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The Inpatient with Dysphagia: An Approach to Diagnosis and Treatment
Natalie E Kadin1, Carlos X Castellanos1, Allan R Wang1
1Department of Head and Neck Surgery, David Geffen School of Medicine at UCLA, 200 UCLA Medical Plaza, Suite 550, Los Angeles, CA 90095, USA.
The Medical Clinics of North America
|November 8, 2025
Summary
This review details normal swallowing function and pathophysiology to aid clinicians in diagnosing and treating inpatient dysphagia. An evidence-based algorithm guides evaluation and collaborative intervention for better patient outcomes.
Area of Science:
- Medicine
- Gastroenterology
- Neurology
Background:
- Dysphagia presents a significant clinical challenge in inpatient settings.
- Understanding normal swallowing mechanisms and pathophysiology is crucial for effective management.
Purpose of the Study:
- To provide a comprehensive review of swallowing function and pathophysiology.
- To present a practical approach for the evaluation and treatment of inpatient dysphagia.
- To develop a diagnostic algorithm and guide for clinicians.
Main Methods:
- Literature review of normal swallowing function and pathophysiology.
- Development of a clinical algorithm for dysphagia evaluation based on patient history.
- Guideline creation for diagnostic workup and collaborative intervention.
Main Results:
- The review covers normal swallowing physiology and common pathophysiological causes of dysphagia.
- A history-based algorithm is proposed to guide diagnostic decisions.
- The guide facilitates accurate diagnosis and collaborative treatment planning.
Conclusions:
- Inpatient dysphagia requires a systematic approach for accurate diagnosis and management.
- The developed algorithm and guide assist clinicians in evaluating and treating dysphagia.
- Collaborative intervention is key to optimizing outcomes for inpatients with swallowing difficulties.
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