Aphagia: Causes & Reasons

Possible Causes for Aphagia

Between 1970 and 1978, we saw 24 patients with lower esophageal rings and complaints of episodic aphagia or progressive dysphagia. [ncbi.nlm.nih.gov]

Episodic aphagia results from impaction of food at the site of the ring. Since 1970, 88 patients have been seen with either dysphagia or episodic aphagia. [ncbi.nlm.nih.gov]

The symptoms may be either episodic aphagia or progressive dysphagia, and the severity of symptoms is related to the diameter of the ring. [ncbi.nlm.nih.gov]

Esophageal Obstruction

86-year-old man in a very poor general condition with a 10-year history of a Zenker's diverticulum as a cause of a complete obstruction of the esophagus with subsequent aphagia [ncbi.nlm.nih.gov]

In our case, we illustrate a giant right-sided Zenker's diverticulum responsible for complete aphagia in a 78-year-old male patient. [ncbi.nlm.nih.gov]

BACKGROUND AND AIMS: Total aphagia from complete esophageal obstruction (CEO) can be seen in patients with head-neck or thoracic malignancies undergoing chemoradiation or [ncbi.nlm.nih.gov]

Pseudobulbar Palsy

A case of left atrial (LA) myxoma presenting as pseudobulbar palsy, due to multiple cerebral infarcts, without any cardiac manifestations, is presented. LA myxoma is rare cause of embolization to CNS causing ischemic infarcts. Due to multiple CNS infarcts patient can present with varied clinical picture and[…] [ncbi.nlm.nih.gov]

Progressive Bulbar Paralysis

2015 ICD-9-CM Diagnosis Code 335.22 Progressive bulbar palsy 2015 Billable Thru Sept 30/2015 Non-Billable On/After Oct 1/2015 ICD-9-CM 335.22 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 335.22 should only be used for claims with a date of service on or before[…] [icd9data.com]

Foreign Body in the Esophagus

BACKGROUND: The use of either flexible endoscopy (FE) or rigid endoscopy (RE) for removal of ingested foreign bodies (FBs) impacted in the esophagus is still discussed controversially. METHODS: We report a consecutive series of 139 patients with FB impaction in the esophagus. During a 6-year period, 69 men and 70[…] [ncbi.nlm.nih.gov]

Phlegmonous Esophagitis

We report a woman presenting with unrelenting odynophagia and chest pain. Computed tomography identified a deep neck infection with acute phlegmonous esophagitis. However, esophageal intramural dissection with mucosal rupture occurred after routine nasogastric-tube insertion, and pus was vomited thereafter. The[…] [ncbi.nlm.nih.gov]

Progressive Supranuclear Palsy

Unfortunately, no drug treatment has been shown to benefit patients with progressive supranuclear palsy (PSP) more than modestly or briefly. The multiplicity of neuronal systems and synaptic physiologies that degenerate in this disorder makes a neurotransmitter-specific approach, such as neurotransmitter[…] [ncbi.nlm.nih.gov]

Esophageal Spasms

A spasm is a sudden, involuntary contraction of a muscle. Esophageal spasms present as non-cardiac recurring chest pain and may be very problematic. Many patients who present to hospital, will have cardiac chest pain ruled out first, then most of the time investigations are stopped and they will be discharged with[…] [symptoma.com]

Esophageal Burn

It is often said of hot peppers that they will burn you twice; once on the way in, and once on the way out. But sometimes a pepper is so spicy, and so recklessly consumed, that it can literally burn you before even reaching its final destination. Sure, we've all heard horror stories of capsaicin causing[…] [munchies.vice.com]

Botulism

Foodborne botulism is a life-threatening, rapidly progressive disease. It has an incidence of less than 10 cases per year in Germany and mostly affects several previously healthy people at the same time. The only specific treatment is the administration of botulism antitoxin. According to the German guidelines[…] [ncbi.nlm.nih.gov]

Rabies

Rabies is a viral infection caused by lyssaviruses. Rabies presents itself in the form of flu like symptoms in the beginning. The incubation period is around 2-12 weeks. Later the symptoms seen are increased sensation at the site of bite, excitability, muscle spasms, restlessness, excitability, slight or partial paralysis,[…] [symptoma.com]

Bulbar Poliomyelitis

Bulbar poliomyelitis is a specific type of an extremely rare viral paralytic disease in which the typical findings of acute flaccid paralysis are accompanied by bulbar symptoms - dysphagia, dysphonia, nasal regurgitation, as well as vascular and respiratory impairment in severe cases. The diagnosis rests on clinical[…] [symptoma.com]

Zenker Diverticulum

In our case, we illustrate a giant right-sided Zenker's diverticulum responsible for complete aphagia in a 78-year-old male patient. [ncbi.nlm.nih.gov]

[…] follow-up, respectively (Dysphagia scoring: score 0, no dysphagia; score 1, dysphagia to solids; score 2, dysphagia to semi-solids; score 3, dysphagia to liquids; score 4, aphagia [eurekalert.org]

[…] highly suggest an additional diagnosis of associated carcinoma in a diverticulum, as a sudden increase in the severity of symptoms, particularly progressive dysphagia or aphagia [wjso.biomedcentral.com]

Hypothalamic Lesion

Hyperphagia and Aphagia in Swine with Induced Hypothalamic Lesions. Research in Veterinary Science, Vol. 10, Issue. 6, p. 514. [cambridge.org]

[…] ventromedial hypothalamus is a SATIETY CENTER (regulates food intake) LESION: can result in obesity (2) LATERAL HYPOTHALAMIC ZONE FEEDING CENTER LESION: produces SEVERE APHAGIA [quizlet.com]

Thyroid Lymphoma

Here, we present a 50-year-old female patient, who presented to our clinic with complaints of a rapidly growing lump on her neck, aphagia, and shortness of breath. [ncbi.nlm.nih.gov]

