Dysphagia Danger Zones: Who's at Risk and Why?
Published: Jul 30, 2024
While anyone can experience difficulty swallowing, certain factors can increase your risk of developing dysphagia. Understanding these risk factors can help you stay vigilant about your swallowing health.
Contents
Age: More Than Just a Number
As we age, our risk of dysphagia increases. This is partly due to natural changes in muscle strength and coordination. However, it's important to note that significant swallowing difficulties are not a normal part of aging. Older adults are also more likely to have conditions that can affect swallowing, such as stroke or Parkinson's disease.
Medical Conditions: When Your Body Works Against You
Certain medical conditions significantly increase the risk of dysphagia. These include neurological disorders like multiple sclerosis or ALS, autoimmune diseases like scleroderma, and head and neck cancers. Gastroesophageal reflux disease (GERD) can also lead to dysphagia if left untreated, potentially causing strictures or Barrett's esophagus.

Medications and Treatments: Unintended Consequences
Some medications can increase the risk of dysphagia by causing dry mouth, affecting muscle function, or irritating the esophagus. Radiation therapy to the head, neck, or chest can also lead to swallowing difficulties. It's important to discuss potential side effects with your healthcare provider.
Lifestyle Factors: Choices That Impact Swallowing
Certain lifestyle choices can contribute to dysphagia risk. Smoking and excessive alcohol consumption can irritate the esophagus and increase the risk of cancer. Obesity is associated with an increased risk of GERD, which can lead to dysphagia. Poor dental health can also impact chewing and swallowing function.
Frequently Asked Questions
While stress doesn't directly cause dysphagia, it can exacerbate symptoms in some cases.
Some conditions that cause dysphagia have genetic components, but dysphagia itself isn't typically inherited.
Yes, children can experience dysphagia, often due to developmental or neurological issues.
Some conditions causing dysphagia are more common in one gender, but overall risk is similar.
Severe dehydration can affect saliva production, potentially making swallowing more difficult.
Knowledge is Prevention
By understanding your personal risk factors, you can take proactive steps to maintain your swallowing health and seek help early if problems arise.
References
- Adkins C, Takakura W, Spiegel BMR, et al. Prevalence and Characteristics of Dysphagia Based on a Population-Based Survey. Clin Gastroenterol Hepatol 2020; 18:1970.
- Trate DM, Parkman HP, Fisher RS. Dysphagia. Evaluation, diagnosis, and treatment. Prim Care 1996; 23:417.
- Yadlapati R, Kahrilas PJ, Fox MR, et al. Esophageal motility disorders on high-resolution manometry: Chicago classification version 4.0©. Neurogastroenterol Motil 2021; 33:e14058.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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