Cerebral infarction, esophagitis, and esophageal tumors can all cause dysphagia, and the outcome of treatment varies relatively widely depending on the cause. Some recover completely, others do not, and require appropriate testing to analyze the cause and then make prognostic predictions.
Difficulty swallowing with dizziness, hypertension, and diabetes mellitus needs to be considered as a result of central neuropathy. The diagnosis can be clarified by blood pressure, lipids, and blood glucose, and MRI of the brain. Dysphagia caused by damage to the nucleus of the linguopharyngeal nerve, also known as bulbar palsy, swallowing difficulties are mostly unrecoverable or not fully recovered. The recovery is relatively good for ordinary cerebral infarction or due to cerebral hemorrhage.
Progressive dysphagia with nausea and acid reflux is considered to be a change due to esophagitis or an esophageal tumor. The first thing you need to do is to have a gastroscopy to determine the cause, which is due to esophagitis, and to use domperidone or mosapride with omeprazole for complete recovery.
If it is due to an esophageal tumor and medication is not effective, surgical removal of the tumor needs to be considered. After surgical removal of benign tumors, dysphagia can be fully recovered. Postoperative treatment of malignant tumors with radiotherapy can improve the difficulty in eating, but it is mostly difficult to achieve a radical cure.