Dysphagia
June is Dysphagia Awareness Month. I want to write an article on this to share people's personal stories mixed with research on my blog.

My email address is: emilysstomach@gmail.com if you would like to email your story and/or pictures.

I just wanted to ask some questions because I do have personal experience with dysphagia, but wanted to include other people's experiences because it might reach someone who is going through the same thing that might not know what dysphagia is.

Email address *
Dysphagia Information
When did you realize you had Dysphagia? *
Your answer
What were your symptoms? *
Your answer
When were you diagnosed? *
Your answer
How were you diagnosed? What tests did you have to do? *
Your answer
What did the doctors do for you in the way of treatment? *
Your answer
What kind of Dysphagia do you have? Esophageal Dysphagia? Oropharyngeal Dysphagia? *
Your answer
Do you know what the cause of your Dysphagia was? *
Your answer
Do you have any advice for people who may have just been diagnosed with Dysphagia? *
Your answer
Do you have Gastroparesis as well? *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.