Specialty
Swallowing disorders
Assessment of swallowing difficulty (dysphagia) with an ENT focus.
What is dysphagia?
Dysphagia is difficulty swallowing liquids, solids, or both. It can stem from structural, neurological, or functional issues anywhere from mouth to stomach.
My training includes a hands-on course on endoscopic surgery of larynx and trachea at SIMMER (Roemmers), relevant for managing upper-airway pathology related to swallowing.
What we evaluate
- Oropharyngeal dysphagia (at swallow onset)
- Laryngopharyngeal reflux
- Globus pharyngeus (foreign-body sensation)
- Dysphagia from structural lesions (diverticula, stenosis)
- Neurogenic dysphagia (coordinated with neurology)
Signs that warrant evaluation
- Difficulty or pain when swallowing.
- Coughing or choking during meals.
- Sensation that food gets stuck.
- Unintentional weight loss.
- "Wet" voice after eating.
How the consultation works
- AnamnesisSymptom characterization and context.
- Complete ENT examIncludes fiberoptic laryngoscopy to evaluate swallowing.
- Complementary studiesWhen needed: videofluoroscopy, manometry, GI endoscopy.
- Management planCoordinated with speech therapy, gastroenterology, or neurology as needed.
Common questions
Is globus the same as a foreign body?
No. Globus is the sensation of a lump without one being there. Often associated with reflux or muscle tension.
Can dysphagia signal something serious?
Yes, especially when progressive or with weight loss. That's why evaluation matters.