x
182 Physicians Online

Question:

Uvula deviation and gag reflex

Dear Ask The Doctor:
I noticed tonight that my uvula deviates to the left. I don't spend much time looking at it, so I'd never noticed it before. There are no oropharyngeal masses or tonsilar inflammation. I know uvular deviation can indicate a vagus motor lesion, but I am not experiencing any associated symptoms. I am wondering if this is something I should be concerned about or if there are cases of nonpathological uvular deviation?


Answer:

The is innervated by the vagus nerve (Cranial Nerve X). Deviation of the uvula to one side implies a lower motor lesion of the vagus nerve opposite to the side the uvula is deviating to. An upper motor neuron vagus nerve lesion will present with the uvula deviating toward the side of the lesion. I would advise attending your family physician for history of any associated symptoms (difficulty swallowing, speech problems, nasal regurgitation, hoarseness) and physical examination including cranial nerve examination and testing the gag reflex, which is innervated by the vagus nerve, to identify any cranial nerve pathology and investigation as appropriate.


Have a Question? Ask The Doctor Here.

Sign In to join in the conversation.

You’re in good hands, meet ATD’s founding physicians.

Dr. Suneel Sharman M.D.

  • Board Certified GP
  • CMO ATD Health Network Inc.
  • Adjunct Professor at U Of T

Dr. Patrick Golden M.D.

  • Board Certified Cardiologist
  • Founder AskTheDoctor.com
  • Practices in Fresno, CA

Related Answers:

About four years ago, while in the shower, I suddenly felt very dizzy and nauseous. Feeling as if I may pass out or v...

Hello Doctor, Greetings of the day! Please read the description of my query below: Background: Its very hot in De...

Sir i am tottaly confused how to remove this habits in my bottom of my had for shacking penis. everyday i will shack ...

My friend age 20 year met an accident 1 yr ago. doctor said that there is a blood clot in a nerves of her brain, but ...

I have Parkinson's Disease for three years and a DVT blood clot behind my left knee for three months. I don't believ...

Why do I get goose bumps when I have diarrhea? And why do i get diarrhea so much? i also get diarrhea when i have st...

I woke up dizzy this morning and haven't been able to shake it. It's not quite as bad as when you stand up too quickl...

For years I have had a deep achy feeling all over that isn't like a skin itch, but my natural reaction is to scratch,...

I am getting shock like pain on the back of my head (right side) for years. Now it has spread to other parts of my he...

Slightly numb inner second toe on both feet. (Four about 4 weeks since wearing uncomfortable heels) nerve compression?