Functional Dysphagia in a Patient with Severe Weight Loss and Multiple Psychiatric Diagnoses: A Case Report DOI Creative Commons
Dan Fu,

Cathy Daichang,

Eric Jarmon

и другие.

Research Square (Research Square), Год журнала: 2024, Номер unknown

Опубликована: Дек. 13, 2024

Abstract Background Functional dysphagia is a rare and complex disorder that presents diagnostic difficulties, particularly when psychiatric comorbidities are involved. This report discusses unique case underscores the importance of thorough, multidisciplinary approach to diagnosis this disorder. Case Presentation: A 45-year-old female with history major depressive disorder, generalized anxiety prolonged grief experienced five years vomiting shortly after eating or drinking, along sensation something stuck in her throat. She also reported significant weight loss. After an extensive gastrointestinal evaluation failed reveal organic cause, supportive psychotherapy led better understanding symptoms. was identified as most probable diagnosis, patient’s receptiveness treatment increased therapeutic support. Conclusions illustrates challenges diagnosing functional dysphagia, especially patients coexisting conditions. approach, integrating both psychological medical evaluations, crucial achieving accurate optimizing patient care.

Язык: Английский

Successful treatment of post COVID-19 neurogenic dysphagia with botulinum toxin DOI Creative Commons

Riccardo Canta,

Lucilla Vestito,

Paola Castellini

и другие.

European Journal of Case Reports in Internal Medicine, Год журнала: 2023, Номер unknown

Опубликована: Ноя. 27, 2023

Introduction: Dysphagia in post COVID-19 patients could be caused by several factors, including reduced pharyngolaryngeal coordination due to SARS-CoV-2 tropism the central and/or peripheral nervous system. To our knowledge, this is first reported case of COVID-19-related dysphagia successfully treated with botulinum toxin type A injection. Case description: We report a patient severe oropharyngeal confirmed fibre endoscopy. As result, required an enteral feeding tube. After two months traditional swallowing therapies, there was only limited improvement. An electrophysiologic evaluation cricopharyngeal muscle performed and showed normal inhibition muscle, followed hypertonic rebound. Based on we decided perform unilateral laryngeal injection A. injection, patient’s function improved significantly, allowing him return oral feeding. Discussion: Newly diagnosed found 35.3% hospitalised COVID-19. There are possible causes COVID-19-associated dysphagia, stroke, encephalitis, critical illness neuropathy, Guillain-Barré syndrome skeletal injury. In case, since stroke excluded brain MRI, cranial nerve injury explanation for difficult recovery despite daily therapy. Conclusion: suggest that electrophysiology valid tool diagnosis follow-up dysphagia.

Язык: Английский

Процитировано

1
Functional Dysphagia in a Patient with Severe Weight Loss and Multiple Psychiatric Diagnoses: A Case Report DOI Creative Commons
Dan Fu,

Cathy Daichang,

Eric Jarmon

и другие.

Research Square (Research Square), Год журнала: 2024, Номер unknown

Опубликована: Дек. 13, 2024

Abstract Background Functional dysphagia is a rare and complex disorder that presents diagnostic difficulties, particularly when psychiatric comorbidities are involved. This report discusses unique case underscores the importance of thorough, multidisciplinary approach to diagnosis this disorder. Case Presentation: A 45-year-old female with history major depressive disorder, generalized anxiety prolonged grief experienced five years vomiting shortly after eating or drinking, along sensation something stuck in her throat. She also reported significant weight loss. After an extensive gastrointestinal evaluation failed reveal organic cause, supportive psychotherapy led better understanding symptoms. was identified as most probable diagnosis, patient’s receptiveness treatment increased therapeutic support. Conclusions illustrates challenges diagnosing functional dysphagia, especially patients coexisting conditions. approach, integrating both psychological medical evaluations, crucial achieving accurate optimizing patient care.

Язык: Английский

Процитировано

0