Swallowing is a complex neuromuscular process involving the mouth, throat, larynx and esophagus. The three phases of swallowing are: oral, pharyngeal and esophageal. Difficulty swallowing (dysphagia) becomes more common as we get older.
Swallowing Problem Signs and Symptoms:
- Sensation of food getting stuck in throat or chest
- Pain with swallowing (odynophagia)
- Drooling, unable to swallow
- Food/liquid regurgitating up into throat
- Frequent heartburn
- Coughing or choking when swallowing
- Persistent hoarseness
- Unexplained weight loss
Swallowing Disorder Causes:
- Oropharyngeal problems
- Neurological problems
- Aging
- Parkinson’s disease
- Amyotrophic lateral sclerosis
- Post-polio syndrome
- Multiple sclerosis
- Stroke
- Pharyngeal diverticula
- Cervical spine boney spur
- Esophagus problems
- Spasm
- Stricture
- Mass
- Foreign body
- Gastroesophageal reflux disease
Swallowing Disorder Evaluation:
- Complete history and physical examination to obtain accurate diagnosis
- Diagnostic testing if indicated:
- Flexible fiberoptic examination of nose, throat and larynx (in office)
- Barium swallow
- Videofluoroscopic swallowing study (done by Swallowing Therapist and Radiologist)
- Upper Endoscopy
- Swallowing Therapy evaluation
Swallowing Disorder Treatment Options Include:
- Diet modification
- Swallowing techniques
- Esophageal dilation
- Surgery to remove mass or diverticula
- Feeding tube in severe cases
When to see a Doctor:
- Progressive swallowing problems
- Unable to swallow
- Breathing difficulty
- Persistent pain
- Persistent hoarseness
- Neck mass
If you have Swallowing problems, please call (503) 257-3204 or request a visit online with us.
References:
American Academy of Otolaryngology−Head and Neck Surgery. One Prince St., Alexandria, VA 22314-3357, 1-703-836-4444. 2014 AAO-HNS/AAO-HNSF Flint, P. W., C. W. Cummings, et al. (2010). Cummings otolaryngology head & neck surgery. Philadelphia, PA, Mosby/Elsevier: 3 v. (xlii, 2963, cxciv p.). Carrau RL, Murry T: Evaluation and management of adult dysphagia and aspiration. Curr Opin Otolaryngol Head Neck Surg 2000, 8:489-496. Schindler, J. S. and J. H. Kelly (2002). “Swallowing Disorders in the Elderly.” Laryngoscope 112(4): 589-602.
Call Mt. Hood ENT & Allergy at (503) 257-3204 for more information or to schedule an appointment.