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

Something has changed about your videos. I couldn't out my finger on it. Until I read the comments..... I knew something was different. Your pvs videos had some sort of personal touch..... 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 subs..... You deserve it!!

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

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 :(.

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

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

Thank you for making our learning easier ! 🙏

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

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

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

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

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

Well explained and easy to understand

This video gave me a clear understanding man!Thank you!!!

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

Ngikutin videonya dari awal, selalu menolongku, love!

Best channel on YT 🤯

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

Very well explained.. Thank you ♡

Fantastic explanation 👍

Lot of images make learning easier 😊😊❤❤ Thank you sir 🤩🤩

Very informative ! Thankyou

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

This is sooooo cool. Thank you

Thank u so much for this amazing video

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 🤗😇

Nice discussion thanks a lot

Thanks a lot for your efforts

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.

Can you explain the difference between nutcracker esophagus and Jackhammer esophagus which was diagnosed by High Resolution Manometry? Why would globus sensation be felt high up below the epiglottis with Jackhammer? How would symptom of shortness of breath be related to Jackhammer esophagus? Thank you for any insight you could share.🙏🏻👍

To everyone suffering with this or any other illness you're in my prayers. I'm going to share my recent experience with dysphagia in hopes that it gives someone comfort. About 3 weeks ago I felt as if I was choking on pizza. It felt stuck in my throat and no matter how much I coughed or drank or tried to clear my throat the feeling would not go away. I went to the ER because I had a fear I aspirated, but the doc refused to do a x-ray because I was speaking and breathing fine although I felt I was not. They gave me a GI cocktail lidocaine mixed with some type of antacid I suppose. This did not help. Ever since I'm having trouble swallowing feeling like food is stuck in my throat and chest. I researched and found out that you can have GERD without feeling burning sensation in your throat and chest. I'm not a doc and hadn't been diagnosed yet, but I thought why not give some OTC meds a try so I started taking pepcid. The pepcid gave me a little relief, but eating still made my throat feel irritated like food was sticking. I stopped all alcohol after the first incident as well. Then I researched some more and found out omeprazole could start to heal your esophagus and esophageal sphincter so I started taking the OTC disolvable tablets. They do not work as fast as the pepcid but I assumed I had damaged the lining of my esophagus with the daily coffee and casual drinking alcohol so I am continuing the omeprazole. I saw a Gastroenterologist for consult (I used to work for one). The doc prescribed me the same 20 mg Omeprazole that had already started taking OTC and scheduled me for an EGD. I started drinking chamomile tea with honey because at this point even the protein shakes were having a hard time going down. Last night I had another choking incident while drinking the tea and instantly coughed it back up even some coming out of my nose. This some how gave me relief to try to eat soft foods again. This morning I've had 2 cups of almond milk with mashed Graham crackers inside this is my first meal in 3 days. BTW I am 5'3 started at 135 and now 125 in matter of weeks. I believe something may have gotten caught in my windpipe causing irritation and the second choking incident may have cleared it out. I am still taking the disolvable omeprazole because I do know I have some sort of reflux because certain food makes me nauseous and does come back up without the burning feeling. I am still going to have my upper endoscopy next Friday. I will keep you all posted. In the meantime I would advise anyone having this issue to take it seriously don't be embarrassed to talk about it and see a doctor. Preferably an Ear Nose and Throat specialist or Gastroenterologist. If you feel your problem is your tongue they can refer you to a speech therapist that can show you exercises to help with your swallow. please don't ignore it and I am praying for all of us. Keep pushing it will get better. Also to anyone feeling scared like this may be something that kills them there are devices you can order online to suction the airway and remove whatever is blocking the airway in case of an emergency. Some of these devices can be used alone. I would research and order one. Good to have anyway even If you're not suffering from Dysphagia.

@Armando sir - so hypertensive peristalsis(Nutcracker esophagus) and diffuse esophageal spasm(DES) are both the same or different pathology?

Thanks, good job!

Outstanding bro... Pls give a video on ascites pls... Pathophysiology

Is esophageal spasm considered dysphagia? Only happens on occasion mostly when eating dry textured foods but freaks me out

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.

Thank u so much sir u helped me a lot 😇

What is the software you used for this illustration

you'r the best man on earth aftery dad✌️❤️

SO NICE SIR

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.

Thanks sir 👍

Thank you!

