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09-SEPTEMBER-2008 02:07:44 - Dysphagia Redirected from Difficulty swallowing Dysphagia should not be confused with the similarly pronounced dysphasia, a language disorder. Symptom/Sign: Dysphagia Classifications and external resources ICD-10 R13. ICD-9 787.2 DiseasesDB 17942 MedlinePlus 003115 eMedicine pmr/194 MeSH D003680 Dysphagia is the medical term for the symptom of difficulty in swallowing.1234 Although classified under symptoms and signs in ICD-10,5 the term is sometimes used as a condition in its own right.678 Sufferers are sometimes unaware of their dysphagia.910 It derives from the Greek root dys meaning difficulty or disordered, and phagia meaning to eat. It is a sensation that suggests difficulty in the passage of solids or liquids from the mouth to the stomach.11 Dysphagia is distinguished from other symptoms including odynophagia, which is defined as painful swallowing,12 and globus, which is the sensation of a lump in the throat. A psychogenic dysphagia is known as phagophobia. It is also worthwhile to refer to the physiology of swallowing in understanding dysphagia. Contents 1 Epidemiology 2 See also 3 References 4 External links Epidemiology Swallowing disorders can occur in all age groups, resulting from congenital abnormalities, structural damage, and/or medical conditions.13 Swallowing problems are a common complaint among older individuals, and the incidence of dysphagia is higher in the elderly,14 in patients who have had strokes,15 and in patients who are admitted to acute care hospitals or chronic care facilities. Other causes of dysphagia include head and neck cancer and progressive neurologic diseases like Parkinson's disease, Multiple sclerosis, Shy-Drager syndrome, or Amyotrophic lateral sclerosis. Dysphagia is a symptom of many different causes, which can usually be elicited by a careful history by the treating physician.16 Some patients with swallowing disorders do not have dysphagia, so lack of the symptom does not exclude an underlying disease.13 Like breathing, which is normally accomplished without any forethought, swallowing can become awkward merely through focusing too intently on the process see anxiety. Dysphagia is classified into two major types: oropharyngeal dysphagia or transfer dysphagia and esophageal dysphagia.17 In some patients, no organic cause for dysphagia can be found, and these patients are defined as having functional dysphagia. Each year, approximately ten million Americans are evaluated for swallowing disorders.18 See also Achalasia Aphagia Gastroesophageal reflux disease Neurodegenerative disease Parkinson's disease Alzheimer's disease Huntington's disease Presbyphagia Pseudodysphagia Speech and language pathology Stroke Swallowing References ^ eMedicine/Stedman Medical Dictionary Lookup!. Retrieved on 2008-02-23. ^ Smithard DG, Smeeton NC, Wolfe CD 2007. Long-term outcome after stroke: does dysphagia matter?. Age Ageing 36 1: 90-4. doi:10.1093/ageing/afl149. PMID 17172601. ^ Brady A 2008. Managing the patient with dysphagia. Home Healthc Nurse 26 1: 41-6; quiz 47-8. doi:10.1097/01.NHH.0000305554.40220.6d inactive 2008-06-28. PMID 18158492. ^ d_32/12318164 at Dorland's Medical Dictionary ^ ICD-10:. Retrieved on 2008-02-23. ^ Boczko F 2006. Patients' awareness of symptoms of dysphagia. J Am Med Dir Assoc 7 9: 587-90. doi:10.1016/j.jamda.2006.08.002. PMID 17095424. ^ Dysphagia at University of Virginia. Retrieved on 2008-02-24. ^ Swallowing Disorders - Symptoms of Dysphagia at New York University School of Medicine. Retrieved on 2008-02-24. ^ Parker C, Power M, Hamdy S, Bowen A, Tyrrell P, Thompson DG 2004. Awareness of dysphagia by patients following stroke predicts swallowing performance. Dysphagia 19 1: 28-35. doi:10.1007/s00455-003-0032-8. PMID 14745643. ^ Rosenvinge SK, Starke ID 2005. Improving care for patients with dysphagia. Age Ageing 34 6: 587-93. doi:10.1093/ageing/afi187. PMID 16267184. ^ Sleisenger, Marvin H.; Feldman, Mark; Friedman, Lawrence M. 2002. Sleisenger Fordtran's Gastrointestinal Liver Disease, 7th ion. Philadelphia, PA: W.B. Saunders Company, Chapter 6, p. 63. ISBN 0721600107. ^ Dysphagia at University of Texas Medical Branch. Retrieved on 2008-02-23. ^ a b Logemann, Jeri A. 1998. Evaluation and treatment of swallowing disorders. Austin, Tex: Pro-Ed. ISBN 0-89079-728-5. ^ Shamburek RD, Farrar JT 1990. Disorders of the digestive system in the elderly. N. Engl. J. Med. 322 7: 438-43. PMID 2405269. ^ Martino R, Foley N, Bhogal S, Diamant N, Speechley M, Teasell R 2005. Dysphagia after stroke: incidence, diagnosis, and pulmonary complications. Stroke 36 12: 2756-63. doi:10.1161/01.STR.0000190056.76543.eb. PMID 16269630. ^ Ingelfinger FJ, Kramer P, Soutter L, Schatzki R 1959. Panel discussion on diseases of the esophagus. Am. J. Gastroenterol. 31 2: 117-31. PMID 13617241. ^ Evaluating Dysphagia - June 15, 2000 - American Academy of Family Physicians. Retrieved on 2008-02-24. ^ eMedicine - Swallowing Disorders : Article by Segun T Dawodu. Retrieved on 2008-02-23. External links Dysphagia at the Open Directory Project Dysphagia Guideline at the World Gastroenterology Organisation WGO v d e Symptoms and signs: digestive system and abdomen R10-R19, 787 Abdominal and pelvic pain Abdominal pain - Acute abdomen - Colic Other Nausea/Vomiting - Heartburn - Dysphagia Oropharyngeal, Esophageal flatulence and related Abdominal distension, Bloating, Burping, Tympanites Fecal incontinence Encopresis hepatosplenomegaly Hepatomegaly, Splenomegaly Jaundice - Ascites - Fecal occult blood - Halitosis see also noncongenital, congenital Retrieved from http://en..org/wiki/Dysphagia Categories: Symptoms | GastroenterologyHidden category: Pages with DOIs broken since 2008 Views Article Discussion this page History Personal tools Log in / create account Navigation Main page Contents Featured content Current events Random article Search Go Search Interaction Community portal Recent changes Contact Donate to Help Toolbox What links here Related changes Upload file Special pages Printable version Permanent link Cite this page Languages Deutsch Español Ù?ارسی Français Bahasa Indonesia Italiano Bahasa Melayu Polski Português РуÑ?Ñ?кий Suomi This page was last modified on 17 August 2008, at 21:04
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