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Dysphagia in severe anorexia nervosa: a case report
Samantha R M Holmes1, Tricia A Gudridge, Jennifer L Gaudiani
1Physical Therapy, Denver Health, Denver, Colorado 80204, USA.
The International Journal of Eating Disorders
|January 19, 2012
Summary
Oropharyngeal dysphagia is a risk in severe anorexia nervosa, potentially causing aspiration. Dysphagia therapy, including neuromuscular electrical stimulation (NMES), improved swallowing function and prevented aspiration in a patient.
Area of Science:
- Clinical Medicine
- Gastroenterology
- Neurology
Background:
- Severe anorexia nervosa can present with oropharyngeal dysphagia, a condition affecting swallowing.
- This can lead to serious complications such as aspiration pneumonia and hinder nutritional recovery.
Observation:
- A patient with severe anorexia nervosa developed dysphagia and aspiration pneumonia upon admission.
- The patient received dysphagia therapy incorporating neuromuscular electrical stimulation (NMES) and swallowing exercises.
Findings:
- Following intervention, the patient demonstrated improved swallowing function.
- The patient could tolerate an oral diet without aspiration, indicating successful treatment.
Implications:
- Clinicians should screen patients with severe anorexia nervosa for dysphagia.
- NMES may be an effective treatment for dysphagia in anorexia nervosa, potentially reducing reliance on enteral feeding and shortening hospital stays.
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