Pseudodysphagia

Pseudodysphagia
Synonyms	Phagophobia, Fear of swallowing
Pronounce	N/A
Specialty	N/A
Symptoms	Fear of swallowing, anxiety, panic attacks
Complications	Malnutrition, Dehydration
Onset	Can occur at any age
Duration	Variable, can be chronic
Types	N/A
Causes	Anxiety disorder, Traumatic experience
Risks	History of anxiety disorders, Trauma
Diagnosis	Clinical assessment, Psychological evaluation
Differential diagnosis	Dysphagia, Globus pharyngis, Esophageal disorders
Prevention	N/A
Treatment	Cognitive behavioral therapy, Exposure therapy, Medication
Medication	Antidepressants, Anxiolytics
Prognosis	Good with treatment
Frequency	Rare
Deaths	N/A

Pseudodysphagia is a medical condition characterized by a sensation of difficulty in swallowing. This condition is often psychological in nature, with patients experiencing a fear of swallowing rather than a physical obstruction or difficulty.

Symptoms

The primary symptom of pseudodysphagia is a perceived difficulty or discomfort in swallowing. This can manifest as a fear of choking or suffocating when attempting to swallow. It's important to note that these symptoms are not due to a physical obstruction or abnormality in the throat or esophagus.

Causes

Pseudodysphagia is often linked to psychological factors. It can be triggered by a traumatic event related to swallowing, such as choking or gagging. Anxiety and stress can also contribute to the development of this condition.

Diagnosis

Diagnosis of pseudodysphagia involves ruling out physical causes of dysphagia. This can involve a variety of tests, including a barium swallow study, endoscopy, or manometry. If these tests do not reveal a physical cause for the symptoms, a diagnosis of pseudodysphagia may be considered.

Treatment

Treatment for pseudodysphagia often involves psychological therapy. Cognitive behavioral therapy (CBT) can be particularly effective in helping patients manage their fear of swallowing. In some cases, medication may be prescribed to help manage associated anxiety.

See Also

• Dysphagia
• Cognitive behavioral therapy
• Anxiety

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