Many Causes for Dysphagia, Difficulty Swallowing, Painful Swallowing, Swallowing Pain Problems
Swallowing is one of those actions taken many times a day without much notice. Dysphagia is one of those swallowing symptoms that rarely goes unnoticed. Swallowing is simply coordinated contractions of your esophagus muscles, that instantly moves food from your mouth to your stomach.
Dysphagia means difficulty swallowing. And swallowing difficulties may befall you with or without pain. Your painful swallowing may be felt anywhere from your neck to your breastbone.
Eating too fast and not chewing your food adequately is the main cause for intermittent swallowing difficulties. But unrelenting episodes that make it difficult for you to swallow may be caused by a problem with your esophagus or some other health condition.
There are many causes for dysphagia. Another condition, an infection or merely swallowing certain medications can create a painfully uncoordinated swallow.
Your swallowing problems can be caused by any one of these conditions or circumstances:
- aging
- stroke
- diabetes
- achalasia
- esophagitis
- scleroderma
- polymyositis
- hypertension
- cerebral palsy
- Schatzki’s ring
- thyroid disease
- esophageal webs
- multiple sclerosis
- myasthenia gravis
- esophageal spasm
- muscular dystrophy
- esophageal spasms
- Parkinson’s disease
- mouth, throat ulcers
- esophageal stricture
- Lou Gehrig’s disease
- Huntington’s disease
- Zenker’s diverticulum
- pharyngeal diverticula
- cervical spine disease
- nutcracker esophagus
- head, spinal cord injury
- emotional, anxiety disorder
- problems with your esophagus
- progressive neurologic disorder
- paralyzed, unmoving vocal cord
- gastroesophageal reflux disease
- cancer ~ head, neck, esophagus
- tumor ~ mouth, throat, esophagus
- surgery ~ head, neck, esophageal area
- strictures due to radiation, chemicals, medications, ulcers
GERD is the most common cause of dysphagia, occurring because stomach acid gets into your esophagus cooking up painful difficult swallowing discomfort.
Sometimes, an infection can be a cause for problem swallowing, the likes of:
- thrush
- syphilis
- pharyngitis
- gum disease
- Herpes simplex
- cytomegalovirus
- tooth infection, abscess
- human immunodeficiency virus
Swallowing difficulty can also be connected to medications or supplements your are taking regularly, such as:
- aspirin
- nitrates
- vitamin C
- iron tablets
- antipsychotic
- calcium tablets
- antidepressants
- allergy medications
- calcium channel blockers
- tetracycline ~ used to treat acne
Some even experience dysphagia without a physical cause. Just a lump in their throat without an actual swallowing difficulty.
Symptoms that may accompany your dysphagia and painful swallowing might include:
- gagging
- drooling
- choking
- coughing
- chest pain
- malnutrition
- regurgitation
- voice change
- “lump” in throat
- throat discomfort
- unable to swallow
- frequent heartburn
- recurrent pneumonia
- unexpected weight loss
- sensation food getting stuck
- food or acid back up into throat
- heaviness, pressure in neck, upper chest
Your infant or child can have dysphagia and not have the ability to communicate their swallowing difficulties. Demonstrated signs and symptoms of painful swallowing discomfort may be noticed by:
- tensing
- gagging
- coughing
- weight loss
- slow growth
- lack of attention
- slow weight gain
- repeated swallowing
- breast feeding problems
- food, liquid mouth leaking
- lengthy feeding, eating times
- frequent respiratory infections
- refusing to eat foods of different textures
- spitting up, vomiting during feeding or meals
- inability to coordinate breathing with eating and drinking
In some cases, difficulty swallowing can lead to some serious consequences:
Don’t hesitate to notify your health care professional when your swallow problem also involves these other symptoms:
Swallowing treatment depends on the cause for its difficulty. Here are examples of how broad the range is for treating a swallow displeasure:
- change your diet
- special liquid diets
- esophagus stretching
- feeding tube insertion
- adding thickeners to food
- learn different ways to eat & chew
- medications to reduce stomach acid
- holding head or neck in a certain way
- surgery to clear your esophageal path
- exercises to help coordinate swallowing muscles
- stimulate the nerves that trigger the swallowing reflex
- medications to relax your esophagus & reduce discomfort
Prolonged swallowing difficulties can have a major affect on your health. So early treatment is worth a swallow.
Throat Related Health Blurbs:
- Strep Throat: A Contagious and Painful Sore Throat
- What is a Hiatal Hernia and Why It Contributes to GERD
- Laryngitis (Voice Box) Cause for Sore Throat and Hoarse, Weak or Lost Voice
- Sever Sore Throat Tonsillitis Cause for Hard, Trouble, Difficulty or Other Swallowing Problems
- Causes for Severe, Persistent, Scratchy, Dry, Sore Throat and Sore Throat Treatment Home Remedies
- Streptococcal Bacteria Causes Group A and B Type Strep Infection for Rapid Strep Test and Treatment

