Dysphagia, which refers to trouble swallowing, makes it more difficult to get food or liquid from your mouth to your stomach. Dysphagia can cause discomfort. Swallowing is not always possible.
Occasionally having trouble swallowing, such as when you eat too quickly or don’t chew your food thoroughly, is typically nothing to worry about. However, chronic dysphagia can be a serious medical condition that needs to be treated.
Any age can experience dysphagia, but older adults are more likely to experience it. Treatment for swallowing issues is based on the cause, which can vary.
Sign and Symptoms of Dysphagia
Dysphagia may present with the following signs and symptoms:
- Inability to swallow
- Pain while swallowing
- Frequent heartburn
- Food coming back up (regurgitation)
- A sensation of food getting stuck in the throat or chest or behind the breastbone (sternum)
- Weight loss
- Food or stomach acid backing up into the throat
- Coughing or gagging when swallowing
What causes dysphagia?
Dysphagia of the oesophagus Causes
Oesophagal dysphagia is the term used to describe the feeling that food is stuck or is getting caught in your chest or the base of your throat after you have started to swallow. The following are a few causes of oesophagal dysphagia:
- Diffuse spasm
- Oesophagal stricture
- Oesophagal tumours
- Eosinophilic esophagitis
- Radiation therapy
Oropharyngeal dysphagia Cause
The muscles in your throat may become weak as a result of certain conditions, making it challenging to move food from your mouth into your throat and oesophagus when you begin to swallow. When you try to swallow, you might choke, gag, or cough. You might also feel as though food or liquids are entering your trachea or coming up your nose. Pneumonia may result from this.
Diseases of the nervous system: Multiple sclerosis, muscular dystrophy, and Parkinson’s disease are a few conditions that can result in dysphagia.
Injury to the brain: The capacity to swallow may be impacted by sudden neurological harm, such as that caused by a stroke, brain injury, or spinal cord injury.
Diverticulum of the pharynx and oesophagus (Zenker’s diverticulum): Often just above the oesophagus, a small pouch in the throat forms and gathers food particles, causing difficulty swallowing, gurgling noises, bad breath, and frequent throat clearing or coughing.
Cancer: Having trouble swallowing can be a side effect of some cancers and cancer treatments like radiation.
SAMPRAPTI – AYURVEDIC PATHOGENESIS OF DYSPHAGIA
Due to the above-mentioned causes doshas aggravated especially vata. The vitiated doshas reside in the throat and esophagus and produce symptoms of dysphagia.
How Are Dysphagia Problems Diagnosed?
Speak with your doctor if you suspect you have a swallowing problem. You could be given tests such as:
Cineradiography: An imaging test in which internal body structures are filmed using a camera. You will be asked to swallow a barium preparation during the examination. (liquid or other forms that lights up under X-ray). The movement of the barium preparations through the oesophagus will be monitored using an X-ray machine with videotaping capability. This is usually done under the supervision of a speech pathologist, who is an expert in both swallowing and speech.
Upper endoscopy: involves inserting a flexible, narrow tube (endoscope) into the esophagus and displaying images of the pharynx and oesophagus on a screen for evaluation.
Manometry is a test that determines the timing and strength of esophageal contractions as well as muscular valve relaxation.
The impedance and pH test can determine whether acid reflux is causing a swallowing problem.
Ayurvedic View of Dysphagia
In Ayurveda, Dysphagia is thought to be caused by vata imbalance. When vata is aggravated, it exhausts the nervous system and impairs normal muscle and nerve function, resulting in dysphagia.
Treating dysphagia with Ayurveda
Principles of Treatment Dysphagia
Vatanulomana, Chardhihara, Udavartahara chik
Classical Formulations for Dysphagia
Sutashekhara Rasa-250-500mg TID
Kankayana Vati-250-500mg TID
Dhanvanatari Gulika-250-500mg TID
Kasturyadi Gulika-250-500mg TID
Agnitundi Vati-250-500mg TID
Agnikumara Rasa-250-500mg TID
Sukumara Kashaya-20-30ml TID
Sukumara Ghrita-10-20ml BD
Proprietary Formulations for Dysphagia
Tab. Sooktyn-1-2 TID
Tab. Amlapittantaka-1-2 TID
Tab. Sukumara (AVN)
Diet and Lifestyle: Same as GERD
Complications of Dysphagia
Swallowing difficulties can result in:
Malnutrition, weight loss, and dehydration are all problems. Dysphagia can make it difficult to consume enough food and fluids.
Pneumonia due to aspiration. Aspiration pneumonia can occur when food or liquid enters the airway during swallowing attempts and introduces bacteria into the lungs.
Choking. Choking can occur when food becomes lodged in the throat. Death can occur if food completely blocks the airway and no one intervenes with a successful Heimlich manoeuvre.
How to Prevention Dysphagia
Even though swallowing problems cannot be prevented, eating slowly and thoroughly before swallowing can lower your risk of experiencing occasional difficulties. Visit your doctor, though, if you experience any dysphagia-related signs or symptoms.
Consult a medical professional for treatment if you have GERD.
RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF DYSPHAGIA
- Ayurvedic management of achalasia
Frequently Asked Questions about Dysphagia
Based on where the swallowing impairment occurs, dysphagia can be divided into four groups: oropharyngeal, esophageal, esophagogastric, and paraesophageal.
foods like celery, green beans, melted cheese, or pineapple that have a fibrous or “stringy” texture. Fruit or vegetables like baked beans, peas, grapes, and tomatoes have thick skins, seeds, or pips. items that are crunchy and crumbly, such as pie crusts, toast, biscuits, crackers, and crisps.
In the absence of any endoscopic findings, dysphagia brought on by both solid and liquid food is suggestive of a pathology that is more functional than organic in nature. Ayurveda was used to treat this case in a unique way.
Consider taking shorter, more frequent meals. Eat more slowly, thoroughly chew your food, and cut it up into smaller pieces. There are products available to thicken liquids if you have trouble swallowing liquids. Experiment with various food textures to see which ones make you feel more uncomfortable and avoid that food.
Prompt vitamin B12 supplementation has been shown to reverse neurological symptoms; however, the severity and duration of symptoms prior to treatment influence the degree of recovery. Our patient’s neurogenic dysphagia was completely reversed after three months of B12 supplementation.
Fresh, ripe bananas or soft-drained canned fruit without seeds or skin. Soft, cooked vegetables that are fork-tender and diced to 12 inches.
Code R13. 10 is the diagnosis code used for Dysphagia, Unspecified.