Dysphagia in bulimia nervosa

Dysphagia
M W RobertsR J Elin

Abstract

The findings on 13 patients with bulimia nervosa referred for evaluation of salivary glands and swallowing patterns are presented. Each patient completed a medical, oral, and social history questionnaire. A complete oral examination supported by appropriate dental radiographs and photographs was conducted. Unstimulated and stimulated parotid and submandibular saliva was collected. The presence or absence of pharyngeal and velar gag reflexes was ascertained. Real-time ultrasound scanning and barium swallow studies were used to evaluate the oral-motor functions while swallowing on 6 of the subjects. Activity of the pharynx, larynx, and esophagus was recorded during the videofluorographic studies. Saliva concentrations of amylase were determined in the referred subjects as well as 13 age-matched healthy controls. No significant difference was detected between the salivary gland flow rates and amylase concentrations of the two groups, whether stimulated or unstimulated. The pharyngeal gag reflex was absent in 9 of the 13 bulimic patients and a velar gag reflex could be elicited in only 1. All of the normal controls had both gag reflexes. All of the patients with bulimia were found to have abnormal oropharyngeal swallow patterns and...Continue Reading

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Citations

Dec 18, 2001·The International Journal of Eating Disorders·D A Mendell, J A Logemann
Dec 10, 2015·Neuropsychopharmacology : Official Publication of the American College of Neuropsychopharmacology·Xiaofu HeRachel Marsh
Jun 30, 2007·The Journal of Evidence-based Dental Practice·Walter A Bretz
Jun 1, 1991·The Journal of the American Dental Association·C A TylendaM Altemus
Jun 24, 2008·Otolaryngologic Clinics of North America·Heather M StarmerKimberly T Webster
Oct 24, 2002·Critical Reviews in Oral Biology and Medicine : an Official Publication of the American Association of Oral Biologists·A J Miller
May 11, 2005·Australian Dental Journal·A M FrydrychB M McDermott
Oct 29, 2020·Journal of Family Medicine and Primary Care·Shamimul HasanShazina Saeed

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