Dysphagia is the medical term for difficulty swallowing. When dysphagia is mild, it may cause an individual only to stop eating for a minute or less, but when it is severe, it can prevent an individual from taking in enough calories for adequate nutrition. Dysphagia has many causes. First, there may be physical (anatomical) obstruction to the passage of food. Second, there may be abnormalities in the function of the nerves of the brain, throat, and esophagus whose normal function is necessary to coordinate swallowing. Finally, there also may be abnormalities of the muscles of the throat and esophagus themselves.
Depending upon the cause of the dysphagia, the difficulty swallowing can be mild or severe. Some affected individuals may have trouble swallowing both solids and liquids, while others may experience problems only when attempting to swallow solid foods.
Other causes of dysphagia
- Compression From Other Structures in the Chest Cavity
- Dermatomyositis
- Esophageal Strictures
- Head Injury
- Medications
- Muscular Dystrophy
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Causes of Dysphagia
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1p36 Deletion Syndrome
1p36 deletion syndrome is a genetic disorder that causes severe intellectual disability. Characteristics of 1p36 deletion syndrome include temper tantrums, biting, and other behavioral problems. Physical conditions include seizures, hypotonia, swallowing problems, and microbrachycephaly.
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Abscessed Tooth
An abscessed tooth is an infection within a tooth that has spread to the root. Symptoms of an abscessed tooth may include pain, swelling, tenderness, redness, and the presence of a pus-filled lesion on the gum. A dental professional diagnoses an abscessed tooth and dental X-rays may be required. An abscessed tooth is treated with a root canal.
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Achalasia
Esophageal achalasia is a disease of the esophagus that mainly affects young adults. Achalasia makes it difficult to swallow, can cause chest pain, and may lead to regurgitation. Here we discuss achalasia symptoms, surgery, treatment, and causes. Learn the definition of achalasia and what you can do to treat the disease.
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Anaphylaxis
Anaphylaxis is a serious allergic reaction that affects a number of different areas of the body at one time and can be fatal. Causes of anaphylaxis can be a food allergy, latex allergy, allergy to insect stings/bites, asthma, or other materials or conditions. Symptoms include flushing, itching, hives, anxiety, and rapid or irregular pulse. Severe symptoms may be throat and tongue swelling, swallowing, and difficulty breathing. Some disorders appear similar to anaphylaxis such as fainting, panic attacks, blood clots in the lungs, heart attacks, and septic shock. If you think that you may be having an anaphylactic reaction, seek emergency care or call 911 immediately.
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Botulism
Botulism is an illness caused by a neurotoxin produced by the bacterium Clostridium botulinum. There are three types of botulism: food-borne, wound, and infant. Symptoms include muscle paralysis, dry mouth, constipation, slurred speech, and blurred vision. If food-borne and wound botulism are detected early enough, they may be treated with an antitoxin.
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Cancer
Cancer is a disease caused by an abnormal growth of cells, also called malignancy. It is a group of 100 different diseases, and is not contagious. Cancer can be treated through chemotherapy, a treatment of drugs that destroy cancer cells.
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Cerebral Palsy
Cerebral palsy (CP) is an abnormality of motor function and postural tone acquired at an early age (even before birth). Cerebral palsy is generally caused by brain trauma. Types of cerebral palsy include: spastic, dyskinetic (dystonic or choreoathetoid), hypotonic, and mixed types. There is no cure for cerebral palsy, and treatment is generally managing the symptoms of the condition.
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Chagas Disease
Chagas disease is an infection caused by the T. cruzi parasite. Symptoms of Chagas disease include rash, swollen lymph nodes, fever, fatigue, nausea, vomiting, and the Romaña sign. An ELISA test is used to diagnose Chagas disease. Treatment depends upon the phase of the disease and the patient's age.
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Dry Mouth (Xerostomia)
Dry mouth is a common side effect of many prescription and non-prescription drugs and certain medical conditions. Symptoms of dry mouth include a sticky, dry feeling in the mouth, frequent thirst, sores in the mouth; sores or split skin at the corners of the mouth, cracked lips, a dry feeling in the throat, a burning or tingling sensation in the mouth, and a dry, red, raw tongue.
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Esophageal Cancer
Esophageal cancer is a disease in which malignant cells form in the esophagus. Risk factors of cancer of the esophagus include smoking, heavy alcohol use, Barrett's esophagus, being male and being over age 60. Severe weight loss, vomiting, hoarseness, coughing up blood, painful swallowing, and pain in the throat or back are symptoms. Treatment depends upon the size, location and staging of the cancer and the health of the patient.
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Esophagitis
Esophagitis is caused by an infection or irritation of the esophagus. Infections that cause esophagitis include a candida yeast infection of the esophagus as well as herpes. Signs and symptoms of esophagitis include cough, mouth sores, chest pain, bad breath, sore throat, heartburn, and difficulty swallowing. Treatment of esophagitis includes diet, lifestyle changes, and medication depending upon the cause.
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Food Allergy
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Gastroesophageal Junction Adenocarcinoma
Gastroesophageal junction adenocarcinoma is cancer that forms in the area where the esophagus joins the stomach. Having GERD and Barrett's esophagus increases one's odds of developing gastroesophageal junction adenocarcinoma. Symptoms and signs of GE junction adenocarcinoma include dysphagia, weight loss, black stool, cough, nausea, and vomiting. Treatment may include surgery, chemotherapy, radiation therapy, immunotherapy, and targeted therapy.
