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Pain on swallowing or odynophagia is a distinctive symptom that can be highly indicative of carcinoma, although it also has numerous other causes that are not related to cancer. Achalasia is a major exception to usual pattern of dysphagia in that swallowing of fluid tends to cause more difficulty than swallowing solids.
Conditions that can cause difficulty swallowing and/or impaired coughing include neurological conditions such as stroke, Alzheimer's disease, or Parkinson's disease. [21] In older adults, risk factors also include living alone, wearing dentures, and having difficulty swallowing. [18]
Signs of foreign body aspiration are usually abrupt in onset and can involve coughing, choking, and/or wheezing; however, symptoms can be slower in onset if the foreign body does not cause a large degree of obstruction of the airway. [2] With this said, aspiration can also be asymptomatic on rare occasions. [1]
A fluoroscopic swallow study can be done in cases where dysphagia or motility disorders are thought to be the source of aspiration. Food and drink are mixed with barium contrast and monitored using x-ray to evaluate swallowing. Aspiration can be diagnosed if contrast is seen coursing below the vocal cords into the trachea. [13]
Failure to thrive [8] and aspiration pneumonia, a complication of dysphagia (difficulty swallowing) that results from dysautonomia, commonly cause death among people with the Lewy body dementias. [80] Cardiovascular disease and sepsis are also common causes of death. [163]
Infection may cause pharyngitis which can prevent swallowing due to pain. Medications can cause central nervous system effects that can result in swallowing disorders and oropharyngeal dysphagia. Examples: sedatives, hypnotic agents, anticonvulsants, antihistamines, neuroleptics, barbiturates, and antiseizure medication. Medications can also ...
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Acid reflux into the mouth can cause breakdown of the enamel, especially on the inside surface of the teeth. A dry mouth, acid or burning sensation in the mouth, bad breath and redness of the palate may occur. [27] Less common symptoms of GERD include difficulty in swallowing, water brash, chronic cough, hoarse voice, nausea and vomiting. [26]