Dysphagia

Common Name(s)

Dysphagia

Dysphagia refers to difficulty swallowing, such as due to pain or increased effort. Dysphagia is classified based on whether there is a muscular, nerve, or structural problem. These could be due to trauma, neuromuscular disorders, hardening or tightening of skin and connective tissue, or swelling of nearby structures. Other structural problems include obstruction of the throat or esophagus. Functional dysphagia occurs when patients have trouble swallowing with no clear cause.

About 15 million Americans are affected by dysphagia, with about 1 million new diagnoses each year. About half of all Americans over the age of 60 will experience dysphagia. In addition to the causes described above, health conditions such as stroke, degenerative neurological diseases such as Parkinson’s Disease or ALS, and cancer of the head and neck can all cause dysphagia.

Not all affected individuals will recognize that they have dysphagia. Dysphagia is important to diagnose because it increases the risk of pneumonia due to the introduction of food, saliva, and nasal secretions to the airway. Additionally, dysphagia may lead to dehydration, malnutrition, and kidney failure. Symptoms of dysphagia include an inability to control food or saliva in the mouth, coughing, choking, difficulty starting to swallow, recurrent pneumonia, weight loss, wet voice after swallowing, and nasal regurgitation. In severe cases, individuals may be unable to swallow solid food and there may be pain when trying to swallow.

Treatments for dysphagia include surgery, medication, and feeding tubes. In addition, lifestyle changes such as regular exercise and diet modification may be suggested. If you are suffering from dysphagia, talk to your doctor about the most current treatment options.

Source: Advocacy organizations associated with the condition.

 

Advocacy and Support Organizations

 

Condition Specific Organizations

Following organizations serve the condition "Dysphagia" for support, advocacy or research.

Association of Gastrointestinal Motility Disorders, Inc. (AGMD)

AGMD is a nonprofit international organization which serves as an integral educational resource concerning digestive motility diseases and disorders. It also functions as an important information base for members of the medical and scientific communities. In addition, it provides a forum for patients suffering from digestive motility diseases and disorders as well as their families and members of the medical community.

Last Updated: 28 Feb 2015

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General Support Organizations

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How do you compare to others with this condition?

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Advocacy and Support Organizations

 

Condition Specific Organizations

Following organizations serve the condition "Dysphagia" for support, advocacy or research.

Association of Gastrointestinal Motility Disorders, Inc. (AGMD)

AGMD is a nonprofit international organization which serves as an integral educational resource concerning digestive motility diseases and disorders. It also functions as an important information base for members of the medical and scientific communities. In addition, it provides a forum for patients suffering from digestive motility diseases and disorders as well as their families and members of the medical community.

http://www.agmd-gimotility.org

Last Updated: 28 Feb 2015

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Scientific Literature

Articles from the PubMed Database

Research articles describe the outcome of a single study. They are the published results of original research.
The terms "Dysphagia" returned 722 free, full-text research articles on human participants. First 3 results:

Esophageal transit time in patients with chagasic megaesophagus: Lack of linear correlation between dysphagia and grade of dilatation.
 

Author(s): Paula Martins, Cid Sergio Ferreira, José Renan Cunha-Melo,

Journal: Medicine (Baltimore). 2018 Mar;97(10):e0084.

 

The aim of this study was to determine the esophageal transit time in control individuals and in chagasic patients with or without megaesophagus.A total of 148 patients were allocated in 6 groups according to serological diagnostic of Chagas disease and the degree of esophageal dilatation: ...

Last Updated: 31 Dec 1969

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Quick needle insertion at pharyngeal acupoints for poststroke dysphagia: A case report.
 

Author(s): Xiaoning Li, Lei Wu, Fan Guo, Xuesong Liang, Hao Fu, Nuo Li

Journal: Medicine (Baltimore). 2017 Dec;96(50):e9299.

 

Dysphagia following stroke is a major complaint among patients, and effective treatment of post-stroke dysphagia can be difficult. We present a case report describing a new treatment for dysphagia, namely, quick needle insertion at pharyngeal acupoints.

Last Updated: 31 Dec 1969

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Systematic dysphagia screening and dietary modifications to reduce stroke-associated pneumonia rates in a stroke-unit.
 

Author(s): Yvonne Teuschl, Michaela Trapl, Paulina Ratajczak, Karl Matz, Alexandra Dachenhausen, Michael Brainin

Journal:

 

While formal screening for dysphagia following acute stroke is strongly recommended, there is little evidence on how multi-consistency screening and dietary modifications affect the rate of stroke-associated pneumonia (SAP). This observational study reports which factors affect formal ...

Last Updated: 31 Dec 1969

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Reviews from the PubMed Database

Review articles summarize what is currently known about a disease. They discuss research previously published by others.
The terms "Dysphagia" returned 82 free, full-text review articles on human participants. First 3 results:

The Use of Brain Stimulation in Dysphagia Management.
 

Author(s): Andre Simons, Shaheen Hamdy

Journal: Dysphagia. 2017 04;32(2):209-215.

 

Dysphagia is common sequela of brain injury with as many as 50% of patients suffering from dysphagia following stroke. Currently, the majority of guidelines for clinical practice in the management of dysphagia focus on the prevention of complications while any natural recovery takes ...

Last Updated: 31 Dec 1969

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Review of Evidenced-Based Nursing Protocols for Dysphagia Assessment.
 

Author(s): Wende N Fedder

Journal: Stroke. 2017 04;48(4):e99-e101.

 

Last Updated: 31 Dec 1969

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Dysphagia-optimised Intensity-modulated Radiotherapy Techniques in Pharyngeal Cancers: Is Anyone Going to Swallow it?
 

Author(s): I Petkar, S Bhide, K Newbold, K Harrington, C Nutting

Journal: Clin Oncol (R Coll Radiol). 2017 Jul;29(7):e110-e118.

 

Dysphagia after primary chemoradiotherapy or radiation alone in pharyngeal cancers can have a devastating impact on a patient's physical, social and emotional state. Establishing and validating efficient dysphagia-optimised radiotherapy techniques is, therefore, of paramount importance ...

Last Updated: 31 Dec 1969

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Symptoms, Diagnosis, and Treatment

There are currently no related results available in GeneReviews.

 
 
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Clinical Trial Information This information is provided by ClinicalTrials.gov

Anesthetic to Reduce Dysphagia After Anterior Cervical Discectomy and Fusion Surgery
 

Status: Recruiting

Condition Summary: Dysphagia

 

Last Updated: 27 Feb 2018

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Utilization of Negative Pressure Suction to Reduce Aspiration in Oropharyngeal Dysphagia
 

Status: Recruiting

Condition Summary: Oropharyngeal Dysphagia

 

Last Updated: 4 Dec 2017

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Design and Implementation of a Nutritional Intervention in Patients With Oropharyngeal Dysphagia
 

Status: Recruiting

Condition Summary: Oropharyngeal Dysphagia

 

Last Updated: 27 Feb 2018

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