Can dysphagia come on suddenly?
Dysphagia means difficulty swallowing. This condition happens when food or liquids can't pass easily from your child's mouth into the throat, down the esophagus, and into the stomach when swallowing. Dysphagia can be chronic (long-term) or it may come on suddenly.
Some muscular conditions, such as muscle spasms, throat cancer, or diverticulum, can make it difficult to fully swallow food, resulting in discomfort. Physical blockages related to benign/cancerous growth or strictures may cause esophageal dysphagia.
Foods with a fibrous or 'stringy' texture - e.g. celery, green beans, melted cheese or pineapple. Fruit or vegetables with thick skins, seeds or pips - e.g. baked beans, peas, grapes and tomatoes. Crunchy and crumbly items such as toasts, biscuits, crackers, crisps, pie crusts.
Many cases of dysphagia can be improved with treatment, but a cure isn't always possible. Treatments for dysphagia include: speech and language therapy to learn new swallowing techniques. changing the consistency of food and liquids to make them safer to swallow.
Dysphagia has many possible causes and happens most frequently in older adults. Any condition that weakens or damages the muscles and nerves used for swallowing may cause dysphagia. For example, people with diseases of the nervous system, such as cerebral palsy or Parkinson's disease, often have problems swallowing.
Nasal regurgitation, drooling, coughing or choking during meals are relevant and may be suggestive of an oropharyngeal disorder. Systemic review should include weakness and any associated fatigue, tremor and speech disturbance. There may also be shortness of breath or a hoarse voice.
Prompt supplementation with vitamin B12 has been reported to reverse neurological symptoms, however, the severity and duration of symptoms before treatment influence the degree of recovery [5]. Following three months of B12 supplementation, there was complete reversal of neurogenic dysphagia in our patient.
Depending on the suspected cause, your health care provider might refer you to an ear, nose and throat specialist, a doctor who specializes in treating digestive disorders (gastroenterologist), or a doctor who specializes in diseases of the nervous system (neurologist).
- The Pre-oral Phase. – Starts with the anticipation of food being introduced into the mouth – Salivation is triggered by the sight and smell of food (as well as hunger)
- The Oral Phase. ...
- The Pharyngeal Phase. ...
- The Oesophageal Phase.
Dysphagia can be found in anxiety, depression and conversion hysteria, with high incidence in the urban population of the third world countries. However, several professionals are unaware of these disorders.
How quickly does dysphagia progress?
Benign strictures typically progress slowly (over a period of months to years) and are associated with minimal weight loss. Malignant esophageal strictures usually cause rapidly progressing dysphagia (over a period of weeks to months) with substantial weight loss.
- Thin. These are watery liquids such as juice, tea, milk, soda, beer, and broth.
- Nectar-like. These are slightly thicker liquids, such as vegetable juices and thin milkshakes.
- Honey-like. These liquids are like honey at room temperature.
- Spoon-thick.

AVOID: Desserts that are dry, hard, crumbly, contain nuts or are too chewy. Avoid ice cream, milk shakes, frozen yogurt, sherbet if on a thickened liquid as this melts into a thin liquid.
- 1.) Shaker Exercise. Purpose: To strengthen muscles and improve your ability to swallow. ...
- 2.) Hyoid Lift Maneuver. Purpose: Builds swallowing muscle strength and control. ...
- 3.) Effortful Swallow. ...
- 4.) Supraglottic Swallow. ...
- 5.) Super Supraglottic Swallow Maneuver.
In patients with significant dysphagia and dementia we know that survival is equally short with and without a feeding tube, around 6 months.
The most common symptom of esophageal cancer is a problem swallowing (called dysphagia). It can feel like the food is stuck in the throat or chest, and can even cause someone to choke on their food.
Maintain Hydration
It's easy for elderly adults to become dehydrated when they suffer from dysphagia. If they can't drink plain water, they might just not drink anything at all.
Endoscopic dilatation is widely used to treat dysphagia caused by obstruction. It can also be used to stretch your oesophagus if it's scarred. Endoscopic dilatation will be carried out during an internal examination of your oesophagus using an endoscopy.
You should see your doctor to determine the cause of your swallowing difficulties. Call a doctor right away if you're also having trouble breathing or think something might be stuck in your throat. If you have sudden muscle weakness or paralysis and can't swallow at all, call 911 or go to the emergency room.
A videofluoroscopy assesses your swallowing ability. It takes place in the X-ray department and provides a moving image of your swallowing in real time. You'll be asked to swallow different types of food and drink of different consistencies, mixed with a non-toxic liquid called barium that shows up on X-rays.
What are at least 3 warning signs of dysphagia?
- coughing or choking when eating or drinking.
