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Difficulty or pain with swallowing is called dysphagia, and it affects up to 15% or more of the population at some point in their lives.
January 19, 2025 at 8:25 AM. skynesher/Getty Images ... making it hard to swallow. ... or if you can’t swallow liquids, Dr. Yoon adds. How Your Doctor Can Help.
Dysphagia is distinguished from other symptoms including odynophagia, which is defined as painful swallowing, [8] and globus, which is the sensation of a lump in the throat. A person can have dysphagia without odynophagia (dysfunction without pain), odynophagia without dysphagia (pain without dysfunction) or both together.
Individuals with difficulty swallowing may find that liquids cause coughing, spluttering, or even aspiration, and that thickening drinks enables them to swallow safely. Patients may be advised to consume thickened liquids after being extubated. Liquid thickness may be measured by two methods, with a viscometer or by line spread test.
Both of these features impair the ability of the esophagus to empty contents into the stomach. Patients usually complain of dysphagia to both solids and liquids. Dysphagia to liquids, in particular, is a characteristic of achalasia. Other symptoms of achalasia include regurgitation, night coughing, chest pain, weight loss, and heartburn.
Different consistencies of liquid and food mixed with barium sulfate are fed to the patient by spoon, cup or syringe, and x-rayed using videofluoroscopy. A patient's swallowing then can be evaluated and described. Some clinicians might choose to describe each phase of the swallow in detail, making mention of any delays or deviations from the norm.
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Individuals with pseudodysphagia have difficulty swallowing, and may experience panic before or during the act of swallowing. This can therefore lead to the avoidance of swallowing solid foods and liquids, taking any forms of tablets or pills without the presence of physiological or anatomical abnormalities.