Dysphagia(Difficulty Swallowing),Treatment,Causes,Pathophysiology,Investigations,Types USMLE

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  • Опубліковано 13 лип 2020
  • Dysphagia(Difficulty Swallowing),Treatment,Causes,Pathophysiology,Investigations,Types USMLE
    gastroenterology medicine.this video gives a deep insight on all relevant causes of dysphagia that are tested in USMLE PLAB exams.Evaluation of dysphagia difficulty swallowing regurgitation and all the relevant tests like barium swallow barium study and endoscopy are fully explained in this video.
    "Dysphagia is the sensation of difficulty or abnormality of swallowing. It is due to a structural or a motility abnormality in the passage of solids or liquids from the mouth to the stomach. It ranges from an inability to initiate the swallowing reflex to food or liquid being stuck in the oesophagus. In contrast, odynophagia is pain with swallowing."OROPHARYNGEAL DYSPHAGIA
    Characterized with difficulty initating swallowing. Also associated with coughing, choking, or aspiration. Pathognomonic symptom is regurgitation. Will point at throat when asked where the food is stuck.
    Oral causes of dysphagia generally involves mastication. Therefore cranial nerves trigeminal, glossopharyngeal, and vagus nerve can cause oropharyngeal dysphagia. Low saliva (sjogren's Syndrome) may also lead to oropharyngeal dysphagia.
    Pharyngeal causes of dysphagia maybe related to neuromuscular such as cerebrovascular accidents, myasthenia gravis and parkinsons.
    Upperesophageal sphincter due to decrease relaxation.
    Zenker's diverticulum can also cause dysphagia.
    ESOPHAGEAL DYSPHAGIA
    Patient can initiate swallowing okay but there is difficulty after swallowing. Food feels like it is stuck in the substernal and need to rule out other causes of chest pain.
    Solids and Liquids causing dysphagia are related to motor pathology. Intermittent causes of dysphagia include dysmotility. If progressive then dysphagia may be caused by achalasia and scleroderma. Remember scleroderma also has heartburn as achalasia doesn't.
    Solids only dysphagia is caused primarily by obstruction. Non-progressive forms of dysphagia are caused by lower esophgeal rings and webs and esophagitis. Progressive can be caused by stricture (heartburn) or esophageal cancer (anorexia and weight loss).

КОМЕНТАРІ • 67

  • @Livewell1NETWORK
    @Livewell1NETWORK Рік тому +9

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    @nmkhan3057 День тому

    Teaching is an art, specially complete conception of total & artfull delivery is a rare things. Salute to u.

  • @dr.usmanawan3596
    @dr.usmanawan3596 3 роки тому +8

    So much info made so simple and easy to comprehend.

  • @TheWahabfazal53
    @TheWahabfazal53 3 роки тому +4

    This is actually very brilliant ! The way you classify everything is just AMAZING ! ❤

  • @shaistataskeen6354
    @shaistataskeen6354 3 місяці тому +1

    Jazakallah khair sir ji...you are a great dr i have ever seen😊😊

  • @clairenyangu2006
    @clairenyangu2006 9 місяців тому

    FANTASTIC VIDEO! thank you🙏

  • @Sgtnathenhale
    @Sgtnathenhale 3 роки тому +3

    Thoroughly explained , makes the scenarios much easier to do.

  • @user-tz8sm4oy6f
    @user-tz8sm4oy6f День тому

    Very good explanation

  • @NicholasTuryamureba-lo7ld
    @NicholasTuryamureba-lo7ld 10 місяців тому

    I only follow Dr fazal no other one✌️he is detailed and precise. Thnx Dr streaming live from Uganda

  • @asadmasood6692
    @asadmasood6692 2 роки тому +1

    You made every topic simple and easy to understand.. thanks a lot sir

  • @prarabdhasudame2039
    @prarabdhasudame2039 Рік тому

    After many videos i found your video ,a very explained one!!

  • @debigdogk9563
    @debigdogk9563 Рік тому

    Thank you very much, this has really helped me today. I am on a mission to finish all your Gastro videos today. God bless you for teaching doc.❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️

  • @chinenyepamelaezika2702
    @chinenyepamelaezika2702 Рік тому

    Thank you so much ! Well explained

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    @reemalaraibi8188 2 роки тому +1

    thanks, amazing explanation

  • @noradahmani7089
    @noradahmani7089 6 місяців тому

    Thank you Sir. Really informative.

  • @doctorcrypto4188
    @doctorcrypto4188 Рік тому

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    @nimranisar6893 Рік тому +1

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    @indhuvandaree4145 4 місяці тому

    Thank you sir , you are the best 🎉

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    @rawaqasim9062 Рік тому

    Thank you so much vey helpful for understanding 🎉🎉

  • @Pratiksha4241
    @Pratiksha4241 11 місяців тому

    Thank you so much sir....🙏 I'm a medical student and this video is very helpful for me...

