Dysphagia - Definition, Causation, Symptoms, Treatment

Dysphagia
Definition/Esophageal dysphagia/Meaning/pronunciation (Expert Homeopathy: Dr. Anutosh Chakraborty)
Dysphagia is a condition of difficulty in swallowing or deglutition. When food comes through the esophagus to the stomach, it is difficult to engulf, may be solid or liquid.


Etiology / Causation
There is much causation in dysphagic condition

Painful diseases of mouth and pharynx
Acute pharyngitis
Acute tonsillitis
Quinsy
Fungal infection
Tumors
Pharyngeal-esophageal pouch
Cleft-palate
Nervous disturbances of deglutition:
  1. Diphtheritic neuritis
  2. Myasthenia gravis
  3. Bulbar paralysis
Tetanus

Compression of the esophagus from outside
Mediastinal lymph node
Aneurysm of aorta
Left atrial enlargement
Tumor of bronchus
Tumor of neck

Diseases of esophagus
Congenital: Shorth esophagus, esophageal webs, and rings, congenital atresia
Inflammatory and degenerative diseases
Reflex esophagitis
Stenosis due to swallowed corrosives
Impacted foreign body
Tumors
Carcinoma esophagus
Carcinoma stomach
Sarcoma and benign tumors

Other diseases
Systemic sclerosis
Paraoesophageal hiatus hernia
Globus hystericus


Sign / Symptoms
Actually, most of the patients do not aware of this dysphagic condition. They avoid for many days or think, it is less important, can recover with a day pass.
Signs and symptoms start with little expression, which is ignored by the people.
Difficulty in swallowing, which may show for other reasons written above.
The patient goes to cachectic due to an insufficient diet.
Weight loss day by day.
There is a high risk of pulmonary aspiration and followed by pulmonary pneumonia due to food goes in the wrong way due to any above cause.
There may be continuous salivation day and night.
Chocking may suddenly occur.
Besides renal failure after long term if untreated,


Investigation
Radiology: Barium swallow and upper gastrointestinal series.
Endoscopy with biopsy.
Exfoliative manometry.
Video esophagography.
Nuclear scan.
Esophageal pH estimation.


Treatment
The cause of the dysphagia must be removed.
A semisolid diet should be given.
(Sudden onset) Foreign body - Endoscopic or surgical removal.


Homeopathic medicines for dysphagia (Expert Homeopathy: Dr. Anutosh Chakraborty)
Dysphagia due to acrid food: Lachesis
Swallowing impossible: Antim tart, Apis Mel, Baptisia T
Reflux esophagitis: Belladonna, Asarum, Carbo Veg.

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