41. Dysphagia dysphagia. The normal process of swallowing or deglutition can be disrupted due to a stroke. Swallowing disorders, also called dysphagia (dis FAY juh), http://www.people.virginia.edu/~jpd3n/dysphagia.html

Dysphagia The normal process of swallowing or deglutition can be disrupted due to a stroke. Normally the swallowing process is a complex integrated group of behaviors emerging from an interaction of nerves from the brain stem, regulated by nuclei in the medulla, and sensorimotor cortical systems. A relationship between sensory stimuli, motor action, and reflexive movements coordinates into a relatively quick action during the swallowing of the food we consume. The consequences of disruption of this complex process jeopardizes the health of the stroke patient due to aspiration. Aspiration is the unintentional inspiration of food material into the lungs via the trachea. The normal functioning mechanism of the hypopharynx and larynx are designed to keep food out of the trachea during swallowing. Swallowing disorders , also called dysphagia (dis FAY juh), can occur at different stages in the swallowing process: Oral phase - sucking, chewing, and moving food or liquid into the throat. Seen here in an x-ray the food bolus is evident above the jaw bone and bottom teeth. Problems in the oral phase of the swallow include difficulty with mastication, bolus formation trouble, difficulty propelling the bolus posterior, and piece-meal deglutition. Pharyngeal phase - triggering the swallowing reflex, squeezing food down the throat, and closing off the airway to prevent food or liquid from entering the airway (

42. Dysphagia dysphagia is the medical term for difficulty swallowing, or the feeling that You may experience dysphagia when swallowing solid foods, liquids, or both. http://www.umm.edu/altmed/ConsConditions/Dysphagiacc.html

var MenuLinkedBy='AllWebMenus [2]', awmBN='530'; awmAltUrl=''; Maryland Medical Center Programs Complementary Medicine Program Home Medical Reference Alternative / Complementary Medicine ... Conditions Dysphagia Also Listed As: Signs and Symptoms What Causes It? What to Expect at Your Provider's Office Treatment Options ... Supporting Research 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 swallowing Coughing while swallowing Regurgitating liquid through your nose Breathing in food while swallowing Weak voice Weight loss The following are symptoms of esophageal dysphagia.

43. Dysphagia Swallowing Problems The major concern of dysphagia is that the swallowing disorder will or is It is very important for a person suffering from dysphagia to still get the http://webpages.marshall.edu/~neighba1/dysphagia.htmlx

Dysphagia: Swallowing Problems You are the 41,323rd person to access this page. Table of Contents What is Dysphagia? Where does Swallowing Occur? What is the Swallowing Process? What are the Symptoms of Dysphagia? ... Glossary of Terms What is Dysphagia? Dysphagia refers to swallowing disorders. This means a person has difficulty passing food or liquid from the mouth to the stomach. In some cases the food does not reach the stomach. Swallowing disorders can lead to many serious problems such as malnutrition, aspiration pneumonia, dehydration, and obstruction of the airway. The major concern of dysphagia is that the swallowing disorder will or is preventing the food from getting to the stomach and beyond. It is very important for a person suffering from dysphagia to still get the necessary nutrition. Dysphagia is common in all ages but is most prevalent in the elderly. More than 10% of all patients admitted to a general hospital had swallowing disorders. In acute care hospital, almost 30% of patients recovering from stroke had dysphagia (Hutchins). Dysphagia can be life threatening if improperly swallowed food blocks the airway. Table of Contents Where does Swallowing Occur?

44. MUSC DDC - Symptoms The dysphagia of cancer is gradually progressive and continuous over a period of dysphagia due to benign stricturing (and resulting spasm) is often http://www.ddc.musc.edu/ddc_pub/digestiveProbs/symptoms/swallowing.htm

Search our web site. Select symptom from list below: Abdominal Pain Anal Itching Anemia Bloating and Gas Coccygodynnia Constipation Diarrhea Early Satiety Fissures Hematemesis Hemorrhoids Incontinence (leakage) Indigestion or Heartburn Jaundice Proctalgia Rectal Bleeding Swallowing Difficulties Ulcers Best viewed using Digestive Problems Common Symptoms - Swallowing Difficulties (Dysphagia) Swallowing is an active process. The esophagus (gullet) is not simply a passive tube that allows fluid and foods to pass down by gravity. Indeed it is possible to eat and drink standing on your head! Food is chewed in the mouth and then delivered through the "pharynx" through the upper esophageal sphincter (valve) into the esophagus itself. A wave of contraction by the muscular wall of the esophagus pushes fluid and food down to the lower esophageal sphincter (valve) at the junction with the stomach . This complicated process can be disturbed in many ways. Poor coordination of the muscular contractions of the esophagus cause "spasms," and intermittent brief obstructions (which can be painful).

