|Also Listed As:
Dysphagia is the medical term for difficulty swallowing, or the feeling that
food is "sticking" in your throat or chest. The feeling is actually in your
esophagus, the tube that carries food from your mouth to your stomach. You may
experience dysphagia when swallowing solid foods, liquids, or both.
Oropharyngeal dysphagia involves difficulty moving food from your mouth into
your upper esophagus. Esophageal dysphagia involves difficulty moving food
through your esophagus to your stomach. Dysphagia can affect you at any age,
although the likelihood increases as you grow older.
|Signs and Symptoms|
The following are symptoms of oropharyngeal dysphagia.
- Difficulty trying to swallow
- Choking or breathing saliva into your lungs while
- Coughing while swallowing
- Regurgitating liquid through your nose
- Breathing in food while swallowing
- Weak voice
- Weight loss
The following are symptoms of esophageal dysphagia.
- Pressure sensation in your mid-chest area
- Sensation of food stuck in your throat
- Weight loss
- Chest pain
- Pain with swallowing
- Chronic cough
- Sore throat
- Bad breath
|What Causes It?|
Dysphagia in children is often due to malformations, conditions such as
cerebral palsy or muscular dystrophy, or gastroesophageal reflux disease (GERD).
Dysphagia in adults is often due to tumors (benign or cancerous), conditions
that cause the esophagus to narrow, neuromuscular conditions, or GERD. Other
causes include smoking, excessive alcohol use, certain medications, and teeth or
dentures in poor condition.
|What to Expect at Your Provider's Office|
Your health care provider may ask about your symptoms and eating habits. For
infants and children, the health care provider may want to observe them eating.
Your provider may also listen to your heart, take your pulse, and will want to
know your medical history.
A variety of tests can be used for dysphagia.
- In endoscopy or esophagoscopy, a tube is inserted into your esophagus
to help your provider evaluate the condition of your esophagus, and to try to
open any parts that might be closed off.
- In esophageal manometry, a tube is inserted into your stomach to
measure pressure differences in various regions.
- In endoscopic ultrasonography, ultrasound is used to evaluate the
condition of your esophagus.
- X rays of your neck, chest, or abdomen may be taken.
- In a barium swallow, moving picture or video X rays are taken of your
esophagus as you swallow barium, which is visible on an X
Dysphagia generally is treated with drugs, procedures that open up the
esophagus, or surgery. Your treatment will depend on the cause, the seriousness,
and any complications you may be experiencing. In most cases, you can be treated
without hospitalization as long as you are able to eat enough and have a low
risk of complications. If your esophagus is severely obstructed, however, you
may be hospitalized. Infants and children with dysphagia are often
Check manufacturers' profiles for possible drug interactions. Liquid forms of
medications may be necessary.
- Nitrates: nitroglycerin, isosorbide
- Anticholinergics: dicyclomine or hyoscyamine sulfate (do not take in
cases of urinary disease, glaucoma, myasthenia gravis)
- Calcium-channel blockers: nifedipine, diltiazem
- Sedatives/antidepressants: diazepam, trazodone, doxepin
- Smooth-muscle relaxants: hydralazine
- Antacids, ulcers, and reflux treatments: cimetidine, ranitidine,
nizatidine, famotidine, omeprazole, lansoprazole,
|Complementary and Alternative Therapies|
Herbs can be effective at decreasing spasms and healing an inflamed
esophagus. Homeopathic remedies may be used at the same time.
Herbs may be used as dried extracts (capsules, powders, teas), glycerites
(glycerine extracts), or tinctures (alcohol extracts).
- Licorice (Glycyrrhiza glabra): reduces spasms and swelling and
is a pain reliever specifically for the gastrointestinal tract. Do not take
licorice for a long period of time or if you have high blood pressure. The dose
is 380 to 1,140 mg per day. Chewable lozenges may be the best form of licorice
for treating GERD.
- Slippery elm (Ulmus fulva): demulcent (protects irritated
tissues and promotes their healing); dose is 60 to 320 mg per day. One tsp.
powder may be mixed with water and drunk three to four times a
In addition, a combination of four of the following herbs may be used as
either a tea or tincture. Use equal parts of the herbs, either 1 tsp. of each
per cup of water and steep 10 minutes three times a day, or equal parts of
tincture 30 to 60 drops three times a day.
- Valerian (Valeriana officinalis): improves digestion and helps
you relax, especially if you feel anxious or depressed
- Wild yam (Dioscorea villosa): reduces spasms and swelling,
especially where there is fatigue
- St. John's wort (Hypericum perforatum): relieves pain,
- Skullcap (Scutellaria lateriflora): antispasmodic, sedative,
- Linden flowers (Tilia cordata): antispasmodic, mild
Some of the most common remedies used for dysphagia are listed below.
Usually, the dose is 12X to 30C every one to four hours until your symptoms get
- Baptesia tincotria if you can swallow only liquids; especially
with a red inflamed throat that is relatively pain-free
- Baryta carbonica if you have huge tonsils
- Carbo vegatabilis for bloating and indigestion that is worse
when lying down; especially with flatulence and fatigue
- Ignatia for "lump in the throat," back spasms, cough;
especially when symptoms appear after you have experienced grief
- Lachesis if you cannot stand to be touched around the throat
(including by clothing that is tight at the
Dysphagia should not limit your activities, but your health care provider may
restrict your diet.
Andreoli TE, Bennett JC, Carpenter CCJ. Cecil Essentials of Medicine.
3rd ed. Philadelphia, Pa: WB Saunders; 1993:284-285.
Barker LR, Burton JR, Zieve PD, eds. Principles of Ambulatory Medicine.
4th ed. Baltimore, Md: Williams & Wilkins; 1995:435-447.
Bartram T. Encyclopedia of Herbal Medicine. Dorset, England: Grace
Dambro MR, ed. Griffith's 5 Minute Clinical Consult. Baltimore, Md:
Lippincott Williams & Wilkins; 1999:346-347.
Morrison R. Desktop Guide to Keynotes and Confirmatory Symptoms.
Albany, Calif: Hahnemann Clinic Publishing; 1993.
Reynolds JEF. Martindale: the Extra Pharmacopoeia. 31st ed. London,
England: Royal Pharmaceutical Society of Great Britain; 1996:1192.
Snow JA. Glycyrrhiza glabra L. (Leguminaceae). Protocol J Botan
Stein JK, ed. Internal Medicine. 4th ed. St. Louis, Mo: Mosby-Year
Stoller JK, Ahmad M, Longworth DL eds. The Cleveland Clinic Intensive
Review of Internal Medicine. Baltimore, Md: Williams & Wilkins;
|Review Date: August 1999|
|Reviewed By: Participants in the review process include: Robert A. Anderson, MD, President
, American Board of Holistic Medicine, East Wenatchee, WA; Lawrence J. Cheskin,
MD, FACP, Director, The Johns Hopkins Weight Management Center, Lutherville, MD;
Lonnie Lee, MD, Internal Medicine, Silver Springs,
Copyright © 2004 A.D.A.M., Inc
The publisher does not accept any responsibility for the accuracy of
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regarding dosage, precautions, warnings, interactions, and contraindications
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