Valsalva Dysphagia

**Valsalva Dysphagia** is a pathological condition in which swallowing function is impaired, caused by damage to the nervous system that controls swallowing movements. This condition is also known as dysphagia - difficulty eating and drinking.

The causes of Valsalva dysphagia may vary. For example, neurological diseases such as multiple sclerosis and myelodysplasia can cause problems with the nerve fibers involved in swallowing. Valsalva dysphagia is also promoted by toxic, infectious, viral and other effects on the human nervous system. Sometimes Valsalva dysphagia is a complication of stroke, traumatic brain injury, malignant and benign brain tumors, epilepsy and other diseases. Diseases of the cardiovascular system, high blood pressure, or diseases of the gastrointestinal tract that cause swelling of the larynx can cause swallowing problems.

There are several types of Valsalve Dysphagia, one of which is aspiration Dysphagia. It is characterized by difficulty swallowing solid and liquid foods; the need for additional movements and efforts to swallow food, including foreign substances that get inside; oral movement disorder and changes in breathing status. Aspiration Dysphagia can be identified by changes in sounds made by a person during food coma ingestion and in video recordings.

Treatment of Valsalva Dysphagia depends on the cause of its occurrence and severity; includes conservative therapy and surgical intervention. Conservative therapy may include neuroprotective and neurometabolic therapy using vitamins, nootropics, antidepressants, correctors of impaired consciousness, and physical therapy. Surgery may be used in severe cases of dysphagia. For severe functional impairment, synthetic nutritional support is prescribed through an artificial feeding tube. Depending on the patient's general condition, post-feeding support may be required.

Valsalian dysphagia can lead to complications such as aspiration, pneumonia, and other medical problems. It may also affect the patient’s social adaptation and quality of life: difficulties



Valsalva dysphagia - Impaired swallowing and passage of food through the esophagus. The disease can manifest itself at any age in the form of dysphagia, and the syndrome can also be associated with the development of malignant tumors. The cause of the disorder is a violation of the motor function of the upper part of the stomach or esophagus - the cardiopulmonary junction or a shortening of the distance between the apex of the diaphragm and the C-5 lower cervical vertebra, which causes abnormal mobility of this segment of the esophagus. The syndrome is a consequence of abnormal enlargement of the esophagus anteriorly or posteriorly. To diagnose a disease



Valsalva dysphagia is a condition that occurs due to insufficient relaxation of the esophagus during swallowing, which can lead to problems swallowing food and liquids. This condition may also be associated with other diseases such as Parkinson's disease, amyotrophic sclerosis and other neurological disorders.

Valsalva dysphagia is a type of dysphagia that is characterized by disruption of the nerve center in the brain that controls the swallowing process. This can lead to food retention in the esophagus, which causes discomfort and even pain when swallowing. In addition, a lack of relaxation can also cause problems with fluid intake, as the body cannot efficiently move water through the esophagus.

Treatment for valsalva dysphagia includes various methods such as medications, physical therapy, surgery, and dietary changes. Medicines can help reduce pain and improve metabolism, and physical therapy can help improve movement and tone of the esophageal muscles. Surgical methods may include inserting a pacemaker into the esophagus to control the central nerve centers that control swallowing. Dietary changes will help make food easier to swallow and increase its volume, which will also improve digestion and reduce stress on the esophagus.

The main symptoms of Valsalba dysphagia include chest pain when swallowing or chewing, difficulty swallowing liquids and drinks, inability to grasp and swallow chewing gum, and an increase in the size of the pieces of food that can be swallowed. If complications develop, for example, narrowing of the esophagus or damage to the walls of the stomach, the symptoms become more pronounced, and bleeding, pain, and anemia also occur.

However, despite all modern treatment methods, perhaps the best way to cope with Valsalbas dysphagia is careful monitoring of the disease and regular monitoring by specialists. In addition, it is necessary to eat right and increase physical activity to increase the flexibility of the muscle tissue of the esophagus and prevent the development of complications.



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