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In case of dysphagia, cough due to eating and water, it is necessary to rule out whether there is a swallowing disorder caused by stroke, and it is also necessary to rule out whether there is dysphagia caused by muscle dystrophy muscle weakness, and if the symptoms are severe, it is recommended to further neurological head CT examination and electromyography examination.
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What are the ** of dysphagia?
1. Achalasia: When the lower muscles of the patient's esophagus (sphincter) are not properly relaxed to allow food to enter the patient's stomach, it may cause the patient to bring food back to the patient's throat. The esophageal wall muscles may also be weak, and this condition will gradually worsen over time.
2. Diffuse spasms: This condition usually produces multiple high-pressure, poorly coordinated esophageal constrictions after swallowing. Diffuse spasms affect the involuntary muscles of the lower esophageal wall.
3. Esophageal stricture: A narrowed esophagus (stricture) can trap large pieces of food. Tumors or scar tissue, usually caused by gastroesophageal reflux disease (GERD), may cause strictures.
4. Esophageal aging: Older people are at higher risk of dysphagia due to the natural aging and normal wear and tear of the esophagus and the higher risk of certain diseases such as stroke or Parkinson's disease. However, dysphagia is not considered a normal sign of aging.
5. Pharyngeal esophageal diverticulum: A small sac that usually forms above the esophagus and collects food particles will cause difficulty swallowing, bad breath, repeated throat clearance, or coughing.
6. Cancer: Certain cancers and certain cancers**, such as radioactivity**, may cause difficulty swallowing. Certain conditions weaken the muscles of the patient's throat, and it is difficult to move food from the patient's mouth to the patient's throat and esophagus when the patient begins to swallow.
People may choke or cough when they try to swallow or feel food or fluid flowing up their windpipe or nose. This can lead to pneumonia.
7. Esophageal foreign body: Sometimes food or other objects can partially block the patient's throat or esophagus. Older people with dentures and people who have difficulty chewing food may be more likely to leave a piece of food in their throat or esophagus.
8. Esophageal ring: The narrowed area of the lower esophageal stricture may intermittently make it difficult to swallow solid food.
9. Gastroesophageal reflux disease: Damage to esophageal tissues caused by stomach acid can cause spasm or scarring of the esophagus and narrow the lower part of the esophagus.
10. Eosinophilic esophagitis: This condition can be related to food allergies and is caused by an excess of cells in the esophagus called eosinophils.
Ten. 1. Scleroderma: The development of scar-like tissue, which leads to hardening and hardening of tissues, may weaken the lower esophageal sphincter, allowing acid to enter the esophagus and causing frequent heartburn.
In addition to these physiological hair elements, some psychiatric disorders or psychiatric impairments, such as multiple sclerosis, muscular dystrophy and Parkinson's disease, may cause dysphagia; Sudden nerve damage, such as a stroke or brain or spinal cord injury, can also affect a person's ability to swallow.
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Dysphagia must go to the hospital to see a doctor, early**.
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First of all, it is necessary to find out what causes dysphagia, whether it is oropharyngeal diseases such as oropharyngeal inflammation and abscess, or esophageal diseases such as esophagitis, esophageal stricture, esophageal cancer, etc., or neuromuscular diseases such as bulbar paralysis and myasthenia gravis. To treat the specific **, if it is bulbar paralysis, you can swallow function training, acupuncture, electronic biofeedback, etc., if it is a patient with myasthenia gravis, you may need to carry out nasogastric feeding to improve symptoms.
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Dysphagia refers to the feeling of food stagnation and choking in the pharynx and behind the sternum.
Dysphagia can be caused by inflammation and tumors of the pharynx and esophagus, as well as by central nervous system disorders and dyskinesia of the swallowing muscles. Pseudodysphagia, also known as plum nucleus gas, does not have the basis of esophageal obstruction, but only a feeling of pharyngeal and laryngeal obstruction and discomfort, and there is no effect on eating, and some are reduced, which should be distinguished.
Diseases that often cause dysphagia include inflammation of the esophagus in the throat, tumors, hiatal hernia, esophageal spasm, achalasia, and extreme thyroid enlargement. Others, such as systemic diseases, can also be caused by certain drugs.
It is important to note whether there are symptoms such as choking, acid reflux, and retrosternal pain, and whether dysphagia is progressively worse or sometimes mild.
If nasopharyngeal lesions are suspected, nasopharyngoscopy and laryngoscopy can be done.
If esophageal lesions are suspected, gastroscopy, upper gastrointestinal barium swallow imaging, esophageal motility testing, and esophageal and gastric pH monitoring examinations can be done.
If neurological disease is suspected, head CT, electromyography and other corresponding neurological examinations can be done.
If a systemic disease is suspected, a systemic examination should be done accordingly.
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1. Adjust the swallowing method.
Change the flow of food through different postures. Swallowing with your head down protects the tracheal passage and prevents food or liquid from flowing into your throat too quickly, making it safer to eat. For bedridden elderly, the head of the bed should be raised by 90 degrees.
2. Adjust the speed and amount of eating.
Swallowing in small mouths reduces the amount of food left in the pharynx. Swallow several times with each bite, clear your throat after swallowing, make sure you swallow cleanly, and avoid food or medication residues. If you choke with a straw, use a spoon or diagonal cup to control the amount of food you eat.
3. Adjust the texture of the food.
Add to liquid food"Quick Ningbao", make liquid food into a variety of consistencies, and make pasty food into various shapes, in order to facilitate eating, reduce the risk of choking, so that people with swallowing disorders can also enjoy the pleasure of eating, and get enough water and nutrients, Hong Kong Jiaxun can be bought.
4. Pharyngeal swallowing exercises.
The suction tube laryngeal lift exercise helps the larynx lift up and closes the airway. Hold one end of the straw in your mouth and cover the other end of the straw with your fingers. Suck firmly and feel the Adam's apple rise to the highest point for 5 seconds. Repeat 8 times.
5. Falsetto exercises.
Helps the larynx to lift up and close the airway. Make a sound and slowly raise the pitch. The pitch rises as high as possible until it reaches the highest note. Maintain the treble for 5 seconds and repeat 8 times.
6. Hold your tongue for movement.
It increases the strength of the base of the tongue and pharyngeal muscles and reduces food residue. The tongue is stretched forward and the tip of the tongue is fixed by biting lightly on the teeth. Swallow saliva while keeping the tip of your tongue out. Repeat 8 times.
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Dysphagia has a very high incidence in stroke patients, which seriously affects the health of patients, and dysphagia makes the patient's medication ** greatly affected, because the medicine cannot be taken and cannot work. The solution to this problem is to perform swallowing** training and adjuvant drugs** at the same time with Heyaoshun for adjuvant feeding.
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