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.
The first step is to distinguish between oropharyngeal dysphagia and esophageal dysphagia from the patientâs symptoms. The evaluation begins with a careful history from the patient, which can provide direction towards the cause of dysphagia in the majority of patients.