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GERD (Acid Reflux, Heartburn)
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Hashimoto's Thyroiditis
Hashimoto's thyroiditis or chronic lymphocytic thyroiditis is an autoimmune disorder causing inflammation of the thyroid gland. Hashimoto's thyroiditis is a type of hypothyroidism and is the most common cause of hypothyroidism in the US. Symptoms of Hashimoto's thyroiditis may include dry skin, fatigue, weight gain, feeling cold, excessive sleepiness, dry skin, dry coarse hair, difficulty swallowing, a lump in the front of the throat, muscle cramps, mood changes, vague aches and pains, problems concentrating, leg swelling, constipation, and depression. There is no cure for Hashimoto’s thyroiditis. Diet changes, natural supplements, vitamins, or other natural products will not treat Hashimoto’s thyroiditis. Treatment for the autoimmune disorder is with thyroid hormone replacement therapy, which will be necessary for the rest of the person’s life.
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Insect Sting Allergies
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Liposarcoma
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Multiple Sclerosis (MS) Symptoms and Treatments
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Muscle Spasms
Muscle spasms are involuntary muscle contractions that come on suddenly and are usually quite painful. Dehydration, doing strenuous exercise in a hot environment, prolonged muscle use, and certain diseases of the nervous system may cause muscle spasms. Symptoms and signs of a muscle spasm include an acute onset of pain and a possible bulge seen or felt beneath the skin where the muscle is located. Gently stretching the muscle usually resolves a muscle spasm.
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Neck Pain (Cervical Pain)
Neck pain (cervical pain, cervicalgia) may be caused by any number of disorders and diseases. Tenderness is another symptom of neck pain. Though treatment for neck pain really depends upon the cause, treatment typically may involve heat/ice application, traction, physical therapy, cortisone injection, topical anesthetic creams, and muscle relaxants.
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Parkinson's Disease
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Pericoronitis
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Rabies
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Schatzki's Ring
Schatzki's ring, is a narrow ring of tissue located just above the junction of the esophagus and stomach. The cause of Schatzki ring is not clearly known, however, some doctors believe they are caused by long term acid reflux. Symptoms include food stuck in the esophagus. Treatment is generally a procedure to stretch or fracture the rings.
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Sjogren's Syndrome
Sjögren's syndrome is an autoimmune disease involving the abnormal production of extra antibodies that attack the glands and connective tissue. It is also associated with a connective tissue disease, such as rheumatoid arthritis, systemic lupus erythematosus, or scleroderma, which is referred to as secondary Sjögren's syndrome. Though there is no cure for Sjögren's syndrome, the symptoms may be treated by using lubricating eye ointments, drinking plenty of water, humidifying the air, and using glycerin swabs. Medications are also available to treat dry eye and dry mouth.
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Sleep Apnea
Sleep apnea is defined as a reduction or cessation of breathing during sleep. The three types of sleep apnea are central apnea, obstructive apnea (OSA), and a mixture of central and obstructive apnea. Central sleep apnea is caused by a failure of the brain to activate the muscles of breathing during sleep. OSA is caused by the collapse of the airway during sleep. OSA is diagnosed and evaluated through patient history, physical examination and polysomnography. There are many complications related to obstructive sleep apnea. Treatments are surgical and non-surgical.
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Stroke
A stroke is an interruption of the blood supply to part of the brain caused by either a blood clot (ischemic) or bleeding (hemorrhagic). Symptoms of a stroke may include weakness, numbness, double vision or vision loss, confusion, vertigo, difficulty speaking, or understanding speech. A physical exam, imaging tests, neurological exam, and blood tests may be used to diagnose a stroke. Treatment may include administration of clot-busting drugs, supportive care, and in some instances, neurosurgery. The risk of stroke can be reduced by controlling high blood pressure, high cholesterol, diabetes, and stopping smoking.
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Swallowing Problems (Dysphagia)
Dysphagia or difficulty in swallowing, swallowing problems. Dysphagia is due to problems in nerve or muscle control. It is common, for example, after a stroke. Dysphagia compromises nutrition and hydration and may lead to aspiration pneumonia and dehydration.
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Thymoma
Thymoma is an uncommon cancer of the thymus gland. Many thymomas are asymptomatic. When symptoms do occur, they include chest pain, shortness of breath, and cough. Treatment of thymomas includes surgery, and sometimes, radiation and chemotherapy. The prognosis for thymoma is excellent when it is found in the early stages.
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Thyroid Cancer
There are four major types of thyroid cancer: papillary, follicular, medullary, and anaplastic thyroid cancer. Tumors on the thyroid are referred to as thyroid nodules. Symptoms of thyroid cancer include swollen lymph nodes, pain in the throat, difficulty swallowing, hoarseness, and a lump near the Adam's apple. Treatment usually involves chemotherapy, surgery, radioactive iodine, hormone treatment or external radiation and depends upon the type of thyroid cancer, the patient's age, the tumor size, and whether the cancer has metastasized.
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What Are the Signs and Symptoms of Dysphagia?
What is dysphagia, and how do you know if you have it? Learn the signs of dysphagia and when to see a doctor.
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What Is the Difference Between Odynophagia and Dysphagia?
Learn the difference between odynophagia and dysphagia and how to treat odynophagia and dysphagia.
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