GWARIGHAT, JABALPUR

PRESENTED BY
MUHAMMAD AAMIR ABDULLAH
 Dysphagia 'kCn xzhd Hkk"kk ds nks
'kCnksa Dys¼rdyhQ½]
phag¼[kkuk½ ls fey dj cuk gSA fpfdRlk
foKku es Dysphagia 'kCn dk Á;ksx Bksl
vFok æo inkFkZ dks fuxyus es gksus
okyh rdyhQ ds fy;s fd;k tkrk gSA ;g eq[k
ls ysdj vkek’k; rd dgha Hkh gksus okyh
rdyhQ gSA
 Dysphagia dk dkj.k blds mRié ds
LFkku ij fuHkZj gksrk gSA mRifŸk LFkku
ds vk/kkj ij gh Dysphagia ds nks Hksn
fd;s x;s gSaA
1) Oropharyngeal dysphagia
2) Oesophageal dysphagia
eq[k ,oa xzluh esa gksus ds dkj.k
oropharyngeal dysphagia dgrs gSa lkFk
gh high dysphagia ds uke ls Hkh tkuk
tkrk gSA
jksxh dks HkksT; inkFkZ ds fuxyus
dh çkjfEHkd voLFkk es gh dfBukbZ
gksrh gSA
 Oesophagus ds fdlh Hkh Hkkx esa
gksus dkj.k Oesophageal dysphagiadgrs
gSaA
Following table enumerates possible causes of
dysphagia-
Location Cause
Tonsillitis
Tongue cancer
Oral dysphagia Soft palateParalysis
Peritonsillar abscess
Bell's palsy
Xerostomia
 Location Cause
Diphtheria
With in the Foreign body
Lumen
Pharyngeal CA Pharynx
dysphagia With in the Wall Myasthenia Gravis
Hysteri spasm

Inlarge cervical lymph

Outside of wall nodes
Thyroid malignancy
 Location Cause

With in the Foreign body

Lumen
Inflamation
Reflux oesophagitis
Oesophage With in the Wall CA oesophagus
al dysphagia Congenital oesophageal
atresia
Achalasia
Oesophageal strictures
Scleroderma
Outside of wall haematoma
Mediastinal growth
Regurgitation(Bringing food back up)
Pain on swallowing
weight loss
Hoarseness of voice
Otalgia
Coughing after eating
1) Barium Swallow Test :- jksxh dks
csfjve ;qä æo fiykdj x-rays ysrs
gSaA ftlls vé ekxZ es vojks/k vkfn
dk Kku gksrk gSA
2) Oesophagoscopy and laryngoscopy :-
ds }kjk lumen ds Hkhrj Hkyh çdkj ls
fujh{k.k fd;k tk ldrk gSA
3) Oesophageal motility studies :- ;fn
Barium Swallow Test negative gS ,oa
upper endoscopy normal gks rc
Oesophageal motility studies djkrs gS
;g Achalasia vkSj diffuse oesophageal
spasms es ykHkdkjh gksrh gSA
 Dysphagia dh fpfdRlk blds mRifŸk
LFkku ,oa jksx dh xaHkhjrk ij fuHkZj djrh
gSA
Oropharyngeal dysphagial treatment
Dysphagia caused by tumors or other
structural lesions can be corrected with surgery.
A number of therapy techniques are available
that directly address the swallowing problems.
These includes
dietary changes
feeding tubes
swallowing therapy
Oesophageal dysphagial treatment
Depending on the cause of oesophageal
dysphagia, it may be possible to treat it with
medication or surgery.
Some kinds of oesophageal dysphagia can be
treated with drugs such as cisapride or
domperidone.
When the cause is reflux oesophagitis, the
first treatment is anti-reflux therapy such as
proton pump inhibitors and cisapride.