Swallowing food comes naturally to human beings. But when there is a problem, it is usually called Dysphagia. Esophagus, a muscular tube-like organ located at the back of our throat, usually helps in swallowing food and transferring them to our stomach. When esophagus does not function properly, dysphagia happens. Patients suffering from brain or nerve disorder, seniors and babies might have this problem. 

People with dysphagia might witness the following issues:

Difficulty in swallowing solids and liquids.
Gaging, choking or coughing usually occurs when trying to swallow.
Experience pain when trying to swallow and also heartburn.
Swallowed food might come back up either through mouth or nose.
A chronic problem might result in weight loss.
Causes:
There are 2 main reasons, why the Esophagus might become dysfunctional.

Due to some medical condition the muscles and nerves that help the esophagus work have stopped working.
The esophagus is blocked by something.
There can be a number of reasons for both the condition. Here are the reasons why the muscles and nerves might not work.
Certain diseases can create problems with your nervous system, which in turn can affect the esophagus. These diseases are polio, multiple sclerosis, muscular dystrophy, Parkinson s disease.

A brain stroke, spinal cord injury or brain injury can also affect swallowing.
Polymyositis or Dermatomyositis are immune system problems that can cause swelling or weakness.
The muscles of esophagus suddenly squeeze, which is called esophagus spasm.
Scleroderma causes the esophagus to become thin and weak.
The esophagus might be blocked because of these reasons:

Esophagus might have malignant or non-malignant tumours.
Esophagitis is a medical condition when the esophagus is infected, got some allergy or even if a pill got stuck on it.
People suffering from reflux diseases often experience the acid that backs up into the esophagus. This can cause an ulcer on it resulting in scars. Scars make Esophagus narrower, making it difficult to swallow.
There are small sacs called Diverticula on the esophagus or the throat, often making it difficult to swallow.
Lymph nodes, tumours, bone spurs can also obstruct esophagus and create difficulty in swallowing.

Difficulty in Swallowing - Are You at Risk of Dysphagia?

What is a foreign body (FB)?
Foreign body or FB is an object or piece of extraneous matter that has entered the body by accident or design. It is common to see certain items getting stuck in the ear, nose or throat especially, in young children. While most of the time they do not raise an alarm, however, sometimes they can lead to severe consequences like rupture of the eardrum or even choking.

How do FBs affect ear, nose and throat?

Children over 9 months develop an ability to pick up objects. As they explore the environment around them, they tend to put items such as peas, beans, marbles, beads, cotton, paper, etc, in their mouth, nose or ears. Similar trend may be seen in adults with mental disorders.
Trauma/ fall/accident can force FBs like rock, pebbles into the ear, nose or throat.
Adults while riding a bike or sleeping on the ground (campsites) can have insects: flies, ants, roaches fly into the nose or ear.
Choking occurs when FBs block the airway, common reasons are: not chewing the food properly, diseases like Parkinsonism, drinking alcohol or certain drugs that slowdowns the process of swallowing.
Managing FB in the ear, nose and throat

Foreign bodies in the ear
Symptoms: Pain in the ear, discharge or bleeding from the ear, feeling of fullness or pressure in the ear and dizziness and nausea in extreme cases.

Management: 

Make sure the patient is sitting in an upright position, pull the pinna or outer semicircle of the ear towards the back. This can help you see the object clearly and also loosen it to wiggle out. If you can see the object clearly, use a tweezer to grasp the object and gently remove.
In case a live insect gets trapped inside the ear lie down and place few drops of warm vegetable or baby oil. Use oil only if symptoms of eardrum perforation like pain, bleeding/discharge from the ear is absent.
Tilting the head to the affected side can facilitate gravity to dislodge the object.
Foreign bodies in the nose:
Symptoms: Pain and difficulty in breathing from that side of the nose.
Management: Keep the uninvolved nostril closed by pressing a finger against the side of the nose and gently ask the person to blow from the affected nostril.

Foreign bodies in the throat:
Symptoms: Choking, inability to breathe and speak 
Management: Perform Heimlich maneuver: abdominal thrusts, if trained otherwise, it is advised to call for medical help immediately.

