Dysphagia is associated with any subjective or objective difficulty in swallowing solid or liquid food, and the occurrence coughing or choking during ingestion. Mrs. East PATARIDOU surgeon Otolaryngology Head and Neck Surgery, ENT–Children explains the risks of dysphagia and response. Dysphagia is a serious symptom, which should be treated promptly to avoid serious complications due largely silent aspiration or respiratory infections.
Dysphagia may occur at various ages, from infants to the elderly, and may be due to disorders of the head and neck cancers in the mouth, pharynx, larynx, palate, neuromuscular disorders, neurological diseases, strokes and other causes. Older people have the highest risk for the onset of swallowing disorders, as well as their many functions controlled by the central nervous system, is declining.
The most common symptoms of dysphagia is the inability to swallow, paying greater effort for chewing and swallowing, coughing during or after eating or drinking, large over meals, the sensation of a foreign object in the throat, escaping food or drink by mouth, the voice alteration, loss of appetite and weight due to insufficient feeding and repeated infections of the respiratory tract.
Children and babies can be presented as a difficulty at meals (long meals) or breastfeeding, as their refusal of food or liquids, by coughing or choking during feeding, with frequent respiratory infections and failure of normal weight gain.
The Feeding Of Patients
For patients with swallowing, disorders need immediate restoration of the feeding operation with Levin tube or gastrostomy. The feeding Levin initially preferred in all of these patients, but not predicted to belong. The gastrostomy is the alternative feeding method of patients with dementia, Parkinson’s disease, and stroke, as well as the feeding Levin, has serious drawbacks and can not be extended for long periods. Now becomes bloodless and without surgery, through gastroscopy.
The Importance Of Diagnosis
Diagnosis of dysphagia can be done with a special and accessible test done at the office, in the hospital or at home if the patient is not transferred. Consideration said FEES (Flexible Endoscopic Evaluation of Swallowing – Endoscopic evaluation of swallowing with the flexible). It is important to make the diagnosis of dysphagia, to estimate when o patient can take food by mouth without fear of aspiration. Also, to decide the type and composition of the food and to direct our therapeutic strategy. Dysphagia is a serious problem that needs immediate attention, as it can lead to malnutrition to death if airway obstruction aspiration. The otolaryngologist specialist will assess the nature of the problem and guide the patient to the appropriate treatment, which requires a multidisciplinary approach.