TIẾP CẬN CHẨN ĐOÁN VÀ ĐIỀU TRỊ RỐI LOẠN NUỐT Ở TRẺ EM NHÂN MỘT TRƯỜNG HỢP

Abstract

Dysphagia is the difficulty in processing and transporting liquid or solid boluses through the oral cavity, pharynx, esophagus, or at the esophagogastric junction. Currently, the diagnosis and treatment of dysphagia remain challenging, especially in pediatric patients. We report the case of a 4‑month‑old female infant with severe malnutrition and feeding refusal (refusing formula, breast milk, breastfeeding, bottle‑feeding, and spoon‑feeding), a history of recurrent pneumonia, and abnormal respiratory sounds. A videofluoroscopic swallow study (VFSS)/modified barium swallow (MBS) was used to definitively diagnose dysphagia. The underlying cause was identified by bronchoscopy. The infant was managed with a texture‑modified diet and traditional medicine. After three months, she had gained weight, no longer refused feeds, and experienced no further pneumonia. Conclusion: Videofluoroscopic swallow study is feasible in pediatric patients. Texture‑modified diets and traditional medicine may be valuable in treating pediatric dysphagia.