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Is Feeling Painful When Swallowing A Sign Of Danger?

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Sometimes, painful swallow may relate to laryngeal pathology...

Painful swallow is a symptom, expressing the pain when swallowing. The pain may come from the mouth, throat or esophagus. Sometimes, painful swallow may relate to laryngeal pathology...

Signs accompanied by painful swallow

Get hurt when swallowing may be accompanied by dysphagia although it is a normal reflex and no gastro esophageal reflux. Painful swallow may also be symptom of stomatalgia; in this case, the pain becomes more serious by swallowing. Among the causes of mouth inflammation, sometimes the pain spreads down to the throat, often accompanied by increased pain when chewing, drinking and swallowing.

Painful swallow may also be symptom of stomatalgia

Painful swallow may also be symptom of stomatalgia

Painful swallow can also be noticed when you take certain foods such as hot food or hot drink; also be associated with some discomfort and light pain in the morning after waking up and decreasing during the day. If hot drinks and food cause painful when swallowing, it is a sign of lesion in the throat such as inflammation or ulceration. Swallowing painfully in the morning may be related to gastro esophageal reflux disease which causes a sore throat.

Painful swallow is accompanied by breathing with difficulty or hoarseness may be a sign of disease in the larynx or trachea or partial obstruction in the throat. In addition, there are some other signs such as stomachache, chill, cough, fever, brash, nausea or vomiting, heartburn, weight loss, wheezing ... But if you have signs of pain when swallowing and blood in stool, or your stool has black colour or looks like coffee residue, trouble breathing or dizziness, weight loss, you should call an ambulance or see a doctor as soon as possible.

Causes of painful swallow

Infection

Acute or chronic infectious diseases such as stomatitis, tonsillitis, pharyngitis, epiglottitis and esophagitis can lead to painful swallow. This is clearer in serious infection and in some cases, symptoms of dysphagia may also present. Many patients infected in throat area, mouth or gullet only mention that painful swallow is their main symptom in chronic infections. These infections can cause ulcers, abscesses or diffuse inflammation. The causes include:

·         Candida fungus infection in mouth area

·         HIV infection as well as opportunistic infections in the digestive system

·         Cytomegalovirus (CMV): causes syndrome of infectious mononucleosis with the expressions of muscle pain, splenomegaly, haemorrhagic  pharyngitis and cervical adenitis, increase of liver enzymes ...

·         Epstein-Barr (EBV): kind of virus causes acute infection at throat or mouth and may lead to throat cancer.

·         Acute or chronic pharyngitis.

·         Herpes simplex virus (HSV): HSV1 type causes skin disease, mucous membranes in the upper part of body such as eyes, nose or mouth.

Foreign objects: damage the throat tunica mucosa, tonsil, esophagus, as well as obstruct a part or whole of these areas, may lead to painful swallow; common cause is choking on a fish bone.

Acute or chronic infectious diseases such as stomatitis, tonsillitis, pharyngitis, epiglottitis and esophagitis can lead to painful swallow

Acute or chronic infectious diseases such as stomatitis, tonsillitis, pharyngitis, epiglottitis and esophagitis can lead to painful swallow

Inflammation and ulcers not caused by infection

There are several reasons causing inflammation and ulcers in the throat, and esophagus, but not because of infection. They are:

·         Burned by acid, base, or by drinking hot water

·         By taking medicine causing esophagitis: antibiotic (especially doxycycline), potassium chloride, quinidine, iron sulfate, zidovudine, non-steroidal anti-inflammatory drugs (NSAIDs).

·         Inhalation of toxic gases

·         Cancer treatment by radiation

·         Autoimmune disease: scleroderma.

·         After diagnostic routine such as bronchoscopy, endoscopy of the esophagus - stomach.

Tumour

Cancer in the mouth, pharynx, larynx, thyroid, neck, and esophagus can lead to painful swallow. This should be considered as a possible cause which appears in patients having high risk such as smokers, especially if painful swallow is accompanied by dysphagia and unintentional weight loss. Metastasis is also checked by doctors when painful swallow appears and/or together with dysphagia on a cancer patient.

Pathology of the esophagus

Factors affecting the esophagus may cause painful swallow. Chest pain is often showed as a result of esophageal lesion. Patients usually describe first signs of pain, particularly after swallowing. Some reasons are as follows:

·         Cardiac stomach spasm is a primary disorder of esophageal operation with unknown reason. This disease is characterized by incomplete muscle relaxation process of lower esophageal sphincter and loss of esophageal peristalsis.

·         Diffuse esophageal spasm: is characterized by uneven, many spontaneous contractions and caused by swallow. This is a rare disease of esophagus, may cause dysphagia, vomiting and chest pain not due to heart.

·         Bulkhead or esophageal ring: structural abnormalities of the esophagus

·         Gastro esophageal reflux disease (GERD).

·         Inflammation, ulceration or more serious is perforation of esophagus.

·         Zenker diverticulitis.

Esophageal cancer may cause painful swallow

Esophageal cancer may cause painful swallow

In short, painful swallow can be expression of a mild illness may be healed in a short time of several days such as inflammation of mouth mucous membranes, sore throat ... but also a sign of a serious illness such as cancer, broken esophagus ... or may persist due to other causes such as narrow, deformed esophagus. Prognosticate and treat the disease depending on the cause.

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