Nice video

The video sound is pretty good, beyond my imagination

Hello, What is the treatment for dysplasia? I need an excellent doctor to diagnosis and treat my brother compliant from dyphagia

Thanks

I've been dealing with that described pain in the chest region but only with liquids and only with yogurt/smoothies. Is this normal or should I still be looked at?

You are wonderful

Sometimes bits of chewed food comes up when I cough in my saliva. Frankly, I feel like dysphagia will be my death when I am old.

CAN YOU PLEASE MAKE A VIDEO ON LYMPHATIC SYSTEM????

Why there is dysphagia with liquids in achalasia ?

Hello, I came to the this video because I have trouble trying to swallow pills. I only take pills when I have a headache. I can eat and drink normally it's just that sometimes when I try to swallow BIG pills, I'm afraid that it won't digest properly and I could possibly gagg or choke 😣

thanks

This lesson was in my revise list for today 😂😂😍😍 thanks armando

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.

I now have dysphagia post intubation from a surgery. It took a little while to develop but I am sure what caused it as I had no problems swallowing prior to the surgery. Some foods get stuck in the base of my throat and I will have to vomit to get relief. It is usually meats like ham, turkey and chicken, but also hard boiled eggs and rice, other times I can take huge bites of other foods and have no problems with salads or pizza etc. Sometimes swallowing pills is difficult and feels like they are sitting in the base of my throat instead of going into my stomach. I cannot prove that there was malpractice, but I want to know if there are others out there with the same injury post intubation that I have?

Does someone here can share me your experience with dysphagia. I suffer since 7 months from it. My problem is in the oral phase. Doctors in my country believe that its in my head. I do also suffer and extremely bad insomnia so what I feel is that im very weak to swallow or that my brain cant send the right message to do the swallow. Im desperate, im hungry and in pain. I have lost around 30 pounds, and nobody helps me. Im 36 years old and I feel im dying slowly.

Thanks sweetheart

Was just diagnosed with Jackhammer Esophagus after manometry. 41 yom

Y there is dysphagia to liquids in achalasia

My sister can't eat: when she tries to do it, saliva comes into her mouth and fills it. So, it is almost impossible to eat. Could you tell me, please, what to do?

Hi pls help I’m not sure if I have GERD bc I used to puke and my throat get sore sometimes but today I got checked out bc I had difficulty swallowing food or dysphagia and sometimes when I breathe through my mouth it hurts and makes me cough it’s like the bite is going down slowly and it makes me panick that am about to choke or something lol and yeahs when I lay down I feel like am about to vomit it’s been for like 8 months. So basically I did the barium swallow test and the x ray digestive system and blood analysis and thanks god that all turn out I’m fine and have no effects I asked the doctor if I need to do an esophagogastroduodenoscopy and he told me I don't need to hurry for it and he said if i do not get better from the treatment he gave me then we will do the esophagogastric endoscopy is there any way to confirm that I have GERD or any signs? Also he gave me takepron 30 and librax dragees 30 they all pills, btw 16 uhh I hate the fact that I can’t eat normally again I lost a lot of weight I was 38 and now am 33 which is not good for a teenager :(

I like the way you draw my yourself 😉

I have difficulty swallowing sometime especially when I eat meats such a chicken pork etc. also bread can be a problem if I have sandwich (cheese& ham) and swallow too quickly it get half way down then gets stuck like my oesophagus goes Into “spasm” then not even drinking helps that just makes it worse so I have no choice except to vomit. after that it’s fine I can swallow normally again I have noticed when it happens it’s usually when I’m talking during a meal. It might be because I’m eating too quickly because trapped air seems to cause it. sometimes if I “burp” this helps the food go down could breathing too rapidly cause this problem any help you can offer would be much appreciated thank.

Im a weed smoker and have had a burning throat and dysphagia for 2 years. Im realizing i might need to stop smoking and see a throat doctor. Easier said then done . I like smoking and havent seen a doctor 15 years. Kinda scared of knowing and not knowing if that makes sense.

What is the difference between Achalasia Cardia and dysphagia dysphagia?

I had a momentry and it showed up dysphagia symptoms and iem. 3 wks later I'm finding it harder and harder to swallow. My gastroentologist said his not worried bout it and go to a speech pathologist but I constantly have a lump and bumps all the time when I swallow just saliva and food. It's not globusi it's an actual obstruction happening. The barium came up normal. I'm waiting on ct scsn results. The momentry came up with more then 90% innafective swallowing. I feel like my osphegus is narrowing. I'm so sick of it. I feel like there is alot of damage to my throat

I struggle with eating because I somehow always choke or it gets stuck in my throat and ill have to drink water but water is hard for me to swallow too same with my own saliva

Can be caused or aggravated by carbonated drinks.

