What is the etiology of cricopharyngeal dyskinesia?

Gloushystericus is the subjective feeling of having some kind of unclear thing or mass at the level of the cricoid cartilage at the bottom of the pharynx, causing discomfort such as fullness, pressure or obstruction, and the abnormal motor function of this part is also known as cricopharyngeal dyskinesia, which is known as “plum nucleus qi” in Chinese medicine. Half of the general population may experience this sensation intermittently, but it is more common in menopausal women. Patients often have psychiatric factors in the onset of the disease, and have obsessive-compulsive concepts in their personality. The etiology includes cricopharyngeal dyskinesia, neuromuscular disorders, and local damage, while the pathogenesis is likely to be related to dysfunction of the pharyngeal muscles or upper esophageal sphincter, such as abnormalities of cricopharyngeal high pressure, low pressure, or relaxation. Some results showed that the experimental group of dysthymic bulb patients in somatization, obsessive-compulsive symptoms, interpersonal sensitivity, depression, anxiety, hostility, horror, paranoia, psychoticism, and additional symptom factor scores were higher than domestic norms, and there was a significant difference, which indicated that dysthymic bulb patients did have more serious multiple mood disorders, which on the one hand was related to a higher number of psychosocial stresses. At the same time, due to the lack of correct understanding of this disease, patients often regard the symptoms of throat discomfort caused by poor mood, tension, fatigue or physical weakness as organic lesions, and repeatedly seek medical treatment for various examinations, and this medical behavior itself strengthens the patient’s role as a patient, attaching psychogenic or medical adverse implication on the basis of the original symptoms, resulting in nervousness, fear, pessimism, etc., which further aggravates the symptoms This creates a vicious circle.