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[Dysphagia] sweat while chewing


  • Subject: [Dysphagia] sweat while chewing
  • From: Naomislp at aol.com (Naomislp@aol.com)
  • Date: Sun Sep 5 22:49:58 2004

Hi all, 
Happy Labor Day weekend -
Recently met pt with c/o dysphagia, all consistencies, with increasingly 
frequent episodes of coughing/choking. He has hx of tongue base cancer, treated 
with chemo and radiation (about 5 years ago) and more recent lymph node surgery 
around neck area with some reported nerve damage. He presents with asymmetric 
jaw, lip, and tongue movement and has pharyngeal weakness on that same side 
with near unilateral accumulation of residue on a-p view during MBS study. He is 
consistently noticing beads of sweat forming on his forehead and literally 
dripping down side of his face when he is chewing solid food; was told by his MD 
that nerves may have regenerated and fused incorrectly - does anyone have any 
further info/clarification on this? Seems like several nerves are involved 
here and what causes the perspiration?
thanks in advance,
Naomi


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