  • @Kh.Shafiq
    @Kh.Shafiq Рік тому +1

    superb🔥🔥

  • @005akhilaannapoorani9
    @005akhilaannapoorani9 3 роки тому +1

    Thank you soo much sir 🙏✨

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    @DEATH_itself 3 роки тому +1

    Keep up the amazing work man.

  • @NicholasTuryamureba-lo7ld
    @NicholasTuryamureba-lo7ld 10 місяців тому

    Special thnx on hepatitis B tutorial✌️

  • @daniyalkhan3776
    @daniyalkhan3776 3 роки тому +1

    Masha Allah waqas bhai...

  • @BeGood2All77
    @BeGood2All77 10 місяців тому

    The best

  • @johnl9119
    @johnl9119 3 роки тому +1

    You are my hero. Thank you.

    • @MedNerdDrWaqasFazal
      @MedNerdDrWaqasFazal  3 роки тому +1

      I am honored but I am only trying my best and I hope to live to the kind words you gave me.

  • @mohammadibbu6850
    @mohammadibbu6850 6 місяців тому

    Assalamualaikum may Allah bless you sir , the way you teaches and your humbleness is just woow , ❤ jazak allah khair

  • @warisahmed3043
    @warisahmed3043 3 роки тому

    You have made it so easy.plz make more videos on git

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    @topperbooks2331 Рік тому

    These are really helpful , Thanks a lot Sir! Could you please let me know which software you are using?

  • @ksama3712
    @ksama3712 3 роки тому +1

    Thank you so much 🙏🏻

  • @BeGood2All77
    @BeGood2All77 10 місяців тому

    Please could you do some nephrology topics like hyponatremia, hypernatremia. Acute and chronic renal failure.

  • @safeeahkhan
    @safeeahkhan Рік тому +1

    Thank u sir

  • @user-pg4oy4cx5i
    @user-pg4oy4cx5i 4 місяці тому

    Dr. Fazal, you our mentor..I just want to listen to you everyday. How may I meet you? Iv even mimicked your voice and trying now your vedios to enable me be confident and learn and share, help or serve humanity better. God bless you

  • @Broccolisauced
    @Broccolisauced Рік тому

    I have a question, what if the dysphagia is progressive from liquid and almost never solid (problem lies with liquid food, like water, and thickenup does not help. Do you have any study or information on such dysphagia? Thank you so much

  • @bilalakbar8627
    @bilalakbar8627 3 роки тому +3

    Psychogenic or Pseudodysphagia/Phagophobia is a rare swallowing condition that is not well
    understood with no structural cause or organic disease. The most frequent
    symptom seems to
    be fear of swallowing or Choking.

    • @MedNerdDrWaqasFazal
      @MedNerdDrWaqasFazal  3 роки тому +1

      Thank you Bilal for sharing such nice piece of information. 😊

  • @nadcave-dr.nadeemkhalid1358
    @nadcave-dr.nadeemkhalid1358 3 роки тому +1

    Well done bro

  • @MK-bi8xl
    @MK-bi8xl 4 місяці тому

    please teach the topics of gall bladder medicine (choledocholithiasis, primary biliary and primary sclerosing cholangitis) if possible. 😢

  • @DR_HARIS_KHAN
    @DR_HARIS_KHAN 3 роки тому +2

    MashAllah ❤️

  • @onkarkulkarni4009
    @onkarkulkarni4009 2 роки тому

    Sir ,can you please tell me that which drug are most important For contraction in Pharyngeal during swallowing ?

  • @tehreemkureshi9641
    @tehreemkureshi9641 Рік тому +1

    Best best best

  • @mijenmin2032
    @mijenmin2032 2 роки тому +1

    Thnkuu

  • @KristenAdamek
    @KristenAdamek 9 місяців тому

    What about if you do okay with liquids but not solids?

  • @tanmoychatterjee1392
    @tanmoychatterjee1392 8 місяців тому

    Sir kindly reply how how can i diagnos neurological dysphagia

  • @himabindu7020
    @himabindu7020 3 роки тому +1

    SIR, CAN YOU KINDLY MAKE A VIDEO ON ECG READING, and various causes of chest pain. Thank you Sir.

  • @Jihadissolution
    @Jihadissolution Рік тому

    ❤❤❤❤

  • @lennon1252
    @lennon1252 5 місяців тому

    Does dysphagia cause diminished taste?

  • @akmtarifulislam7769
    @akmtarifulislam7769 10 місяців тому

    my uncle do not speak clearly and did nlt take food properly is there any treatment sir

  • @blessedslave
    @blessedslave 10 місяців тому

    13:43 weakest portion of the pharyngeal muscles just above the cricothyroid.

  • @selvinimmanuvel999
    @selvinimmanuvel999 Рік тому

    Is thyroid gland enlargement cause dysphagia??

  • @user-rk8ux6jh1u
    @user-rk8ux6jh1u 11 місяців тому

    sir, could you please mention the references

  • @DrRafiKhan
    @DrRafiKhan 5 місяців тому

    You didn't talk about tretment what medication should be given 😢

  • @cutecat2165
    @cutecat2165 5 місяців тому

    My issues are just with yogurt/smoothies.