Question

Mr. E. Ting, a 72 year old male, was referred for evaluation to Dr. Asch Sessment for a complete evaluation. Mr. E. Ting presented with complaints of difficulty swallowing. His spouse noted that he frequently drools, coughs when he is eating and drinking, and does not chew well. His recent medical history included a stroke and an incidence of pneumonia.

Your Challenge: What type of dysphagia does this patient have? What tests gave you the definitive diagnosis? What treatment would you provide and why? What do you think the pneumonia was related to? What type of medical team would you assemble to follow this patient?

PROVIDE LINK(S) THAT HELPED YOU FORMULATE YOUR DIAGNOSIS, TREATMENT, FOLLOW-UP, ETC.

At the end of your initial post, select 10 medical terms related to this body system, dissect them into their component parts, and provide their meanings . :-)

Well detailed answer please!

Answer 1

Ans.) On the basis of the mentioned symptoms, it seems that the patient is suffering from oral dysphagia as he has difficulty in eating, drinking, and also in chewing.

For definitive diagnosis of dysphagia endoscopy, fiber-optic endoscopic swallowing evaluation and d Dynamic swallowing study is commonly carried out.

The treatment includes therapy session with speech or swallowing therapist, and therapy. It may include:

• Learning works out. Certain activities may help arrange your gulping muscles or re-stimulate the nerves that trigger the gulping reflex.
• Learning swallowing techniques – The patient is taught different approaches to put nourishment in mouth or to position the body and head to enable him to swallow. He might be encouraged activities and new gulping strategies to help make up for dysphagia brought about by neurological issues, for example, Alzheimer's infection or Parkinson's ailment.

It is quite common that an individual suffering from dysphagia (difficulty in eating, drinking, and also in swallowing) eventually incepted important elements for developing pneumonia. It is common in elderly people.

The medical team going to follow this patient includes a general physician, speech or swallowing therapist and a nurse.