Warning Signs Of Amyloidosis
Difficulty Swallowing
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Amyloidosis can present in the form of a patient having difficulty swallowing (dysphagia). Amyloid deposits can form within and replace healthy muscle tissues. Additionally, amyloid deposits can form and accumulate in the interstitial tissues that neighbor the affected muscle. This mechanism causes a decrease in muscle contraction that results in constrictive impairment of the affected muscles. When this malfunction occurs in and around the muscles that move the jaw, it may result in an inability to chew physically and swallow properly. This process can occur in and around the lower esophageal sphincter, causing increased pressure and an inability of the sphincter to relax. This malfunction results in the impairment of the esophageal phase of swallowing. Additionally, the main nerve supply to the esophagus and upper GI tract can exhibit reduced function caused by reduced blood flow that results from amyloid deposits in the submucosal vessels. Amyloid deposits in the submucosal layer can cause increased rigidity and decreased motility that results in problems swallowing. Macroglossia that occurs due to amyloidosis may cause sensations of pain when swallowing.
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