
This means taking small, bite-size pieces of food, chewing properly, and making sure to swallow at the ‘right’ moment. Treatment for swallow syncope focuses on the management of swallowing ‘properly’. What is the treatment for swallowing syncope? However, the mechanism behind swallow syncope is still not completely understood. This can trigger a complex reflex in which the brain then sends a signal to the heart to slow down (bradycardia) and to the vessels to pool blood (vasodilatation) which results in a low blood pressure, which causes patients to feel lightheaded, and if severe, to pass out completely. Perhaps the patient is feeling relatively tired, and they then swallow a large chunk of food which has not been chewed properly, which gets stuck at the back of the throat (oropharynx), causing a slight coughing fit as well. This might be when a patient is relatively dehydrated, and it’s a warm day. Certain specific situations, with all the triggers ‘lining up’ as it were, are what cause swallow syncope to occur. Swallowing syncope is rare, and may not occur every single time a patient swallows. The reflexes which are started or initiated at the point of swallowing are what causes syncope. Swallowing syncope is a rare form of syncope which occurs when the patient swallows food, and causes them to faint, or pass out. Here, Dr Boon Lim, consultant cardiologist and expert in syncope, explains swallowing syncope, and how it can be managed. There are many different types of syncope, and while some are common, there are also rarer forms. Syncope can be triggered by even the most common everyday situations, such as being in the heat, or after finishing a meal. Learn more about our expertise in esophageal cancer diagnosis.Syncope (pronounced sin-cope-pee) is the medical term for a loss of consciousness, which is caused by the blood supply to the brain being insufficient – in other words, fainting, or blacking out, as it is more commonly known. Our gastroenterologists work collaboratively with our esophageal cancer specialists, ensuring that you receive a thorough diagnostic evaluation. Because of this, your gastroenterologist (a physician who specializes in diseases of the digestive system) may be the first doctor to suspect esophageal cancer. Diagnosing Esophageal Cancerĭigestive problems are often the first sign of esophageal cancer. Persistent Coughing or Hoarsenessĭeveloping a hoarse, scratchy voice or a cough that doesn’t go away can also indicate the presence of esophageal cancer. This can be due to eating less due to swallowing problems, or a decreased appetite due to the cancer. Roughly 50 percent of people with esophageal cancer experience unexplained weight loss. Some patients experience chest pain a few seconds after swallowing, when food or liquid reaches the site of the cancer in the esophagus. If you suffer from chronic heartburn or gastroesophageal reflux disease (GERD), you’re already familiar with a pain that feels like burning in the middle of your chest. If you have recently changed your eating habits to avoid trouble swallowing - such as taking smaller bites, eating softer food, or avoiding solid food entirely - you may be at risk. These symptoms gradually worsen over time, with an increase in pain on swallowing, as your esophagus narrows from the growing cancer.

With some patients, choking on food also occurs. The most common symptom of esophageal cancer is trouble swallowing, especially a feeling of food stuck in the throat. Learn more about esophageal cancer prevention. It is important to receive an accurate diagnosis from a physician if you suspect you may be at risk. However, many of these symptoms are also caused by other, more common conditions. Most esophageal cancer cases aren’t discovered until they are in advanced stages, when symptoms are noticeable. Achalasia, a rare disorder of muscles in the lower esophagus.Barrett’s esophagus, a condition that sometimes develops in people with GERD.Esophageal Cancer Risk Factorsįactors that can increase your risk of esophageal cancer include: When a doctor can identify esophageal cancer in the early stages, successful treatment is more likely. In most cases, esophageal cancer doesn’t cause symptoms until it has reached an advanced stage.Īt Johns Hopkins Sidney Kimmel Comprehensive Cancer Center, our specialists perform thorough evaluations, helping to detect esophageal cancer as early as possible. Most warning signs of esophageal cancer are associated with problems related to eating, drinking, swallowing and digestion.
