How Dr. Rishi Diagnoses Dysphagia?
Dr. Rishi Chadha uses a step-by-step approach:
Medical History
He discusses your swallowing difficulties, eating habits, past surgeries, medications, and other health conditions.
Physical Exam
He examines your neck, throat, and muscle function to look for signs of obstruction or weakness.
Diagnostic Tests
- Barium swallow X-ray � You drink a contrast liquid so we can watch how food and liquid move down your esophagus.
- Upper endoscopy (EGD) � A thin, flexible camera inspects the lining of your throat and esophagus for inflammation or narrowing.
- Esophageal manometry � A pressure test that measures the strength and coordination of your esophageal muscles.
Advanced Evaluation (if needed)
Additional studies such as pH monitoring to assess reflux or CT imaging to rule out structural causes.
Frequently Asked Questions
What is the ICD-10 code for dysphagia?
The main ICD-10 code for dysphagia is R13, with subcodes like R13.1 specifying oropharyngeal dysphagia.
Why is the ICD-10 code important?
Using the correct code ensures proper treatment planning and helps with insurance coverage.
What are the four stages of swallowing?
The stages are: 1) oral preparatory, 2) oral transport, 3) pharyngeal, and 4) esophageal.
Is dysphagia dangerous?
Yes. Untreated dysphagia can lead to weight loss, dehydration, malnutrition, or aspiration pneumonia.
Can swallowing exercises help?
Absolutely. A speech therapist can teach you safe swallowing exercises, postures, and techniques.
What tests are needed to diagnose dysphagia?
Common tests include a barium swallow X-ray, upper endoscopy (EGD), and esophageal manometry.
Can dysphagia be cured?
Many patients improve significantly with diet changes, medications, dilation, or simple procedures. Some conditions require ongoing management.
How long does treatment take?
Treatment time varies. Mild cases may improve in weeks; more complex issues can take several months.
Will insurance cover dysphagia treatment?
Yes. With a clear diagnosis code like R13, most plans cover evaluation and treatment.
When should I see a doctor for swallowing problems?
See a physician if swallowing is painful, food feels stuck, you choke often, or you have unexplained weight loss.