Approach to dysphagia (difficulty swallowing) - causes, pathophysiology, investigation

"Dysphagia is the sensation of difficulty or abnormality of swallowing. It is due to a structural or a motility abnormality in the passage of solids or liquids from the mouth to the stomach. It ranges from an inability to initiate the swallowing reflex to food or liquid being stuck in the oesophagus. In contrast, odynophagia is pain with swallowing."

Facebook:

Support me:

Instagram:

Twitter:

SPECIAL THANKS:
Patreon members

[Melanierose]

Something has changed about your videos. I couldn't out my finger on it.
Until I read the I knew something was different.
Your pvs videos had some sort of personal
I've watched you for 6 + years in my medical life and will continue watching.
But the old was better.
Keep up the good work.
I still never understand why you don't have like more You deserve it!!

[antiquarian]

I’m 21 years old and have had trouble initiating the swallowing process. I feel like my body is stopping me from swallowing . I have to really concentrate on swallowing. Sometimes I keep chewing until it’s food and liquid and am forced to spit it out due to fear of choking or just not being able to swallow. I have no other issues. No pain nothing. It’s really frustrating and I haven’t been eating properly. Also have lost weight due to this :(.

[rd-kuys]

Future Speech-Language and Hearing Pathologist here!
Loved the video!

[IckelLorns]

Thank you for doing this....I have to admit I prefer the videos you draw in yourself rather than the computerised version - feesl more organic

[mcmn]

I now suffer from constant throat clearing on many occasions during the day. I feel my life wasn’t like this before.

I hate my life now, and life overall in general. It is horrible, and it has changed everything

[deepasingh]

Sir ur videos are the ones I go for whenever I dont understand any topic... thank you so much..what you do for medicos is commendable

[BoBo-dvcb]

I am exceedingly appreciate your tough effort, keep it up!
Nice to learn from you, good explanation.

[ignightroad]

I've had this disorder for 24 years with no luck or assistance. Eating is depressing because it makes me so anxious. I can drink liquids no issue if it's no thicker than water, but even food when it's chewed to water is hard to swallow, my body panics and my throat closes up. It's so heartbreaking. I miss EATING.

[yegorsemenyuk]

Truthfully, hand drawings used to be on a whole different level. I am still your fan though!

[Escapewithjade]

I’m 19 years old (UK) and this started for me in July 2021 along with pins and needles and has progressed so much that I am down to liquids. I went from 53kg to 46kg, instant urgent referral. Barium swallow shows as normal, bloods were severely deficient in b12. I have now been referred to speech and language therapy and am hoping to get some B12 injections soon.

I eat the same thing everyday and miss absolutely everything, it has completely ruined my life. I hope I can revisit this comment with good news one day.

[sarahmina]

Thank you for making our learning easier ! 🙏

[ayedarosies]

Ngikutin videonya dari awal, selalu menolongku, love!

[vanessas]

Excellent video. Thank you. It's really helped me with the pronunciations too.

[srujalpatel]

Sir I would like to share something from my mind...and it's that you should go for hand drawing it's have outstanding imparation on you and it's also have a great standard.also good for learners...
Yaah🙋I am the one of your happy learners...thank you so much sir for these videos 🤗😇

[rosfadem]

Thank you for posting this very clear description of the problem and likely causes!

[rachrolo]

This was truly an amazing video. I suffer from dysphagia and I’m unsure if it’s a result from hiatal hernia (which was repaired), vertical sleeve gastrectomy (in which the hiatal hernia was found and repaired) or Ehlers-Danlos Syndrome (connective tissue disorder) which is genetic and I think to be the start of the whole issue.

[catherinemgraham]

I am worried I have signs of this. it started as a child fear of choking and doctors told my mother I could have damage to that area from whooping cough as a baby. I was also attacked with a sharp instrument as a kid there as well. It got worse during coughing fits in 2006 with a bug and choking on raw carrot and it got worse with a bad middle ear infection and anti-inflammatory and reflux. The pain can be terrible when the spasms will be in waves and I find just sipping water or lozenges or natural things like peppermint etc and breathing exercises, meditation help and other exercises. No doctor will talk this over with me, and the only medical person who has was a dentist who seemed to care more then my doctors. I try to avoid spicy things and hot drinks or over hot food. Let it cool down a lot. drugs like alprazolam or other type calmatives like Clobazam relax muscle spasms for me.

[samarkhaled]

Great work Dr.thank you
I loved the update on drawing you did, sir
That's very impressive

[Azzulla]

Learnt a lot in this video. Keep up the good work!

[monikamarasini]

I have always loved his video . They are very easy and helpful to understand. By being inspired I have also created my own YouTube videos about solving mcqs and fun mnemonics .