dysphagy

difficulty in swallowing; see also aphagia. There are numerous underlying causes, including stroke and other neurologic conditions, local trauma and muscle damage, and a tumor or swelling that partially obstructs the passage of food. The condition can range from mild discomfort, such as a feeling that there is a lump in the throat, to a severe inability to control the muscles needed for chewing and swallowing.

Dysphagia can seriously compromise the nutritional status of a patient. Temporary measures such as tube feeding and parenteral nutrition can remedy the immediate problem, but long-term goals for rehabilitation must focus on helping the patient recover the ability to swallow sufficient amounts of food and drink to assure adequate nutrition.

Measures intended to accomplish the goal of oral feeding are implemented only after determining the particular techniques that are most helpful for the individual patient. In general, placing the patient in an upright position, providing a pleasant and calm environment, being sure the lips are closed as the patient begins to swallow, and preparing and serving foods of the proper consistency are all helpful techniques. Stroke victims who have difficulty swallowing should be turned, or should turn their heads, to the unaffected side to facilitate swallowing. If dry mouth is a problem, there are artificial salivas available to moisten and lubricate the mouth. When drinking fluids, dysphagic patients should sip the liquid in small amounts.