Ques. 1 What is Dysphagia?
Ans. Difficulty in swallowing (deglutition) of food and drink.
Cases of Dysphagia Verbal :
I. Pain-tuberculous ulcers of tongue, pharyngitis, carcinoma of oesophagus, achalasia etc.
II. Vomiting – (a) Blood-stained with foods taken previously-carcinoma, (b) only the foods-Achalasia.
III. Changes in voice- Advanced carcinoma of oesophagus or thyroid, Bulbar palsy.
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V. Acute onset – Impaction of foreign body, pharyngitis etc. Comparatively short history – carcinoma of tongue, thyroid etc. or Plummer – Vinson Syndrome. Long history – Achalasia.
Ques. 2 What is the physical examination, Diagnosis and treatment of Dysphagia?
Ans. Physical Examination :
1. Soft palate palsy, Bulbar palsy.
iii. Oesophagoscopy with biopsy.
iv. Laryngoscopy – for any ulceration of tumour of larynx.
v. Barium swallow X-ray-to visualize the abnormal-lities e.g. cardiospasm, stricture, tumours, oesopeageal diverticula etc.
vii. Blood – T.C., D.C., E.S.R., Hb%.
viii. Vomitus for malignant cells.
Treatment : The treatment of dysphagia depends on aetiology. Homoeopathic Remedies for treatment of Dysphagia.
Ques. 3 Which medicines are good for this case?
Ans. 1) SILICEA – Tongue dry or coated with a slimy mucous, swollen and numb ; difficult swallowing, rigors and suppuration.
2) COLCHICUM- Dysphagia, pain in throat larynx and muscles of neck; constriction in oesophagus, with accumulation of mucous in the throat, which come involuntarily into mouth or is hawked up.
3) CONIUM- Soreness of tongue, esp. about the root ; stiff, swollen, painful tongue, with dryness of mouth and impeded deglutition.
4) MERCURIUS – Dysphagia, he has to press hard to get something down, aching pains in oesophagus; difficulty of swallowing with danger of suffocation; liquids are ejected through nose.
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