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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes An Altered Sense Of Taste And Difficulty In Swallowing?

83 year old female sys all food tastes bad. trouble swallowing and doesn t want to eat. very week and tired. she has been in and out of hospital 3 times in last 3 weeks for every test you could imagine and no findings of anything wrong. currently wearing heart monitor...
Fri, 16 Dec 2016
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General & Family Physician 's  Response
Hi there

The first thing to do is to review all the medication she is currently taking and make sure that none of the drugs alter taste as a side effect.

Make sure that she does not have candidiasis, a fungal infection, on the tongue. The tongue will appear white with a thick cottage cheese type of appearance on the tongue and inner cheek. If this is present, she most likely also has the same infection in her oesophagus. This is treated with antifungal drops and/or tablets. This type of infection is common in people with low immune systems such as the elderly, diabetics etc

Difficulty swallowing of solids only, should be investigated with a thyroid ultrasound if enlarged and a test called a barium swallow to rule out any severe problem that could be obstructing the oesophagus.

If she has difficulty swallowing both liquids and solids from the start, you need to rule out an oesophogeal spasm or a motility disorder. This can also be diagnosed on a barium swallow.

It is important to ensure she gets adequate nutrition. Please try to feed her nutritious supplements such as Ensure, Futurelife etc If she cant swallow at all, consider using a feeding tube.

Lastly use a mouthwash regularly to help with taste, even a rinse with coconut oil followed by water will help.

Hope this helps.
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What Causes An Altered Sense Of Taste And Difficulty In Swallowing?

Hi there The first thing to do is to review all the medication she is currently taking and make sure that none of the drugs alter taste as a side effect. Make sure that she does not have candidiasis, a fungal infection, on the tongue. The tongue will appear white with a thick cottage cheese type of appearance on the tongue and inner cheek. If this is present, she most likely also has the same infection in her oesophagus. This is treated with antifungal drops and/or tablets. This type of infection is common in people with low immune systems such as the elderly, diabetics etc Difficulty swallowing of solids only, should be investigated with a thyroid ultrasound if enlarged and a test called a barium swallow to rule out any severe problem that could be obstructing the oesophagus. If she has difficulty swallowing both liquids and solids from the start, you need to rule out an oesophogeal spasm or a motility disorder. This can also be diagnosed on a barium swallow. It is important to ensure she gets adequate nutrition. Please try to feed her nutritious supplements such as Ensure, Futurelife etc If she cant swallow at all, consider using a feeding tube. Lastly use a mouthwash regularly to help with taste, even a rinse with coconut oil followed by water will help. Hope this helps.