Cricopharyngeal dyskinesia

Introduction Glural hystericus is subjectively unclear or clumpy, causing discomfort such as fullness, compression or obstruction at the level of the cartilage at the base of the pharynx. This motor function abnormality is also called The pharyngeal dyskinesia is called "Mei Nuclear Gas" by the motherland medicine. Half of the general population can feel this intermittently, but it is more common in menopausal women. Patients have more mental factors in their onset, and they have a concept of obstinacy.

Cause

The causes include pharyngeal dyskinesia, neuromuscular disease and local damage, and the pathogenesis may be related to dysfunction of the pharyngeal muscle or upper esophageal sphincter, such as pharyngeal high pressure, low pressure or sagging abnormalities. The results showed that the scores of somatization, obsessive-compulsive symptoms, interpersonal sensitivity, depression, anxiety, hostility, terror, paranoia, psychosis and additional symptom factors were higher in the experimental group of sputum patients than in the domestic norm. Sexual differences indicate that there are many serious emotional disorders in the Ryukyu patients, which is related to more psychosocial stress. At the same time, because the patient lacks a correct understanding of the disease, the symptoms of throat discomfort caused by bad mood, tension, fatigue or physical weakness are often regarded as organic lesions, and repeated medical treatments are performed for various examinations. The behavior itself strengthens the patient's "patient" role, and adds a psychogenic or iatrogenic bad suggestion based on the original symptoms, causing tension, fear, pessimism, etc., causing the symptoms to further aggravate, thus forming a vicious circle.

an examination

Related inspection

Ear, nose, throat swab bacterial culture Nasopharyngeal MRI examination Otolaryngology CT examination

The clinical manifestations are mainly special forms of difficulty in swallowing. They often do swallowing exercises to solve the symptoms except for pharyngeal foreign body sensation. All of the following conditions must be included:

1. Painless mass or foreign body sensation of continuous or intermittent throat.

2. Feel between two meals.

3. No difficulty swallowing or swallowing.

4. There is no evidence of this symptom due to reflux of gastroesophageal acid.

5. There is no esophageal dyskinesia based on histopathology.

Note: Symptoms appear before diagnosis for at least 6 months, and the above criteria are met in the past 3 months. Esophagoscopy and direct laryngoscopy can not detect any organic lesions or foreign bodies in the pharyngeal esophagus. The most common diagnostic methods are X-ray motion photography and esophageal manometry. There may be chronic pharyngitis, pharyngitis, tonsillitis, sinusitis, esophagitis, esophageal diverticulum, as well as esophageal cancer, tonsil cancer, tongue cancer, laryngeal cancer and the like. In women, it mainly shows hypogonadism and hypothyroidism.

There is also a kind of mental factor. Some people are subjected to strong mental stimulation, such as fear, convulsions, anxiety, sadness, etc., causing the autonomic hypothalamic stimulation of the autonomic nervous system to cause dysfunction of autonomic nerves, causing edema of the throat and parasitic sensation. . Sometimes due to dysfunction, muscle spasm of the esophagus, peristaltic dysfunction of the esophagus, difficulty in swallowing after eating, or difficulty swallowing.

Differential diagnosis

Oropharyngeal foreign body: Oral foreign body is a common disease. Foreign bodies remain in the tonsils, tongue roots or epiglottis, often small foreign bodies, which can easily penetrate into tissues or hide in places that are difficult to detect. Symptoms vary depending on the type of foreign body and the site of penetration. Often, the throat is tingling, and it is intensified when swallowed. It is more difficult to turn the neck. The patient can indicate the location of the pain. Pharyngeal foreign body sensation is not a unique disease, but a combination of some symptoms. It includes a feeling of blockage, pressure, leafiness, stenosis, dryness, burning, itching, anthillness or other discomfort. Its causes are numerous, sometimes quite complex, organic and functional. Functionality is also known as pharyngeal paraesthesia, laryngeal paraesthesia, plum nuclear gas, pharyngeal neurosis, and sputum. It is generally believed that pharyngeal paraesthesia can only be diagnosed after excluding organic lesions that produce a foreign body sensation of the pharynx. There is a blockage or dull pain behind the sternum when swallowing dry food: a blockage or dull pain behind the sternum when swallowing dry food is one of the early and middle stages of esophageal cancer. Mainly for progressive dysphagia, early can only be discomfort or blockage when swallowing, post-sternal pain or post-sternal discomfort when swallowing food.

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