Summary about Disease
Food bolus obstruction refers to the blockage of the esophagus (the tube connecting the mouth to the stomach) by a mass of food that hasn't been properly chewed or has become lodged due to an underlying esophageal issue. This can cause significant discomfort, difficulty swallowing, and potentially lead to complications if not treated promptly.
Symptoms
Sudden difficulty swallowing (dysphagia)
Choking or gagging
Pain or discomfort in the chest or throat
Drooling
Regurgitation of food
Feeling of something being stuck in the throat
Coughing
Causes
Poorly chewed food: Eating too quickly or not chewing food thoroughly.
Esophageal strictures: Narrowing of the esophagus, often caused by scarring from acid reflux or other conditions.
Esophageal webs or rings: Thin membranes that partially block the esophagus.
Esophageal motility disorders: Conditions that affect the muscles of the esophagus, impairing their ability to move food along.
Tumors: Esophageal cancer or other growths.
Eosinophilic esophagitis: An allergic/inflammatory condition affecting the esophagus.
Denture issues: Poorly fitting dentures can hinder proper chewing.
Medicine Used
4. Medicine used
Glucagon: In some cases, glucagon injections may be administered to relax the esophageal muscles and potentially allow the food bolus to pass.
Effervescent agents: Agents that create carbon dioxide, may sometimes be used to dislodge the bolus
Other medications: If the obstruction is related to underlying conditions like acid reflux or eosinophilic esophagitis, medications to manage these conditions may be prescribed. NOTE: No medication can be given at home to solve this issue. Go to the ER to solve it.
Is Communicable
No, food bolus obstruction is not a communicable disease. It's a mechanical issue, not caused by an infectious agent.
Precautions
Chew food thoroughly: Especially meat and fibrous foods.
Eat slowly: Avoid rushing meals.
Drink plenty of fluids with meals: This helps to lubricate the food bolus.
Cut food into smaller pieces: This makes it easier to chew and swallow.
Address underlying esophageal conditions: If you have a history of esophageal strictures, acid reflux, or other esophageal problems, work with your doctor to manage these conditions.
Properly fitted dentures: Ensure dentures are well-fitting and maintained.
Avoid distractions while eating: Pay attention to the act of eating and swallowing.
How long does an outbreak last?
Food bolus obstruction is not an "outbreak" in the traditional sense of an infectious disease. It's an acute event that occurs when food becomes lodged in the esophagus. The duration of the obstruction depends on how quickly it is resolved, either spontaneously or with medical intervention. Without intervention, it can persist indefinitely until treated.
How is it diagnosed?
Medical history and physical exam: The doctor will ask about your symptoms and medical history.
Endoscopy: A thin, flexible tube with a camera (endoscope) is inserted into the esophagus to visualize the blockage and potentially remove it.
Barium swallow study: A special X-ray is taken after you swallow a barium solution, which coats the esophagus and helps to identify any abnormalities or blockages.
Timeline of Symptoms
9. Timeline of symptoms
Immediate: Sudden onset of difficulty swallowing, choking, or gagging.
Within minutes: Chest pain or discomfort, drooling, regurgitation of food.
If unresolved: Continued discomfort, inability to swallow saliva, potential aspiration (food entering the lungs).
Note: This is a rapidly developing problem, and symptoms are usually immediate and require quick action.
Important Considerations
Food bolus obstruction can be a medical emergency, especially if the airway is compromised.
Individuals with underlying esophageal conditions are at higher risk.
Prompt diagnosis and treatment are essential to prevent complications.
Do not attempt to dislodge the food bolus yourself, as this could potentially cause further injury. Seek medical attention immediately.
Prevention is key, especially for individuals with known risk factors.