45. Dysphagia Diet 5 Levels Difficulty In Swallowing Diet Jackson Gastroenterology s Web Site includes office information and patient education material on digestive and liver disorders, and nutrition. http://www.gicare.com/pated/edtgs07.htm

Home Jackson Gastro Patient Education Dysphagia Diet 5 Levels for Difficulty In Swallowing Diet Purpose Esophageal dysphagia occurs when food/liquid stops in the esophagus. This happens most often because of consistent stomach acid refluxing (backing up) into the esophagus. Over time, the reflux causes inflammation and a narrowing (stricture) of the esophagus. Food and eventually liquids feel like they are sticking in the middle and lower chest. There may be chest discomfort or even real pain. Fortunately, physicians can usually dilate (widen) this narrowing, and there is now treatment available to keep it from returning. Cancer, hiatus hernia, and certain muscle disorders of the esophagus are less frequent causes of esophageal dysphagia. Solid food is usually more of a problem than liquids Oropharyngeal dysphagia involves difficulty moving food to the back of the mouth and starting the swallowing process. This type of dysphagia can result from various nerve or brain disorders such as stroke, cerebral palsy, multiple sclerosis, Parkinson's and Alzheimer's diseases, cancer of the neck or throat, a blow to the brain or neck, or even dental disorders. Depending on the cause, symptoms may include drooling, choking, coughing during or after meals, pocketing of food between the teeth and cheeks, gurgly voice quality, inability to suck from a straw, nasal regurgitation (food backing into the nasal passage), chronic respiratory infection, or weight loss. Liquids are usually more of a problem in oropharyngeal dysphagia.

46. Dysphagia The commonest clinical presentation is with insidious onset of dysphagia with patients dysphagia occurs with both solids and fluids often helping in http://www.surgical-tutor.org.uk/tutorials/achalasia.htm

Up Abdominal mass Male breast lesion Mutiple calculi ... Congenital GI lesion A cause of dysphagia 1. What is this radiological investigation? 2. What diagnostic features does it show? This is a barium swallow showing the typical 'rat tail' appearance of achalasia of the cardia. Achalasia of the cardia is a functional failure of relaxation of the lower oesophageal sphincter. Histological examination shows degeneration of the ganglion cells in the myenteric plexus and changes within the Vagus nerves. Lymphocytic infiltration is often seen with fibrosis occurring in chromic cases. The aetiology is unknown although infection with a neurotropic virus affecting the autonomic nervous system has been suggested. Chagas' disease due to infection with Trypanosoma cruzi, seen in South America, results in damage to the myenteric plexus and causing similar oesophageal appearances. A chest x-ray is usually normal in the early stages of the disease. In the later stages, widening of the mediastinum, a mediastinal air-fluid level or absence of the gastric fundal gas shadow is often seen. In the early stages of the disease, a barium swallow may show a reduction in the peristaltic waves. With time, the oesophagus becomes dilated with food residue often identified. The 'rat tail' tapering of the oesophagus is typical. Endoscopy is essential to exclude a submucosal carcinoma of the cardia producing the radiological picture of 'pseudoachalasia'. In long standing cases oesophagitis and oesophageal candidiasis may be seen at endoscopy. The gastro-oesophageal sphincter is typically tightly closed but relaxes suddenly if gentle pressure is applied with the endoscope. Manometric studies, if performed, show absence of the primary peristaltic wave with simultaneous non-propulsive 'tertiary contractions'

47. Chronic Dysphagia This 59 yearold man presented with a six month history of dysphagia to solids Peptic strictures usually present with dysphagia that is often confined http://www.surgical-tutor.org.uk/tutorials/peptic_stricture.htm

