention

There are not steps to prevent esophageal dysphagia.

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