Other names: odynofagfie, pain on swallowing
If swallowing associated with a painful feeling, he says he expertly odynophagia (Odyn = pain FAGI = swallowing).
Usually painful swallowing a sign of enhanced inflammation of the pharynx (pharyngitis), tonsils (tonsillitis), in the salivary gland (mumps, mumps) to příklopce larynx (epiglottitis) or esophagus (esophagitis).
If the inflammation is only superficial, mostly pain when swallowing not obtained (lighter upper respiratory tract infections such as colds, etc.}, But when it interferes with inflammation deeper and spread to the surrounding area, the patient’s intake of food and fluids greatly bother. Lozenges for sore throat disinfection and often do not help, sometimes they can bring at least temporary relief (Neo-Angin, Stopangin etc.).
Decisive treatment causes painful swallowing, with streptococcal angina they are definitely antibiotics.
Severe pain when swallowing is also characterized by acute epiglottitis – haemophilus infection in children between 3 and 6 years. Child refuse food and fluids, his mouth open and tongue out slightly.Saliva trickling out of his mouth, because they can only be to swallow the bitter pain. The disease is sudden and dramatic progress is mainly for the possibility of suffocation, always requires urgent medical attention. Pain usually subsides after several days of antibiotic treatment.
Pain when swallowing can be the first sign of any already advanced tumor, which patient is otherwise unknown. It is usually the case with cancer of the esophagus, which makes this tumor is very insidious. It comes to him late and poorly treated. Patient suffers the inability to swallow (esophagus is “blocked” the tumor and stagnating food remnants), dangerously thin and suffers greatly. Temporary solution in this case, different surgical or endoscopic procedures – endoprosthesis esophagus, laser release esophageal stent placement and the like. The most plausible possibility is the introduction of so-called. Gastrostomy (opening to the stomach) through the abdominal skin that does not require surgery and is comfortable for the patient – pureeing food or nutritional drinks are administered directly into the stomach, esophagus diet, therefore avoids a patient “her” painlessly.
Swallowing disorder may not always be accompanied with pain, but patients are unable to swallow or have a feeling of stagnation bites – this is called dysphagia. Have her patients with various neurological diseases, which can not be called barium meal, or connective tissue diseases. Morsel stuck even after ingestion of a common insufficiently masticated meat (steak house syndrome),sometimes causes the same feeling anything that clogs the digestive tube – the aforementioned infections or tumors. Patients with esophageal cancer have pain, except the feeling that he stuck in his mouth dry roll.
First bites are serious solid, liquid diet until later. When spasms (contractions of the esophagus) it is the opposite.
Painful swallowing (odynophagia) with a sense of stagnation morsels (dysphagia) are therefore often combined.
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