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Difficulty swallowing, speech problem with normal blood count. Cause?

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Dear Sirs,

Forgive me for bad English, but I hope that you will nevertheless understand the question. My question is related to my father who is 84 years old patientold. Namely before some two or three months has difficulty swallowing food, which are pronounced in the evening. It also has a speech problem, namely a certain part of the day talking normal, and then his speech becomes slurred. View otorinolagringolora is neat and now we recommend to save the esophagus. I'm interested in whether speech can be connected to the esophagus? You can say that my mother died a year and a half ago and since then the father most of the time alone in his apartment, and eat with my older sister, who lives one floor above my father. It seems to me that it is quite lost after the death of his wife, with whom he lived for more than 50 years. We also note that he forgets where things left, but thinks him they had been stolen. Sometimes I do not know what day it is or is not recognized by a person, all this happens occasionally. Note that you do not have no regrets in any pain, and his blood count was normal.
Thank you

Category: ENT Specialist

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Category: ENT Specialist
 23 Doctors Online

Thank you for your query at
Your father is suffering from difficulty in swallowing and slurring of speech and impaired memory.
As difficulty in swallowing and slurring of speech is intermittent so i can be simply due to muscle or
nerve weakness due to age. But he needs examination by ENT specialist to get correct diagnosis. First he
can do laryngeal endoscopy to examine pharynx and voice box directly. and if required an oesophagoscopy
(upper GI scopy can be done). This oesophageus examination is for difficulty in swallowing not for
impaired memory is most likely due to alzheimer's disease(disease affect most of people after age of 80
due to atrophy of barin), it is difficult to treat, but you can get neurologist opinion.

Hope this helps,

Patient replied :

Dear Sirs,
Thank you for your prompt reply. The father was at ENT and finding the right. The doctor suggested another examination of the esophagus, and how to be, and that in order to visit a neurologist. My observations are as follows with the father: his wife died a year and 6 months, and since then he collapses both physically and mentally. As for swallowing there are sometimes more sometimes less difficulty. As for the speech sometimes speaks normally, and sometimes difficult to understand speech. Sometimes they complain that they feel tongue or lips or you can not for example. Hiss. All these symptoms are much more pronounced in the evening and in the afternoon than in the morning. Problems come to the fore after physical activity. He is in fact, a person who has learned a lot of physical work and now that is no longer the force he is still trying to work in the garden and so on. I'm interested in whether it would be good to visit a neurologist, and whether there is a therapy that would at least alleviate the problem of swallowing and speech, as he very angry at this that they are powerless.
Thanks again

I can understand that your mother expired 6 months ago and your father is depressed for same. But still
we need one proper neurological examination to get correct diagnosis. Without getting correct diagnosis
it is not possible speech and swallowing, because we dont know what to treat.once every thing normal
then speech and swallowing therapy can be tried.

Hope this helps

Best regards

Dr. Sunil Jalan
Category: ENT Specialist
DAA (Diploma in asthma and allergy) : Christian Medical College, Vellore, 2012
D.N.B (ENT), 2011
Residency - M.S. (Master post graduate degree in otorhinolaryngology),  Christian Medical College, Vellore, 2009
D.L.O. (Diploma in otorhinolaryngology) - Christian Medical College, Vellore, 2007
Medical School - M.B.B.S, S.P. Medical college, Bikaner, 2004
Dr. Sunil Jalan and 4 other Medical Specialists are ready to help you

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