|
[Date Prev][Date Next]
[Chronological]
[Thread]
[Top]
[Dysphagia] Hiatal hernia
It sounds like reflux/GERD would be a direct contributing factor to his
esophagitis esp. given his hiatus hernia - the acid can burn the
esophagus, pharynx, etc. I see a lot of patients with GERD who have
esophageal problems, and sometimes pharyngeal problems too. I once saw
regurgitation/backflow on an MBS right into the oral cavity. They
describe sensations of food sticking, not going down fast enough,
making them gag, etc. I would go straight to the MD for GERD Dx and
Rx. When they are managed properly for their GERD, their swallowing can
be quite functional. This gentleman may have to make some lifestyle
changes plus meds. I am not aware though, of an SLP regimen to reduce
regurgitation.
Perhaps others have different ideas?
Sharon
On Apr 27, 2005, at 2:38 PM, AnnaMaria Koo wrote:
> Not sure it this is within our scope of practice but I received a
> referral for a 78 yr gentleman who has bouts of nausea/vomiting for
> several months. On endoscopic examination they found hiatus hernia and
> esophagitis. Amongst other medical issues he was placed on a minced
> diet and thin fluids due to mild oropharyngeal dysphagia. He also
> consistently has sensation of regurgitation (although he may not
> produce
> actual food/liquid) My question is that is there any direct
> intervention
> from an S-LP perspective that would reduce regurgitation? Dietitians
> would have recommendations in terms of diet modifications. However I
> don't see a correlation with this patient's dysphagia and hiatus hernia
> /esophagitis....but I could be wrong.
>
> Anna Maria
>
> Anna Maria Koo
> Speech-Language Pathologist
> Specialized Geriatric Services & CORP
> SJHC, Parkwood Site
> ext.42205
>
> -----------------------------------------
> The information transmitted is intended only for the person or
> entity to
> which it is addressed and may contain confidential and/or privileged
> material. Any review, retransmission, dissemination or other use
> of, or
> taking of any action in reliance upon, this information by persons or
> entities other than the intended recipient is prohibited. If you
> received
> this in error, please contact the sender and delete the material
> from any
> computer. www.sjhc.london.on.ca
>
> _______________________________________________
> Dysphagia mailing list
> Dysphagia@b9.com
> http://lists.b9.com/mailman/listinfo/dysphagia
>
|
|