1 Religious exemption. 2  ACA-compliant plan to be too expensive. 3  This exemption is valid automatically exempt from the penalty. 4  But if youâre in a state that has expanded Medicaid, youâre probably eligible for free coverage).
Oropharyngeal dysphagia can result from abnormal functioning of the nerves and muscles of the mouth, pharynx (back of the throat) and upper esophageal sphincter (muscle at the top end of the swallowing tube). Diseases that involve the swallowing tube (esophagus) can cause esophageal dysphagia.
Disorders of the neuromuscular junction also lead to dysphagia. Myasthenia gravis (MG) characteristically presents with intermittent swallowing difficulties that worsen throughout the meal or throughout the day, and are often associated with oculomotor abnormalities, diplopia, and facial muscle weakness.