Difficulty swallowing

21/y/o with Co/- neck pain, difficulty swallowing, and numbness of the tongue since 2 months. Physical examinations is normal. MRI done 1 month ago shows- chordoma is suspected. She is otherwise healthy but has recently developed weakness & easy fatigue. Prakriti vata pitta Agni madhyam Mala nirama Jihva sama



Diagnosis will likely perform a physical examination and may use a variety of tests to determine the cause of your swallowing problem. Tests may include: X-ray with a contrast material (barium X-ray). You drink a barium solution that coats esophagus, allowing it to show up better on X-rays. can then see changes in the shape of your esophagus and can assess the muscular activity. may also have you swallow solid food or a pill coated with barium to watch the muscles in your throat as you swallow or to look for blockages in your esophagus that the liquid barium solution may not identify. Dynamic swallowing study. You swallow barium-coated foods of different consistencies. This test provides an image of these foods as they travel through mouth and down throat. The images may show problems in the coordination of mouth and throat muscles when swallow and determine whether food is going into breathing tube. A visual examination of esophagus (endoscopy). A thin, flexible lighted instrument (endoscope) is passed down throat so that can see esophagus. May also take biopsies of the esophagus to look for inflammation, eosinophilic esophagitis, narrowing or a tumor. Fiber-optic endoscopic evaluation of swallowing (FEES). May examine throat with a special camera and lighted tube (endoscope) as try to swallow. Esophageal muscle test (manometry). In manometry (muh-NOM-uh-tree), a small tube is inserted into esophagus and connected to a pressure recorder to measure the muscle contractions of esophagus as swallow. Imaging scans. These may include a CT scan, which combines a series of X-ray views and computer processing to create cross-sectional images of body's bones and soft tissues, or an MRI scan, which uses a magnetic field and radio waves to create detailed images of organs and tissues. Oropharyngeal dysphagia For oropharyngeal dysphagia, may refer to a speech or swallowing therapist, and therapy may include: Learning exercises. Certain exercises may help coordinate swallowing muscles or restimulate the nerves that trigger the swallowing reflex. Learning swallowing techniques. May also learn ways to place food in mouth or to position body and head to help swallow. May be taught exercises and new swallowing techniques to help compensate for dysphagia caused by neurological problems such as Alzheimer's disease or Parkinson's disease. Esophageal dysphagia Treatment approaches for esophageal dysphagia may include: Esophageal dilation. For a tight esophageal sphincter (achalasia) or an esophageal stricture, may use an endoscope with a special balloon attached to gently stretch and expand the width of esophagus or pass a flexible tube or tubes to stretch the esophagus (dilation). Surgery. For an esophageal tumor, achalasia or pharyngoesophageal diverticulum, may need surgery to clear esophageal path. Medications. Difficulty swallowing associated with GERD can be treated with prescription oral medications to reduce stomach acid. May need to take these medications for an extended period. If have eosinophilic esophagitis, may need corticosteroids. If have esophageal spasm, smooth muscle relaxants may help. Severe dysphagia If difficulty swallowing prevents from eating and drinking adequately, may recommend: A special liquid diet. This may help maintain a healthy weight and avoid dehydration. A feeding tube. In severe cases of dysphagia, may need a feeding tube to bypass the part of swallowing mechanism that isn't working normally.

रोगी वात व्याधि से ग्रस्त है। चिकित्सा संबंधी योग,,, बसंत मालती रस स्वर्ण युक्त 1 रत्ती एकांग वीर रस 2 रत्ती खर्पर भस्म 4 रत्ती शहद में मिलाकर सुबह-शाम सेवन कराएं। बबूलारिष्ट 25 ग्राम सुबह-शाम खाने से पहले दें। चिकित्सा लम्बी चलेगी। निश्चित रूप से लाभ होगा। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।



Rx Lycopodium 1m/3dose Lachesis 30/tds for one week

Rule out Underline Pathology.???


Lachesis may be helpful

Rx Lachesis

Better consult oncologist

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