smärtsmåltagningar

Smärtsmåltagningar is a Swedish term used in clinical settings to describe episodes of pain associated with eating. It is not a single disease, but a symptom complex that can arise from problems in the mouth, throat, esophagus, stomach, or dentition. Patients typically report pain during chewing or swallowing, a burning or sharp sensation in the oral cavity, or reduced appetite due to discomfort.

Common causes include dental diseases such as caries, periodontitis, or fractured teeth; mucosal infections or inflammation (stomatitis, oral candidiasis, aphthous ulcers); trauma to the lips or tongue; and other oral conditions. Esophageal or upper gastrointestinal causes include esophagitis, gastroesophageal reflux disease (GERD), strictures, peptic ulcers, or less commonly malignancy. Pain may also reflect temporomandibular joint disorders or jaw muscle strain during mastication. The symptom pattern—timing and localization—helps guide evaluation toward oral, pharyngeal, or esophagogastric sources.

Evaluation typically starts with a clinical history and physical exam, focusing on meal-related timing, associated symptoms, and red flags such as unintended weight loss or persistent dysphagia. Depending on findings, dental assessment, ENT exam, or endoscopic evaluation (upper endoscopy, imaging) may be required. Tests may include laboratory studies, imaging, or esophageal pH monitoring and manometry if reflux or motility disorders are suspected.

Management targets the underlying cause. Dental treatment for dentition problems, antifungal or antibiotic therapy for infections, topical analgesics, and appropriate medical therapy for GERD or esophagitis are common approaches. Dietary modifications—soft foods, smaller meals, avoiding irritants—can reduce symptoms. Patient education and multidisciplinary referral (dental, gastroenterology, ENT) facilitate diagnosis and treatment. Prognosis depends on the etiology and timeliness of intervention.