Phagophobia

Phagophobia

Article
Behavioral & Mental Health
Diseases & Conditions
Contributed byKrish Tangella MD, MBAOct 12, 2023

What are the other Names for this Condition? (Also known as/Synonyms)

  • Fear of Swallowing
  • Globus Hystericus
  • Swallowing Anxiety

What is Phagophobia? (Definition/Background Information)

  • Phagophobia is an excessive and irrational fear of swallowing. People with Phagophobia may become preoccupied with thoughts of choking or suffocating while swallowing and engage in compulsive behavior, such as avoiding certain foods or liquids.
  • Phagophobia can affect people of all ages, but it is more common in individuals who have a history of anxiety or phobias, who have had negative experiences related to swallowing, or who have a pre-existing medical condition.
  • The exact cause of Phagophobia is not known, but it is believed to be related to a combination of genetic, environmental, and psychological factors. It may also be related to a history of trauma or exposure to negative experiences related to swallowing.
  • Some risk factors for Phagophobia may include, a history of anxiety or phobias, exposure to negative experiences related to swallowing, having a pre-existing medical condition, such as a swallowing disorder or gastroesophageal reflux disease (GERD), and having a family history of anxiety or phobias.
  • The symptoms of Phagophobia may vary from person to person. Some common signs and symptoms of Phagophobia include, intense fear or anxiety related to swallowing, obsessive thoughts or compulsive behavior related to avoiding certain foods or liquids, avoidance of situations or objects related to swallowing, physical symptoms, such as sweating, trembling, or a rapid heartbeat.
  • Phagophobia is typically diagnosed by a healthcare provider, such as a gastroenterologist or a speech-language pathologist. The diagnosis is usually based on the individual's symptoms and medical history. In some cases, additional testing may be required to rule out other conditions.
  • Phagophobia can be treated using a variety of approaches, including, cognitive-behavioral therapy (CBT), exposure therapy, swallowing therapy, and medication.
  • There is no guaranteed way to prevent Phagophobia. However, some strategies that may help include, seeking treatment for anxiety disorders or phobias, identifying and addressing negative experiences or beliefs related to swallowing, and using relaxation techniques, such as deep breathing or meditation, to help manage anxiety related to swallowing.
  • If left untreated, Phagophobia can lead to significant impairment in a person's daily life. It can impact their ability to eat and drink normally and may lead to social isolation or avoidance of situations or objects related to swallowing.
  • With appropriate treatment, the prognosis for Phagophobia is generally good. However, it may take time and persistence to overcome the phobia. Some individuals may require ongoing treatment or support to manage their symptoms effectively.

Who gets Phagophobia? (Age and Sex Distribution)

Phagophobia can affect people of all ages, but it is more common in individuals who have a history of anxiety or phobias, who have had negative experiences related to swallowing, or who have a pre-existing medical condition.

What are the Risk Factors for Phagophobia? (Predisposing Factors)

Some risk factors for Phagophobia may include:

  • A history of anxiety or phobias
  • Exposure to negative experiences related to swallowing
  • Having a pre-existing medical condition, such as a swallowing disorder or gastroesophageal reflux disease (GERD)
  • Having a family history of anxiety or phobias

It is important to note that having a risk factor does not mean that one will get the condition. A risk factor increases one’s chances of getting a condition compared to an individual without the risk factors. Some risk factors are more important than others.

Also, not having a risk factor does not mean that an individual will not get the condition. It is always important to discuss the effect of risk factors with your healthcare provider.

What are the Causes of Phagophobia? (Etiology)

  • The exact cause of Phagophobia is not known, but it is believed to be related to a combination of genetic, environmental, and psychological factors.
  • It may also be related to a history of trauma or exposure to negative experiences related to swallowing.

What are the Signs and Symptoms of Phagophobia?

Phagophobia can be treated using a variety of approaches, including:

  • Cognitive-behavioral therapy (CBT): This type of therapy helps individuals identify and change negative thought patterns and behavior related to their phobia.
  • Exposure therapy: This involves gradually exposing the individual to situations or objects related to swallowing in a controlled setting while using relaxation techniques to help manage anxiety and fear.
  • Swallowing therapy: This type of therapy focuses on improving swallowing function and reducing anxiety related to swallowing.
  • Medication: Anti-anxiety medications or beta-blockers may be prescribed to help manage symptoms.

How is Phagophobia Diagnosed?

  • Phagophobia is typically diagnosed by a healthcare provider, such as a gastroenterologist or a speech-language pathologist.
  • The diagnosis is usually based on the individual's symptoms and medical history.
  • In some cases, additional testing may be required to rule out other conditions.

Many clinical conditions may have similar signs and symptoms. Your healthcare provider may perform additional tests to rule out other clinical conditions to arrive at a definitive diagnosis.

What are the possible Complications of Phagophobia?

  • If left untreated, Phagophobia can lead to significant impairment in a person's daily life.
  • It can impact their ability to eat and drink normally and may lead to social isolation or avoidance of situations or objects related to swallowing.

How is Phagophobia Treated?

Phagophobia can be treated using a variety of approaches, including:

  • Cognitive-behavioral therapy (CBT): This type of therapy helps individuals identify and change negative thought patterns and behavior related to their phobia.
  • Exposure therapy: This involves gradually exposing the individual to situations or objects related to swallowing in a controlled setting while using relaxation techniques to help manage anxiety and fear.
  • Swallowing therapy: This type of therapy focuses on improving swallowing function and reducing anxiety related to swallowing.
  • Medication: Anti-anxiety medications or beta-blockers may be prescribed to help manage symptoms.

How can Phagophobia be Prevented?

There is no guaranteed way to prevent Phagophobia. However, some strategies that may help include:

  • Seeking treatment for anxiety disorders or phobias
  • Identifying and addressing negative experiences or beliefs related to swallowing
  • Using relaxation techniques, such as deep breathing or meditation, to help manage anxiety related to swallowing

What is the Prognosis of Phagophobia? (Outcomes/Resolutions)

  • With appropriate treatment, the prognosis for Phagophobia is generally good. However, it may take time and persistence to overcome the phobia.
  • Some individuals may require ongoing treatment or support to manage their symptoms effectively.

Additional and Relevant Useful Information for Phagophobia:

The following link is a useful resource for information on other mental health conditions on DoveMed:

https://www.dovemed.com/healthy-living/emotional-well-being/

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Krish Tangella MD, MBA picture
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Krish Tangella MD, MBA

Pathology, Medical Editorial Board, DoveMed Team

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