Dysphagia or Swallowing Disorder

Swallowing Disorder (Dysphagia): Diagnostic Tests

Obligatory medical device diagnostics. Esophago-gastro-duodenoscopy (EGD; endoscopy of esophagus, stomach, and duodenum) – with biopsies (tissue sampling) from all suspicious lesions, if necessary; in Barrett’s esophagus, additional 4-quadrant biopsies. Optional medical device diagnostics – depending on the results of the history, physical examination and mandatory laboratory parameters – for differential diagnostic clarification. Transnasal videoendoscopy – … Swallowing Disorder (Dysphagia): Diagnostic Tests

Swallowing Disorder (Dysphagia): Symptoms, Complaints, Signs

The following symptoms and complaints may occur together with dysphagia: Leading symptom Dysphagia (difficulty swallowing) – if this occurs with a feeling of pressure/pain in the thorax (chest) and/or abdomen (stomach), this is known as odynophagia (pain on swallowing). Associated symptoms “Drooling”: drooling, leakage of saliva (sialorrhea) or food pulp from the mouth. Nasal regurgitation … Swallowing Disorder (Dysphagia): Symptoms, Complaints, Signs

Swallowing Disorder (Dysphagia): Therapy

Therapy for dysphagia (difficulty swallowing) depends on the cause. In Parkinson’s disease-related dysphagia, studies demonstrate response to L-dopa in some patients. If dysphagia persists, complete or partial replacement of nutrition via percutaneous endoscopic gastrostomy (PEG; endoscopically placed artificial access from the outside through the abdominal wall into the stomach) may be required. General measures Strive … Swallowing Disorder (Dysphagia): Therapy

Swallowing Disorder (Dysphagia): Medical History

Medical history (history of illness) represents an important component in the diagnosis of dysphagia (swallowing disorder). Family history Social history Current anamnesis/systemic anamnesis (somatic and psychological complaints). How long have the swallowing difficulties been present? Did the discomfort come on suddenly or slowly? Do they persist throughout or episodically? Do you have dysphagia only with … Swallowing Disorder (Dysphagia): Medical History

Swallowing Disorder (Dysphagia): Or something else? Differential Diagnosis

Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99). Congenital malformations such as cleft lip, cleft palate, cleft larynx. Congenital retrognathia – congenital backward displacement of the lower jaw. Hirschsprung’s disease (MH; synonym: megacolon congenitum) – genetic disease with both autosomal recessive inheritance and sporadic occurrence; disease that in most cases is the last third of the … Swallowing Disorder (Dysphagia): Or something else? Differential Diagnosis

Swallowing Disorder (Dysphagia): Complications

The following are the most important diseases or complications that may be contributed to by dysphagia (dysphagia): Respiratory system (J00-J99) Aspiration pneumonia – pneumonia due to entry of, for example, food into the tracheobronchial system during inspiration (inhalation). Bronchopulmonary infections/pneumonias (pneumonia). Endocrine, nutritional, and metabolic diseases (E00-E90). Desiccosis (dehydration). Malnutrition (malnutrition, malnutrition). Psyche – nervous … Swallowing Disorder (Dysphagia): Complications

Swallowing Disorder (Dysphagia): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin, mucous membranes, oral/pharyngeal cavity, and skull [due topossible external causes: Foreign body, brain injury, unspecified, nerve injury, unspecified, postoperative changes, unspecified, chemical burns, injury, chemical, thermal, etc.]. Palpation … Swallowing Disorder (Dysphagia): Examination

Swallowing Disorder (Dysphagia): Test and Diagnosis

1st order laboratory parameters – obligatory laboratory tests. Small blood count Differential blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Laboratory parameters 2nd order – depending on the results of the history, physical examination, etc. – for differential diagnostic clarification. Fasting glucose (fasting blood glucose), if necessary oral glucose tolerance … Swallowing Disorder (Dysphagia): Test and Diagnosis