Up Abdominal mass Male breast lesion Mutiple calculi ... Congenital GI lesion Chronic dysphagia This 59 year-old man presented with a six month history of dysphagia to solids 1. What was seen at his endoscopy? 2. What is the most likely aetiology? 3. How should the patient be investigated and managed? The endoscopic appearances are those of a benign oesophageal stricture most commonly occurring in the distal oesophagus as a result of gastro-oesophageal reflux disease (GORD). These strictures are also occasionally referred to as peptic strictures. Other causes of benign oesophageal stricture include: Corrosive ingestion Medication (pill-induced stricture) Iatrogenic Crohn's disease Eosinophilic oesophagitis Congenital webs or rings Prolonged GORD results in chronic inflammation and fibrosis which in advanced cases can involve the full thickness of the oesophageal wall and can result in oesophageal shortening. Most peptic strictures are however less than 1 cm in length. Between 5 and 10% of patients with GORD will develop a peptic stricture, often having had symptoms for a number of years. The incidence of peptic strictures has decreased in recent years, probably due to the widespread use of acid suppression therapy. In those patients who develop a stricture, the lower oesophageal sphincter pressure, oesophageal motility and gastric emptying are more severely impaired than in those patients with GORD who have not developed this complication.

48. Dysphagia Sender ownernewjour@ccat.sas.upenn.edu. Subject dysphagia To nj@ccat.sas.upenn.edu (NewJour) Date Wed, 30 Jul 1997 160214 -0400 (EDT) dysphagia http://gort.ucsd.edu/newjour/d/msg02280.html

NewJour Home NewJour: D Search [Prev] [Subject Next] Dysphagia Sender : owner-newjour@ccat.sas.upenn.edu Subject: Dysphagia To: nj@ccat.sas.upenn.edu (NewJour) Date: Wed, 30 Jul 1997 16:02:14 -0400 (EDT) Dysphagia http://link.springer.de/link/service/journals/00455/index.htm NewJour Home NewJour: D Search ... [Prev] [Subject Next]

49. Hardin MD : Dysphagia From the University of Iowa, the *best* lists of Internet sources in dysphagia. http://www.lib.uiowa.edu/hardin/md/dysphagia.html

Dysphagia A service of the University of Iowa Site Map Diseases Home ... Diseases Search Hardin MD See also: Home Digestive Dis. Stroke Popular Women's Health Dermatology Nursing Pharm Infect Disease Acid Reflux +Pictures Alzheimers Disease +Pictures Brain Pictures Cerebral Palsy +Pictures Dermatomyositis +Pictures Digestive Diseases Ear, Nose, Throat +Pictures Huntingtons Disease +Pictures Larynx Pictures Medical Pictures Mouth Cancer +Pictures Multiple Sclerosis +Pictures Myasthenia +Pictures Nervous System Diseases +Pictures Oral Diseases +Pictures Parkinsons Disease +Pictures Scleroderma +Pictures Sleep Apnea +Pictures Speech Therapy +Pictures Stroke +Pictures Syphilis +Pictures Throat Cancer +Pictures Dysphagia Pictures MEDLINE plus Dysphagia National Library of Medicine Open Directory Project : Health : ... : Digestive disorders : Dysphagia (Other versions: Google Karolinska : Deglutition disorders Medical Library, Karolinska Institute, Sweden LookSmart : Dysphagia Yahoo : Dysphagia Dysphagia Pictures Amy E. Skinder-Meredith , Univ Minnesota / Duluth Identification of swallowing patterns associated with dysphagia (For links to movies, scroll to:

50. Diagnosis And Treatment Of Swallowing Disorders (Dysphagia) In Acute-Care Stroke How does diagnosis of dysphagia or aspiration affect the subsequent course of treatment and outcomes? What are the appropriate indications for having http://www.ahrq.gov/clinic/tp/dysphtp.htm

