Symptoms of dysphagia include

summary

Dysphagia refers to the feeling of obstruction and stagnation in pharynx, sternum or esophagus caused by the obstruction of food transportation from mouth to stomach and cardia. For patients with dysphagia, clinicians must pay attention to the difference between dysphagia caused by organic diseases and pseudodysphagia. The latter has no underlying lesion of esophageal obstruction. Patients only complain of lump like blockage in the pharynx and behind the sternum, but often can not clearly point out the specific location, and it is not difficult to eat liquid or solid food, These patients are often accompanied by other symptoms of neurosis. Dysphagia is the most common symptom of esophageal cancer. For any patient with dysphagia, it is necessary to determine whether it is caused by cancer as soon as possible. Symptoms of dysphagia include? Let's talk about it

Symptoms of dysphagia include

Dysphagia and choking: it is found that the food reflux is caused by cranial nerve disease, esophageal diverticulum and achalasia. In addition, it may also cause chewing and swallowing difficulties and drinking water choking due to esophageal and bronchial fistula and myasthenia gravis * to cause masticatory muscles, laryngophorus muscles and tongue weakness. Dysphagia gradually increased with the time of eating.

Dysphagia with reflux: when eating liquid food, it immediately flows back to the nasal cavity and has a cough. The cause may be pharyngeal neuromuscular dysfunction. The occurrence of reflux for a long time after eating suggests that there is dilatation in the proximal part of esophageal obstruction or retention in the diverticulum. If there is a large amount of reflux, and there is a smell of fermentation, it is often suggested that it may be achalasia of esophagus and cardia. It often occurs when lying flat at night, and it is often awakened by coughing. If the reflux is bloody mucus, it is more common in advanced esophageal cancer.

Swallowing pain: seen in oropharyngitis or ulcer, such as acute tonsillitis, pharyngeal abscess, acute pharyngitis, diphtheria, stomatitis and oral ulcer. Dysphagia with pain after eating, such as pain in the chest, chest, sternal fossa and neck, is more common in esophagitis, esophageal ulcer, esophageal foreign body, advanced esophageal cancer, mediastinitis, etc. If eating too cold or too hot food causes pain, it is often diffuse esophageal spasm.

matters needing attention

(1) For mild dysphagia, take the position that is good for eating; Emphasis on the nature of food, from liquid food to general food gradually; Emphasis on mental exercise training（ 2) Moderate and severe dysphagia increased the movement of orofacial muscles, tongue and mandible; Cold stimulation of pharynx; Empty swallowing training; Respiratory function training.