How can you prevent foreign bodies from entering your ear, nose, throat?

Discourage talking, playing, laughing when food is in the mouth.
Do not give whole grapes, popcorn, nuts to children below 3 years.
Keep small objects out of reach of small children.
Teach children to avoid placing objects into their nose, ears.

Presence Of Foreign Bodies In Ear/Nose/Throat - How It Can Be Managed?

Hoarseness in the simplest sense means, 'hoarse voice'. It may be defined as an abnormal voice change. It is experienced in the form of strained, rough, thick, harsh and grating voice. Variations can be felt even in the loudness and pitch of the voice.

Hoarseness is a temporary infection associated with the larynx, which is also known as the voice box in animals as well as humans. Vocal cords are present inside the voice box. Depending on the vibration of the vocal cord, different sounds are produced.

What are the general causes of hoarseness?

Hoarseness may be caused by common cold, viral infection, cough, irritation due to screaming, smoking, allergy, thyroid problem, acute laryngitis and benign tumor. In adults, the stomach asset comes up to the throat causing hoarseness. Heartburn can also be one of the causes.

When hoarseness arises due to common cold and cough, it will last for 2 to 3 days and will subside using cough suppressant and home remedies like salt water gargling, drinking hot milk with turmeric and pepper powder. As cough or cold suppress, hoarseness will also reduce.

When to see an Otolaryngologist (ENT specialist)?

ENT stands for ear, nose, throat. Serious infections in these areas are treated by an otolaryngologist. It is very essential to consult this specialist if hoarseness lasts for more than 2 to 3 weeks; pain in ENT is not due to cold or flu, coughing up blood, lump in the neck.

Evaluation

The medical specialist starts his diagnosis by physically examining the vocal cord. Flexible light weight fiber optic tube scope is also used to visually examine the larynx area. Videotaping, acoustic analysis is also done to study voice irregularities, airflow to guide treatment.

How can hoarseness be treated?

The mode of treatments depends on underlying the cause of the problem. The patient may be advised:

In most cases, hoarseness can be treated just by resting your throat or modifying the use of your voice.
To avoid smoking or passive smoking
Referred to a speech therapist to improve sound of voice.
In case of benign tumor the nodule or polyp is removed by surgery.
How can you prevent hoarseness?

We've all heard the phrase, 'prevention is better than cure'. Alas, it is. Preventing hoarse voice and throat is a much better option than treating it. Here are some tips on how to prevent hoarseness:

Avoid smoking
Avoid overconsumption of caffeine and alcohol.
Consume plenty of water
Avoid eating spicy food.
Avoid speaking loudly for long intervals of time.

How Hoarseness Can be Treated

If you are experiencing pain, irritation, or itchiness in your throat, the condition is referred to as a sore throat. It is likely for you to face difficulty in swallowing food and the pain worsens when you want to swallow. The primary symptom of a sore throat is throat pain. People of all ages can get affected by a sore throat.

Causes
There are several causes of a sore throat. The most common ones are as follows:

Viral infection
  Viral infections are the most common causes of sore throat.
  These are the infections that are caused by a virus, like the flu or cold.
  Measles, chicken pox, and croup are other viral infections that cause a sore throat.

Bacterial infection
  Several bacterial infections also lead to a sore throat.
  They may include strep throat, diphtheria, and whooping cough.

Environmental factors
  Several environmental factors also cause sore throat.
  Exposure to pollen, mold, pet dander, and several other irritants leads to postnasal drip.
  This causes throat pain and inflammation.
  Exposure to dry air, and smoking cigarettes are also common causes of a sore throat.

Diagnosis
  For the diagnosis of a sore throat, a physical examination of your throat is carried out, and your throat will be examined using a lighted instrument.
  Doctors usually look out for inflammations and white patches that indicate strep throat. Your breathing will also be checked.
  The back of your throat can be swabbed for examining samples in order to determine the virus.
  Certain blood tests may also be required to be undertaken.

Treatment
  The treatment of sore throat depends on the cause.
  In case your sore throat is caused by a bacterial infection, you will be prescribed antibiotics for killing the infectious bacteria.
  The medicines should be taken strictly according to a doctor s prescription.
  You should complete the course of 10 days to get effective results.
  If you stop the treatment at an early stage on noticing improvements, a sore throat can recur soon.