Swallowing Disorders (Dysphagia) March 1999 Please Note: This evidence report has not been updated within the past 5 years and is therefore no longer considered current. It is maintained for archival purposes only View or download Summary/Report Clinical Focus* How does diagnosis of dysphagia or aspiration affect the subsequent course of treatment and outcomes? What are the appropriate indications for having patients diagnosed using a full bedside exam, the modified barium swallow, fiberoptic endoscopy, or another instrumented exam? Is there any evidence that one diagnostic technology provides more useful information than another? When is noninvasive swallow therapy appropriate? Does it work particularly well or particularly poorly in any particular patient population? What can the evidence tell us about this therapy? Are feeding tubes useful, or a last resort that might be avoided for some patients by dysphagia diagnosis and therapy? *Addressed in the summary or evidence report. Diagnosis and Treatment of Swallowing Disorders (Dysphagia) in Acute-Care Stroke Patients Summary (Publication No. 99-E023)

51. Diagnosis And Treatment Of Swallowing Disorders (Dysphagia) In Acute-Care Stroke Report/Technology Assessment Number 8 Diagnosis and Treatment of Swallowing Disorders (dysphagia) in AcuteCare Stroke Patients has been moved. http://www.ahrq.gov/clinic/dysphsum.htm

The summary of Evidence Report/Technology Assessment Number 8: Diagnosis and Treatment of Swallowing Disorders (Dysphagia) in Acute-Care Stroke Patients has been moved. It is now at: www.ahrq.gov/clinic/epcsums/dysphsum.htm Please update your bookmarks. AHRQ Home Page

52. FHA : The Patient Education Forum : Swallowing Problems/Dysphagia dysphagia is another term for swallowing problems. A person who has dysphagia may experience pain when trying to swallow. Others may have difficulty http://www.healthinaging.org/public_education/pef/swallowing_problems.php

Text Size: decrease increase Search: Patient Education Forum Swallowing Problems/Dysphagia by Faerella Boczko, MS, CCC-SLP, Director Speech-Language Pathology, Jewish Home and Hospital Life Care System Provide Feedback Download in PDF format Dysphagia is another term for swallowing problems. A person who has dysphagia may experience pain when trying to swallow. Others may have difficulty swallowing food, liquid or saliva, and some people may be unable to swallow at all. How does the swallowing process work? Swallowing is a complex process that moves food and liquids from the mouth to the stomach. Swallowing involves the use of many nerves and muscles in the lips, tongue, mouth, throat, and esophagus, which is the tube that connects your throat to your stomach. Swallowing occurs in four stages: Oral preparatory stage: food is chewed and prepared for swallowing; Oral stage: the tongue pushes the food or liquid to the back of the mouth; Pharyngeal stage: the swallow is triggered and the food or liquid is moved into the pharynx (the canal that connects the mouth to the esophagus); and

53. Dysphagia dysphagia. Not to be confused with swallowing dysmotility and aspiration, the first examination is the barium swallow. http://www.radiology.mcg.edu/RadPrimer/ImagSolbyClinScen/Dysphagia.htm

Imaging Solutions by Clinical Scenario Adult or Child Dysphagia Not to be confused with swallowing dysmotility and aspiration, the first examination is the barium swallow. This diagnoses anatomical abnormalities of the esophagus and provides a very limited functional evaluation. Endoscopy may ultimately be required. If aspiration and swallowing dysmotility are suspected the Speech pathology department should be consulted. A formal "modified barium swallow" may ultimately be required to evaluate esophageal function. Please note that a modified barium swallow will not reliably detect anatomic abnormalities of the esophagus.

54. Encyclopaedia Topic : Dysphagia, Section : Definition dysphagia is the medical term for any difficulty, discomfort or pain when swallowing. dysphagia occurs when there’sa problem with any part of the swallowing http://www.nhsdirect.nhs.uk/en.asp?TopicID=173

55. MEEI - Dysphagia People with dysphagia have difficulty swallowing and may also experience pain while Often, dysphagia makes it difficult to take in enough calories and http://www.meei.harvard.edu/patient/dysphagia.php