Please come back to handdrawing sir. Its a request.

Have had problems with ",,choking," for years. Tests have no answers.

Diagnosis of Dysphagia?

Sir, I have the same problem in swallowing Solid and Liquid diet near my throat for a few years. I feel dysphagia may be the reason. sofar I have not either treated or went for treatment. please advise me what is the remedy (either medicine or something) for the same?. Thank you.

Please what's the treatment for this disease or which drugs can cure this disease..My father is suffering from this disease and I'm disturbed

Can someone help me sometimes I have difficulty swallowing saliva and it’s a weird lingering feeling seems like it’s coming from middle of my chest or esophagus it’s not a pain feeling just feel like something there

Thanks! I have this swollowing liquid's slowly or I might choke scarry!🙏🏾🤦🏾‍♀️😬😅

I literally feel like there is a lump in my throat, for 5 years now I wanna kms

I went to a doctor and explained how I’m having difficulty swallowing and got nowhere. Ive had this issue for awhile and I’m freaking out, i hope its not cancer or something. I’m also 17 i don’t know if that matters

3:45 Le patient décrit des bruits hydro aeriques cervicaux. 🎵

I've been having trouble with swallowing food and liquid. An I have slurred speech. I was diagnosed with ALS and not one doctor will look in or down my throat with a ostescope or what ever it's called. I've told doctors I have parasite worms an they called me delusional. Not examining my body or poop. My mouth on the inside and out side is full of tapeworms. I know tapeworms are the cause of my issues. They have damaged my nerves that control my tongue and throat and muscles. I bet I was misdiagnosed for ALS.

I’m having trouble swallowing after a herniated disc in my neck after a car accident.

Hello, I think I have dysphagia, i feel like something is stuck in my mouth, what should I do? What medications should I take? I don't have money to seek professional advise, I hope you can help me sir. Thank youu 😯

script?

Im also experiencing this, After I eat i feel like food is stuck in my chest and its making me hard to breath and dizzy. Please help me! everyday i ate food it is I can swallow it but the only problem is i feel its always stuck im my chest, now Im on diet and avoid acidic foods. I hope someone could help me here.

Thanks for sharing this info. It's REALLY good info. MANY blessings to you and yours in the mighty and matchless name of Jesus Christ of NAZARETH. The name above ALL names. AMEN.

People who take benzodiazepines will get this this is one of the symptoms. It is persistently tarsal, and sometimes painful, uncontrollable, persistent.

♥️♥️♥️♥️

I do have Dysphagia and it was mainly cause by my GERD (acid reflux disease). For the past 4 years I get episode of dysphagia that start in november and can go on till January. What can I do to ease/reduce my dysphagia ? I am currently having dysphagia and find it hard with swallowing solid food.

Surely we dont have to live with this our whole lives id rather be dead

Why has someone commented that you want him to be a Muslim??? Like really?? You had nothing to say? What's your problem?????

Sudani was here 🙆‍♂️🙆‍♂️🙆‍♂️

Just drink virgin coconut oil.. Your problem solve

Why do these announcers feel the need to SPEED READ thru there videos I will never know Great information however we only catch half of it because the narrator felt the need to ramble and speed thru the information S-l-o-w down folks We aren’t going anywhere Ridiculous

मुझे भी यह समस्या थी और मैंने Planet Ayurveda के साथ अपना इलाज शुरू किया। अब मैं ठीक हूं। तो, अगर किसी को इस तरह की समस्या या किसी अन्य स्वास्थ्य संबंधी समस्या का सामना करना पड़ रहा है। आपको Planet Ayurveda जाना चाहिए।

Being a medical student, I always prefer allopathy but when I suffered from Dysphasia and use allopathy medicines for long and did not get any positive result. I changed my mode of treatment from allopathy to Ayurveda. I took treatment from Planet Ayurveda and got very effective results.

Swallowing isn't a reflex though!

Aramando you have to read about Islam because i want you to be a muslim . Thx for informative vid. :)

I just can't understand why I have no problem eating foods or drinking but have a hard time just with saliva.