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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do Swelling On The Head And Difficulty In Swallowing Indicate?

my nephew had a massive stroke he fell and hit his head so hard it moved his brain. They removed his skul on left side because of swelling.Doctors are asking if the family wants a feeding tube he cant swallow talk and has very little movement on left side and none on his right. They want to send him to hospice. what are your thoughts?
Sat, 28 Jul 2018
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General Surgeon,  's  Response
Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Swallowing difficulties is nonspecific sign and may indicate several conditions. It is seen in smokers commonly. ALso it can be sign of esophageal spasms, tumors or GERD. However, most common cause is hiatal hernia and this means that stomach is protruding through diaphragm muscle. It may cause breathing difficulties,nausea, swallowing difficulties and irritation of stomach. It will also be aggravated by certain food or medications, stress and smoking. You need to avoid fried food, carbonated drinks, coffee, alcohol and spicy food. You should eat more milk products, vegetables and boiled food. Also, certain antiacid medications may be required and as last option, it is possible to perform surgical repair of hernia especially if there are progressive respiratory discomfort and dyspepsia. To diagnose it you should do gastroscopy and if this is negative as in your case then you should do contrast xrays of stomach.

Hope I have answered your query. Let me know if I can assist you further.
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What Do Swelling On The Head And Difficulty In Swallowing Indicate?

Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Swallowing difficulties is nonspecific sign and may indicate several conditions. It is seen in smokers commonly. ALso it can be sign of esophageal spasms, tumors or GERD. However, most common cause is hiatal hernia and this means that stomach is protruding through diaphragm muscle. It may cause breathing difficulties,nausea, swallowing difficulties and irritation of stomach. It will also be aggravated by certain food or medications, stress and smoking. You need to avoid fried food, carbonated drinks, coffee, alcohol and spicy food. You should eat more milk products, vegetables and boiled food. Also, certain antiacid medications may be required and as last option, it is possible to perform surgical repair of hernia especially if there are progressive respiratory discomfort and dyspepsia. To diagnose it you should do gastroscopy and if this is negative as in your case then you should do contrast xrays of stomach. Hope I have answered your query. Let me know if I can assist you further.