Find a Disease/Condition Employment Contact Us Site Map The menu has downgraded. It is at the bottom of this page. home > patient education Dysphagia What Is Dysphagia? People with dysphagia have difficulty swallowing and may also experience pain while swallowing. Some people may be completely unable to swallow or may have trouble swallowing liquids, foods, or saliva. Eating then becomes a challenge. Often, dysphagia makes it difficult to take in enough calories and fluids to nourish the body. How Do We Swallow? Swallowing is a complex process. Some 50 pairs of muscles and many nerves work to move food from the mouth to the stomach. This happens in three stages. First, the tongue moves the food around in the mouth for chewing. Chewing makes the food the right size to swallow and helps mix the food with saliva. Saliva softens and moistens the food to make swallowing easier. During this first stage, the tongue collects the prepared food or liquid, making it ready for swallowing. The second stage begins when the tongue pushes the food or liquid to the back of the mouth, which triggers a swallowing reflex that passes the food through the pharynx (the canal that connects the mouth with the esophagus). During this stage, the larynx (voice box) closes tightly and breathing stops to prevent food or liquid from entering the lungs. The third stage begins when food or liquid enters the esophagus, the canal that carries food and liquid to the stomach. This passage through the esophagus usually occurs in about 3 seconds, depending on the texture or consistency of the food.

56. Swallowing Problems (Dysphagia) Swallowing disorders are common, especially in the elderly. dysphagia may cause dehydration, weight loss, airway obstruction and aspiration pneumonia. http://www.entcolumbia.org/dysphag.htm

Swallowing Problems (Dysphagia) How We Swallow The process of swallowing occurs in four stages: Oral preparation phase, in which food or liquid (the bolus) is chewed or manipulated in preparation for swallowing. Oral propulsive phase, in which the tongue pushes the food or liquid to the back of the mouth, beginning the swallowing response. Pharyngeal phase, in which food or liquid quickly passes through the pharynx (the canal from the mouth to the esophagus) into the esophagus Esophageal phase, in which the food or liquid moves through the esophagus into the stomach. What Causes Swallowing Problems? Interruptions in this process can cause difficulty in swallowing, or dysphagia. A number of conditions may cause dysphagia, including mechanical obstruction (such as by a tumor or stricture), a motility disorder, impairment of the upper or lower esophageal sphincter, and others. Dysphagia is common among all age groups, but is especially common among the elderly. Swallowing problems may arise from simple causes such as poor teeth, ill fitting dentures, or a common cold. One of the most common causes of dysphagia is gastroesophageal reflux disease (GERD), which occurs when stomach acid moves up the esophagus to the pharynx, causing discomfort. Other causes may include stroke or progressive neurological disorders, which may impair sensitivity, muscular coordination, or render individuals unable to control or move the tongue. The presence of a tracheostomy tube, vocal cord paralysis, tumors in the mouth, throat, esophagus, or surgery in the head, neck, or esophageal areas may also contribute to swallowing impairments.

57. Institution Authentication Form OhioLINK access to dysphagia , published by SpringerVerlag. This journal is available only to students, staff, and faculty of OhioLINK institutions, http://rave.ohiolink.edu/ejournals/issn/0179-051x

Catalog All Databases Express Links Site Search ... Help Institution Selection Form OhioLINK Off-Campus Authentication For Access to Services Please select your institution: Antioch College Ashland University Athenaeum of Ohio Baldwin-Wallace College Belmont Technical College Bluffton University Bowling Green State University Capital University Case Western Reserve University Cedarville University Central Ohio Technical College Central State University Cincinnati Bible College and Seminary Cincinnati State Technical and Community College Clark State Community College Cleveland Clinic Foundation Cleveland State University College of Mount Saint Joseph College of Wooster Columbus College of Art and Design Columbus State Community College Cuyahoga Community College Defiance College Denison University Edison Community College Franciscan University of Steubenville Franklin University Heidelberg College Hiram College Hocking College Jefferson Community College John Carroll University Kent State University Kenyon College Lakeland Community College Lorain County Community College Lourdes College Malone College Marion Technical College Marietta College Medical College of Ohio Mercy College Miami University Mount Carmel College of Nursing Mount Union College Mount Vernon Nazarene University Muskingum College Myers University North Central State College Northeastern Ohio Universities College of Medicine Northwest State Community College Notre Dame College of Ohio Oberlin College Ohio Dominican University Ohio Northern University Ohio State University