- bringing food back up, sometimes through the nose.
- a sensation that food is stuck in your throat or chest.
- persistent drooling of saliva.
- being unable to chew food properly.
- a gurgly, wet-sounding voice when eating or drinking.
Swallowing difficulties are common at the end of life and dysphagia, a severe swallowing difficulty, is a sign that a person's disease is at end stage. If a person is having swallowing problems, we can refer them to a speech pathologist for a swallowing assessment and guidance for appropriate interventions.
- Dehydration.
- Malnutrition.
- Weight loss.
- Respiratory problems, such as aspiration pneumonia or respiratory infections.
- Fatigue.
- Cognitive confusion.
- Loss of dignity.
- Feelings of isolation, anxiety and depression.
Vitamin Supplements would be a huge help to dysphagia patients who are typically deficient in a huge range of micronutrients including: iron, folate, cobalamin (B12) and Vitamin D, Thiamine (B1), zinc, copper and manganese.
Oral preparatory phase.
The arch of your mouth and your tongue connect to prevent food or liquid entering the pharynx. Then, your tongue rises, squeezing the bolus back along the roof of your mouth and into your upper pharynx.
There is a high incidence of dysphagia among people with mental health conditions, which may be due to a side effect of medication, a phobia, or abnormal eating behaviors. Dysphagia is a symptom of a health concern rather than a disease or medical condition itself.
Treating Swallowing Difficulties
There are a variety of treatments for dysphagia, depending on the exact diagnosis: Dilation (stretching the esophagus open) at the time of an endoscopy. Medications (either taken by mouth or injected into the esophagus at the time of an endoscopy)
Dysphagia can come and go, be mild or severe, or get worse over time. If you have dysphagia, you may: Have problems getting food or liquids to go down on the first try. Gag, choke, or cough when you swallow.
- a stroke.
- neurological conditions that cause damage to the brain and nervous system over time, including Parkinson's disease, multiple sclerosis, dementia, and motor neurone disease.
- brain tumours.
- myasthenia gravis – a rare condition that causes your muscles to become weak.
Stress or anxiety may cause some people to feel tightness in the throat or feel as if something is stuck in the throat. This sensation is called globus sensation and is unrelated to eating. However, there may be some underlying cause. Problems that involve the esophagus often cause swallowing problems.
Can you have temporary dysphagia?
The term dysphagia refers to the feeling of difficulty passing food or liquid from the mouth to the stomach. This may be caused by many factors, most of which are temporary and not threatening. Difficulties in swallowing rarely represent a more serious disease, such as a tumor or a progressive neurological disorder.
It can be temporary, or it can be a permanent condition that may or may not deteriorate over time, depending on the aetiology. Signs that an individual is experiencing dysphagia may include: Reported difficulty swallowing certain foods/liquids. Coughing or choking when eating and drinking.
You usually do not need to go to the hospital, as long as you are able to eat enough and have a low risk of complications. However, if your esophagus is severely blocked, you may be hospitalized. Infants and children with dysphagia are often hospitalized.
The classification of dysphagia, as related to location, includes oropharyngeal, esophageal, esophagogastric, and paraesophageal.
- mouth or throat – known as oropharyngeal dysphagia.
- oesophagus (the tube that carries food from your mouth to your stomach) – known as oesophageal dysphagia.
Try eating smaller, more frequent meals. Cut your food into smaller pieces, chew food thoroughly and eat more slowly. If you have difficulty swallowing liquids, there are products you can buy to thicken liquids. Trying foods with different textures to see if some cause you more trouble.
Diltiazem: Can aid in esophageal contractions and motility, especially in the disorder known as the nutcracker esophagus. Cystine-depleting therapy with cysteamine: Treatment of choice for patients with dysphagia due to pretransplantation or posttransplantation cystinosis.
A videofluoroscopy assesses your swallowing ability. It takes place in the X-ray department and provides a moving image of your swallowing in real time. You'll be asked to swallow different types of food and drink of different consistencies, mixed with a non-toxic liquid called barium that shows up on X-rays.
Dysphagia is more common amongst older people, because older people are more prone to developing diseases linked to dysphagia - such as Cancer, stroke or Alzheimer's disease - than the general patient population.
a condition that affects the nervous system, such as a stroke, head injury, multiple sclerosis or dementia. cancer – such as mouth cancer or oesophageal cancer. gastro-oesophageal reflux disease (GORD) – where stomach acid leaks back up into the oesophagus.
What is the most common complication of dysphagia?
The most common complications of dysphagia are aspiration pneumonia, malnutrition and dehydration; other possible complications, such as intellectual and body development deficit in children with dysphagia, or emotional impairment and social restriction have not been studied thoroughly.