Nous présentons ici une patiente de 50 ans, qui a présenté à notre clinique des plaintes d'une boule en pleine croissance sur son cou, aphagia et l'essoufflement. [annalsafrmed.org]

Lateral Medullary Syndrome

Neurology, 40, 1136-1138. http://dx.doi.org/10.1212/WNL.40.7.1136 Vigderman, A.M., Chavin, J.M., Korosky, C. and Tahmoush, A.J. (1998) Aphagia Due to Pharyngeal Constrictor [file.scirp.org]

Aphagia due to pharyngeal constrictor paresis from acute lateral medullary infarction. Journal of the neurological sciences. 1998;155(2):208-10. [panafrican-med-journal.com]

Aphagia due to pharyngeal constrictor paresis from acute lateral medullary infarction. J Neurol Sci 1998;155:208-10. 18. Jean A. [laryngologyandvoice.org]

Foreign Body in the Pharynx

The typical patient with perforation has a good history of foreign body ingestion along with: Severe chest and/or neck pain Odynophagia Aphagia or drooling Tachycardia Tachypnoea [entsho.com]

Foreign Body in the Larynx

The typical patient with perforation has a good history of foreign body ingestion along with: Severe chest and/or neck pain Odynophagia Aphagia or drooling Tachycardia Tachypnoea [entsho.com]

Radiation Esophagitis

We report 2 cases of patients treated with radiochemotherapy with taxans who achieved complete response of local tumor, presenting in their evolution aphagia secundary to [link.springer.com]

Parapharyngeal Abscess

IMPENDING AIRWAY DISASTER TRIAD Rapid onset aphagia or severe dysphagia, frequently associated with a severe sore throat Rapid onset laryngeal voice change: hoarse, croaky [entsho.com]

Cardinal symptoms include the airway disaster triad: Severe sore throat with dys- or aphagia Laryngeal voice change eg hoarseness or voice loss Systemically unwell eg fever [entsho.com]

Acute Subglottic Laryngitis

The “ epiglottitis triad ”: 1) Severe sore throat with aphagia or severe dysphagia (drooling etc.), usually of rapid onset, 2) Croaky or hoarse voice (like laryngitis rather [atsu.edu]

Involutional Depression

APHAGIA/ 3. COPROPHAGIA/ 4. BINGE EATING/ 5. [cmd.cochrane.org]

Conversion Disorder

2016 2017 2018 2019 Billable/Specific Code Applicable To Inability to swallow Type 1 Excludes psychogenic aphagia ( F50.9 ) hysterical F44.4 leg G83.1- ICD-10-CM Diagnosis [icd10data.com]

2016 2017 2018 2019 Billable/Specific Code Applicable To Inability to swallow Type 1 Excludes psychogenic aphagia ( F50.9 ) hysterical F44.4 Disorder (of) - see also Disease [icd10data.com]

1 Excludes sleep related teeth grinding ( G47.63 ) conversion reaction F44.4 hysterical F44.4 hysterical F44.4 Deglutition paralysis R13.0 ICD-10-CM Diagnosis Code R13.0 Aphagia [icd10data.com]

Psychogenic Movement Disorders

2016 2017 2018 2019 Billable/Specific Code Applicable To Inability to swallow Type 1 Excludes psychogenic aphagia ( F50.9 ) hysterical F44.4 leg G83.1- ICD-10-CM Diagnosis [icd10data.com]

2016 2017 2018 2019 Billable/Specific Code Applicable To Inability to swallow Type 1 Excludes psychogenic aphagia ( F50.9 ) hysterical F44.4 Disorder (of) - see also Disease [icd10data.com]

1 Excludes sleep related teeth grinding ( G47.63 ) conversion reaction F44.4 hysterical F44.4 hysterical F44.4 Deglutition paralysis R13.0 ICD-10-CM Diagnosis Code R13.0 Aphagia [icd10data.com]

Acute Mediastinitis

[…] especially for small children, in case of hypopharyngeal foreign body or if the patient is not cooperating, except when a large pharyngolaryngeal foreign body results in a aphagia [panafrican-med-journal.com]

Generalized Amyoplasia

I77.6 Apathetic thyroid storm - see Thyrotoxicosis Apathy R45.3 Apeirophobia F40.228 Apepsia K30 Aperistalsis, esophagus K22.0 Apertognathia M26.29 Apert's syndrome Q87.0 Aphagia [icd.codes]

Acute Epiglottitis

IMPENDING AIRWAY DISASTER TRIAD Rapid onset aphagia or severe dysphagia, frequently associated with a severe sore throat Rapid onset laryngeal voice change: hoarse, croaky [entsho.com]

Familial Congenital Palsy of Trochlear Nerve

2016 2017 2018 2019 Billable/Specific Code Applicable To Inability to swallow Type 1 Excludes psychogenic aphagia ( F50.9 ) hysterical F44.4 ICD-10-CM Diagnosis Code F44.4 [icd10data.com]

G83.89 Other specified paralytic syndromes 2016 2017 2018 2019 Billable/Specific Code crutch - see Injury, brachial plexus deglutition R13.0 ICD-10-CM Diagnosis Code R13.0 Aphagia [icd10data.com]

Optic Nerve Edema-Splenomegaly Syndrome

Below Therapeutic, Antinuclear Antibody Positive, Antipsychotic Drug Level Above Therapeutic, Anuria, Anxiety, Anxiety Disorder, Aortic Aneurysm, Apathy, Apgar Score Low, Aphagia [bonkersinstitute.org]

Diffuse Idiopathic Skeletal Hyperostosis

An otolaryngologist is consulted if a patient presents with dysphagia, aphagia, and globus sensation. [frontiersin.org]