58. Dysphagia Approach to the patient with dysphagia. In Yamada T, et al (eds). Textbook of Gastroenterology. Differential diagnosis of dysphagia in children. http://www.5mcc.com/Assets/SUMMARY/TP0286.html

Dysphagia DESCRIPTION: The sensation of difficulty swallowing. This is a disorder of esophageal transport and is a symptom of an underlying process. The problem is commonly divided into oropharyngeal and esophageal types. System(s) affected: Gastrointestinal, Nervous Genetics: N/A Incidence/Prevalence in USA: 7% incidence lifetime; increasing prevalence with age Predominant age: All ages Predominant sex: Male = Female CAUSES: In children Malformations - congenital (esophageal atresia, choanal atresia) Malformations - acquired (corrosive or herpetic esophagitis) Neuromuscular/neurologic - delayed maturation, cerebral palsy, muscular dystrophy Gastroesophageal reflux disease In adults (goiter) Gastroesophageal reflux disease Neuromuscular - achalasia, diffuse esophageal spasm, scleroderma, myasthenia gravis ICD-9-CM: 787.2 Symptoms involving digestive system SEE ALSO: Gastroesophageal reflux disease Schatzki's ring Esophageal tumors REFERENCES: Castell DO. Approach to the patient with dysphagia. In: Yamada T, et al (eds). Textbook of Gastroenterology. 2nd ed. Philadelphia, JB Lippincott, 1995 Domenech E, Kelly J. Swallowing disorders. Med Clin North Am 1999;83(1):97-113

59. Dysphagia Reliable information from IFFGD about this common disorder. http://www.aboutgerd.org/dysphagia.html

Home Characteristics Treatment Daily Living ... Contact IFFGD Call IFFGD Toll Free at Visit these IFFGD web sites: IFFGD.org About IFFGD Industry Council GI Disorders ... giResearch.org Functional Dysphagia Adapted from IFFGD's Functional Gastrointestinal Disorders Education Program Guide , Chapter Five: "Functional Esophageal Disorders." By: Joel Richter, M.D., Chair, Department of Gastroenterology, Professor of Internal Medicine, The Cleveland Clinic Foundation, Ohio Functional esophageal disorders represent a combination of chronic or recurrent symptoms affecting the esophagus. They are not attributable to an underlying anatomic problem or significant motility disorder. They are termed as "functional" disorders because no inflammatory, infectious, or structural abnormality is observed by examination, x-ray, or laboratory test. Functional esophageal disorders are not attributable to an underlying anatomic problem or significant motility disorder.

60. Dysphagia dysphagia, or swallowing disorders, can be caused by a variety of medical conditions As a result of dysphagia, patients may have difficulty eating food, http://www.wramc.amedd.army.mil/departments/aasc/dysphagia.htm

Dysphagia Speech Pathology Section Subspecialty Programs/Services: Voice Clinic Traumatic Brain Injury Program Cleft Palate Clinic Dysphagia (Swallowing Disorders) ... AASC Homepage Dysphagia, or swallowing disorders, can be caused by a variety of medical conditions, such as neurological disorders, head and neck cancer, or traumatic brain injury. As a result of dysphagia, patients may have difficulty eating food, drinking, or even with managing their secretions. These problems can occur gradually or all of a sudden, and may vary in level of severity. In more severe cases, aspiration occurs, which means that the food or liquid will go down the air tube (trachea) as opposed to the food tube (esophageous). The normal swallowing sequence The process of swallowing involves the interaction of more than 20 muscles and several nerves. Swallowing is broken down into four phases: the oral prepartory phase (chewing and preparing to swallow), the oral phase (moving the food/liquid to the back of the mouth with the tongue), the pharyngeal phase (moving the food over the back of the tongue and down the pharnx or throat), and the esophageal phase (the food enters the esophagus). This entire process is completed within a few seconds. However, when impairment arises in any part of this seemingly effortless process, a wide variety of difficulties ranging from minimal discomfort to life threatening illness such as malnutrition or respiratory infection may occur.

A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S  T  U  V  W  X  Y  Z

Page 3     41-60 of 104    Back | 1  | 2  | 3  | 4  | 5  | 6  | Next 20