Swallowing problems, causes and treatments is the subject for this post. What causes swallowing difficulty? According to the National Institute on Deafness and Other Communication Disorders, there are 50 pairs of muscles and nerves used to help you swallow. In other words, there are lots of things that can go wrong and lead to problems swallowing. Some conditions include: Acid reflux and GERD: Acid reflux symptoms are caused when stomach contents flow up from the stomach back into the esophagus, causing symptoms like heartburn, stomach pain, and burping. Learn more the causes, symptoms, and treatment of acid reflux and GERD.
Oral-motor treatments include stimulation to or actions of the lips, jaw, tongue, soft palate, pharynx, larynx, and respiratory muscles that are intended to influence the physiologic underpinnings of the oropharyngeal mechanism in order to improve its functions. Some of these interventions can also incorporate sensory stimulation. Oral-motor treatments range from passive to the more active (e.g., range-of-motion activities, resistance exercises, or chewing and swallowing exercises). Examples of exercises include the following: Laryngeal elevation —similar to the Mendelsohn maneuver (discussed in “Maneuvers” section above), the patient uses laryngeal elevation exercises to lift and maintain the larynx in an elevated position. The patient is asked to slide up a pitch scale and hold a high note for several seconds. This maintains the larynx in an elevated position. Masako or tongue hold —the patient holds the tongue forward between the teeth while swallowing; this is performed without food or liquid in the mouth, to prevent coughing or choking. Although sometimes referred to as the Masako “maneuver,” the Masako (tongue hold) is considered an exercise (not a maneuver), and its intent is to improve movement and strength of the posterior pharyngeal wall during the swallow. Discover additional details on Dysphagia.
A blockage or a malfunction anywhere in this part of the body or in the nervous system controlling swallowing can result in dysphagia. There are two types: Esophageal dysphagia occurs when food/liquid stops in the esophagus. This can happen in several ways. Stomach acid can reflux into the esophagus. Over time, the reflux causes inflammation and a narrowing (stricture) of the esophagus. Food and eventually liquids feel like they are sticking in the middle and lower chest. There may be chest discomfort or even real pain. Fortunately, physicians can usually dilate (widen) this narrowing, and there is now treatment available to keep it from returning. Cancer, hiatus hernia, and certain muscle disorders of the esophagus are less frequent causes of esophageal dysphagia. Solid food is usually more of a problem than liquids.
High quality images paired with in-depth analysis of swallowing function leads to improved recommendations. Timely assessments! We aim to have your patient evaluated within 1-2 business days. Cost-effective! FEES costs about 1/4 to 1/2 of a traditional modified barium swallow study (MBSS) at the hospital. We work our hardest to prevent your patient from being placed on texture modified diets but if they need to, we can prove with objective data for accurate documentation. We take the time to help you come up with strategies and make recommendations that ACTUALLY WORK! See more details at dysphagiainmotion.com.