There are certain simple home remedies which are effective for curing the most common forms of sore throat. They include:
  Gargling with warm, salted water.
  Consuming warm fluids like soup, tea, and water.
  Having throat lozenges.
  Reducing the inflammation using ibuprofen and acetaminophen.
  Avoiding exposure to allergens and irritants.

In case your sore throat is caused by a viral infection, the virus should be left to run its course. During its course, you will be prescribed medicines like pain relievers and decongestants for relieving the symptoms. Antiviral drugs are also used in some cases for fighting the virus effectively.

Sore Throat - Factors That Can Put You At Risk!

Easy home remedies for sore throat

An itchy, scratchy and burning throat is something we all experience, at least once a year, if not more. Depending on your body's immunity, it occurs more often. While there is good medication to cure the problem, there also exist home remedies which can cure it. Keep a note of these things also to prevent a bad throat.

Fix sore throat with:

1. Salt water gargle - this might not be new to you as it is the first remedy elders in the family advice about - to gargle with salt water. The warm water with salt in it relieves the discomfort in the swollen tissues and pulls the mucous out.

2. Over-the-counter throat lozenges: these are extremely convenient and dependable. On days when the throat won't stop itching and you have a lot of speaking to do, these lozenges help calm the itching. They contain menthol which makes the throat tissues numb. Cough drops and candies ensure constant production of saliva in the mouth. These have choking hazards though, so avoid giving to children.

3. Ginger, clove, tulsi - chewing on pieces of ginger is beneficial. Ginger juice soothes the throat and calms the itching. Especially helpful during the nights, so that one can sleep peacefully. Cloves and tulsi leaves when chewed individually also give similar soothing effects to a sore throat.

4. Drink loads of water - it is important to stay hydrated because dehydration leads to decrease in production of mucous and saliva in the mouth. More fluids in the mouth help deal with sore throat better.

5. Warmth of honey - warm tea with honey is an ideal way to soothe the irritated throat. Honey is said to be effective in suppressing coughs. 

6. Avoiding cold drinks - whatever you drink, make sure it is warm or even better, hot. Avoid drinking or eating anything cold as they will only aggravate the condition of the throat.

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Peace with Sore Throat - How Many of These Remedies Do You Already Know?

What is Sore Throat?
A sore or dry throat is an unhealthy and painful scratchy feeling inside the throat which is coupled with pain while swallowing and can cause really bad irritation. A sore throat usually resolves on its own because it is a mild health problem.

Causes of Sore Throat-
A sore throat is caused by many important risk factors. Let us have a look at some of them:

Viral infection: It is the most common cause of a sore throat and several viruses are present which can result in a sore throat of many intensities.
Toxins like cigarettes, smoke or pollution can also lead to an acute sore throat because of the unhealthy chemicals present in these things.
A bad injury or infection in the throat can lead to a chronic sore throat. Sometimes when people should loudly for long periods also result in a sore throat because the tissues burn away of tear apart.
Gastroesophageal reflux disease also causes a sore throat when the acid from the stomach retreats back to the esophageal tract.
The development of cancer cells or tumor results in a sore throat and blocks the entire throat tract.
Treating a Sore Throat:
Sore throats are easily curable and sometimes they tend to go away on their own. Let us have a close look at the remedies:

Gargling with warm salt-water will hell you to get rid of sore throat because saltwater helps to wash away the viruses and germs.
Honey mixed in tea is an excellent detoxifier and helps your body and throat to get rid of the unnecessary foreign objects stuck in the tract.
Consuming fenugreek also helps in killing the bacterias which are causing the sore throat.
Chamomile tea is a proven relief during throat sores. It has anti-inflammatory and antioxidant abilities that help the throat to get relief and heal overtime.
Drink warm water or liquids which will constantly keep the throat wet and warm leading to the decline of the bacterias present.
Antibiotics can also be taken for 5-6 days if you think no other remedy is working in the right way. However, try not to give antibiotics to children of young age and stick to home remedies. 

Sore Throat - What Causes It?

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