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Dysphagia (Swallowing Disorders)

Dysphagia (Swallowing Disorders)

What is Dysphagia?

The ability to safely swallow is essential for adequate nutrition and hydration, and preventing food from entering your lungs.  Swallowing is a complex act that involves coordinated movement of muscles that make up three primary phases of the swallow:  Oral phase (mouth), pharyngeal phase (throat) and esophageal phase (food tube).  When there is a problem in one or more of these phases, it is called dysphagia.

What are the symptoms of Dysphagia?

Patients with a swallowing disorder can experience a number of symptoms including:

  • Trouble forming food and liquid into a soft ball in the mouth

  • A need for extra time to chew or move food or liquid in the mouth

  • Trouble pushing food or liquid to the back of the mouth

  • Food or liquid entering the airway when swallowing causing coughing or throat clearing

  • Choking

  • A sticking sensation in the throat after a swallow

  • Trouble with food entering the esophagus

  • Feeling food stick in the throat or chest after a swallow

  • Regurgitation

  • Reflux

How is Dysphagia diagnosed?

In addition to a standard throat and voice box examination, your treatment team may ask you to complete a swallowing test. This may include a test performed in the office, where we observe how you swallow with a flexible scope in your nose or with x-rays of your neck and chest while swallowing.  The combination of a thorough exam and swallow study will determine if your dysphagia is due to a problem in your throat, voice box or esophagus.

Dysphagia Treatment

Some swallowing problems may be treatable with medication or surgery. Depending upon your working diagnosis, your treatment team will discuss different treatment options available:

  • Reflux is treated with lifestyle modifications and medication. If your reflux is severe, or if the problem with your swallow appears to be an esophagus issues, you may be referred to a gastroenterologist for further testing and evaluation.

  • Problems with vocal cord movement can often be treated to improve the safety of your swallowing.

  • Zenker’s diverticulum and other problems with the cricopharyngeus muscle are often addressed with surgery. There are different surgeries available with different risks, so your treatment team will discuss which options are appropriate for you.

  • Strictures in the throat or esophagus may be dilated in the operating room to improve your ability to swallow solid foods.

If conditions that are treatable with medicine or surgery are ruled out, your treatment team may recommend continued swallowing therapy to ensure the foods you are eating are safe and to maximize your chances of swallowing rehabilitation. Coordinated care with a gastroenterologist is often beneficial.

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