Background: Most cases of pneumonia in older people are aspiration pneumonia,[1] and the prognosis among patients hospitalized for aspiration pneumonia is very poor.[2] After being hospitalized for aspiration pneumonia, a certain number of patients become unable to take orally, and some chronic conditions are reported to be negatively associated with the retrievement of oral intake.[3] [...]

Background: Oropharyngeal dysphagia affects up to 86% of hospitalized patients with dementia. Texture-modified food and thickened fluids are the mainstay of dysphagia management in patients with dementia, yet data on whether these diets improve clinical outcomes is lacking. Using a mixed methods approach, this study aimed to evaluate the following: 1) adherence to dysphagia diets [...]

Background: Dysphagia is prevalent in older adults with dementia, particularly in the acute care setting. The objective of this study was to use an innovative approach to extract a more representative sample of patients with dysphagia from the electronic health record (EHR) to determine patient characteristics and outcomes associated with dysphagia in hospitalized persons with [...]

Background: In Japan, a “super-aged” society, the rate of end-stage dysphagia in the elderly is increasing. Artificial hydration and nutrition (AHN) can be used for such patients, although it may not improve mortality or quality of life. The many downsides of AHN are not always well explained to patients and their families, resulting in routine [...]

Case Presentation: 77 year old man with history of renal cell cancer status post ablation a year ago presented to primary care physician with difficulty swallowing and weight loss for 3 weeks. Examination was normal. Routine labs showed thrombocytosis to 1170×10⁹ with platelet count of 300×10⁹ a month ago. He was referred to the emergency [...]

Case Presentation: Case: A 27-year-old male presented to the emergency room with fever, night sweats, and productive cough with brown sputum for the past week prior to presentation. He also noted associated anorexia, nausea, and non-bilious, non-bloody vomiting. The patient reported persistent dysphagia that had developed after his laryngeal schwannoma resection 15 years ago. On [...]

Case Presentation: A 37-year-old female veterinarian with past medical history of migraines was diagnosed with multiple sclerosis (MS) in December 2015. In April 2016, she was admitted with 3weeks of progressive dysphagia and 20lb weight loss. Although MRI of the brain and cervical spine obtained during admission showed no new lesions, her symptoms were initially [...]

Case Presentation: A 73-year-old woman with a history of cervical carcinoma treated with chemotherapy and radiation in remission presented with weight loss (6 kg), poor oral intake and dysphagia over the prior three months. She reported epigastric and chest discomfort after swallowing, early satiety and the feeling of food becoming stuck in her upper abdomen. [...]

Case Presentation:  A 66-year-old woman with a history of hypertension and type 2 diabetes mellitus presented to an outside hospital with persistent nausea and vomiting, a 45 pound weight loss, and dysphagia over a 4-week period. In addition to the new diagnosis of atrial fibrillation, esophagogastroduodenoscopy identified a lesion in the gastric cardia concerning for [...]

Case Presentation: A 25 year old male with history of recurrent left seminoma, on Cycle one and Day 15 of bleomycin, etoposide, and platinum (BEP) combination chemotherapy admitted from infusion center reporting new onset of dry cough, shortness of breath, solid food odynophagia and dysphagia. Symptoms began suddenly after a meal of chicken with rice. [...]