Dysphagia

Felix B Chang, DABMA , FAAMA, DABIHM, DABIM , MD Reviewed 04/2024

BASICS

Subjective sensation of difficulty or abnormality of swallowing.

DESCRIPTION

Oropharyngeal: difficulty transferring food bolus from oropharynx to proximal esophagus
Esophageal: difficulty moving ...

DIAGNOSIS

HISTORY

Oropharyngeal dysphagia presents as difficulty initiating the swallowing process. Dysphagia for solids that progresses to involve liquids more likely reflects mechanical obstruction. ...

TREATMENTADMISSION, INPATIENT, AND NURSING CONSIDERATIONS

GENERAL MEASURES

Exclude cardiac disease.
Ensure airway patency and adequate pulmonary function.
Assess nutritional status. Speech therapy

MEDICATION

ONGOING CARE

Swallow therapy may reduce the incidence of chest infections or pneumonia after stroke

FOLLOW-UP RECOMMENDATIONS

In patients with progressive conditions goal is to maintain current state....

REFERENCES

Wilkinson J, Codipilly D, Wilfahrt R. Dysphagia: Evaluation and Collaborative Management. Am Fam Physician. 2021;103(2):97-106.

Malagelada JR, Bazzoli F, Goeckxstaens G, et al. World gast...

ADDITIONAL READING

Choosing Wisely Campaign: https://www.choosingwisely.org

CODES

ICD10

R13.10 Dysphagia, unspecified
R13.12 Dysphagia, oropharyngeal phase
R13.14 Dysphagia, pharyngoesophageal phase
Q39.3 Congenital stenosis and stricture of esophagus
R13.19 Other dysphagia
R13.13 ...

CLINICAL PEARLS

Dysphagia warrants prompt evaluation to define the cause and appropriate treatment.

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