A New York City ENT doctor deals with a variety of different conditions from performing sinus surgeries to diagnosing ear, nose & throat problems.
Posts tagged Dysphagia
Swallowing Disorders and How to Treat Them
09 months ago
If you’re currently having trouble swallowing, this is known as ‘dysphagia’ and it’s actually more common than most think. Normally, the issue will come from your throat or the esophagus (this takes food and liquid from the mouth to the stomach). Furthermore, swallowing disorders can happen to people of all ages but they’re more commonly found in older generations, people with nervous system issues, and babies.
Causes of Swallowing Disorders
When it comes to the problems themselves, there are a number of different issues ranging from minor problems to serious health concerns. If it only happens once or twice, this normally suggests something small while medical attention should be sought if it happens frequently.
As a natural process, our throat muscles will actually contract as we swallow and this helps the food to be pushed down into the stomach. If there’s a problem, food and liquid will struggle to pass through the esophagus and there are two main reasons as to why you could be experiencing this failure.
Blockages
Trouble swallowing might be because of something blocking the esophagus and this is preventing anything from passing through. Swallowing disorders might stem from any of the following types of blockages:
- Esophagitis – This is where the esophagus becomes inflamed after an infection or perhaps even a pill getting stuck. For some, they also experience some form of reaction to a substance in the air or food they consume.
- Gastroesophegeal Reflux Disease (GERD) – If stomach acid manages to back right up into the esophagus, ulcers can form and this can actually lead to scars; in turn, this narrows the esophagus.
- Other Issues – Although these are the two main issues, you could also have cancerous or benign tumors within the esophagus or small sacs that form on the walls of your throat (diverticula). Finally, lymph nodes can appear on the vertebrae and push into the esophagus from the outside.
Damaged Muscles/Nerves
Secondly, the muscles and/or nerves might not be working correctly and this may come from brain injuries, stroke, orsome other health concerns.
- Nervous System – With muscular dystrophy, post-polio syndrome, Parkinson’s disease, and multiple sclerosis, these can affect the muscles and nerves.
Esophageal Spasm – At random intervals, the muscles will squeeze together and this prevents food from reaching the stomach. - Scleroderma – With the esophagus tissue, this can become hard as well as narrow. In some cases, it can also weaken the lower esophageal muscles which, in turn, causes a backup of stomach acid in the throat.
- Immune System – Finally, an issue in the immune system can cause weakness and swelling in the area.
Since swallowing disorders greatly impact your everyday life, it’s important to seek treatment for them.
Treatment
Now we know the issues that exist, how do professionals treat these swallowing disorders so you can return to your normal self? Firstly, they’ll try to locate the problem using an x-ray and various other procedures they have. If necessary, they’ll use a small camera to see the extent of the damage or even a small pressure gauge to measure your ability to swallow. Once they’ve found the cause, they can get to work on treatment and there are many different solutions depending on the cause.
- Dilation – If your esophagus has narrowed, this treatment will see a small device expand the area; this may require several sessions.
- Diet – If your diet is causing the problem, your doctor will recommend changing the foods you eat to identify the problematic ingredient.
- Exercise – As strange as It sounds, you can actually complete swallowing exercises to strengthen the muscles and allow for better swallowing.
- Endoscopy – In some situations, a blockage might cause the problem and an endoscopy can be used to remove any objects.
- Medicines – If the issue is related to heartburn, GERD, or esophagitis, some prescription medicines might be able to prevent stomach acid from getting into the esophagus. With infections, antibiotic medicines will also help the problem.
- Surgery – Finally, and this will only be done if completely necessary, surgery can remove blockages or anything else affecting the lower esophageal muscle.
Summary
There we have it, the causes and treatments for swallowing disorders. If you’ve experienced anything we’ve discussed today, we highly recommend talking to an expert as soon as possible because, left untreated, your condition will only get worse. In some rare cases, patients are left needing a feeding tube so contact an expert today and get yourself back to full fitness!
Strep versus Sore Throat
04 years ago
by Social Media Team
in Throat
Strep versus Sore Throat: Learn the Difference Here
When school is in session, outbreaks of strep throat can be common. Determining whether this common childhood infection is actually strep or just a sore throat can be challenging. Some parents may not be sure what the differences are or how to determine when to take a child to the doctor for treatment. Here are some things to keep in mind when weighing the differences between strep versus sore throat.
To start, a sore throat is generally caused by a virus. Usually, it will manifest along with other symptoms such as sneezing and a runny nose. There is no medicine that will cure a viral infection, so it generally just has to run its course. While they may be similar, there are marked variations between a strep and a virally induced sore throat.
Strep throat is caused by a bacterial infection. It is contagious, and this is one reason it spreads so quickly, particularly among little ones. Sneezing, coughing, and inadequate handwashing are some ways the infection can be spread. Generally, an infection leading to strep throat is treated with antibiotics. Symptoms may include fever, swollen tonsils, nausea, difficulty swallowing, and white and red patches on the throat. When these symptoms present themselves, it is a good idea to call the pediatrician. A swab test can be done to determine if there is in fact a strep infection. Plenty of rest, fluids, and a course of antibiotics are generally all that is needed to have children back to a normal routine.
The question often arises as to whether a child should have their tonsils removed in cases of frequent strep infection. Research has shown that this may be advisable when infections occur more than seven times in one year, or several times in two consecutive years. Talking to your pediatrician is best when making such a decision.
Knowing the differences between strep versus sore throat can save parents an emergency visit expense, but when in doubt always consult a medical professional.
When Swallowing Becomes Difficult
04 years ago
by Social Media Team
in Treatment
If you are experiencing increasing difficulty in swallowing, it could be the symptom of a more serious condition. Dysphagia is the technical term for chronic swallowing problems. It can take a person who once loved food, and cause them to dread meal time. If you are experiencing dysphagia, you need to seek treatment. Sometimes even speech therapy is a part of the treatment for this affliction.
One type of dysphagia involves the esophagus. This is the tube that connects the mouth to the stomach. When a person suffers from this type of dysphagia, they may become malnourished since eating becomes difficult. The sufferer may lose weight and seem to have less interest in food than they did before. When a person with esophageal dysphagia tries to swallow, it can cause extreme discomfort in the chest. It may result in a cough that wakes the person up from sleep. It can also result in a person not being able to keep food down.
The other type of dysphagia is known as oropharyngeal dysphagia. While this type of swallowing disorder has many of the same symptoms, it will not cause pain in the chest since the problem is usually more in the mouth or upper throat area. Other symptoms may include drooling, food getting caught in throat frequently, frequent clearing of the throat and an excessive amount of time being spent chewing. This is often an effort on the part of the sufferer to make the food as easy to swallow as possible so as to prevent choking.
There are many different conditions that can cause dysphagia, and treatment will often depend on the underlying cause. Swallowing problems can be caused by muscle disorders, a tumor, dementia, a stroke, acid reflux, an infection, cancer or several other conditions. Surgery and muscle therapy are often needed to counteract many of these different causes for dysphagia.
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This is a topic that is close to my heart... Best wishes!
Where are your contact details though?
4 years ago