x
152 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.



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. Kunaal Jindal M.D.

  • Board Certified Plastic Surgeon
  • Director ATD Health Network Inc.
  • Fellowship Training Atlanta, GA

Related Answers:

45 Years old diagnosed with GI Tuberculosis in 2005 and treated with ATT for nine months, In 2006 June she was diagno...

Hello, Recently i have been feeling the blood pumping through veins in my head and at times my right leg. Prior to...

Dear, after the earthquake, I'm feeling like always it is going on and feeling pain in my brain. I'm feeling body imb...

I am taking topamax for migranes/ a concussion is it safe for me to drink alcohol or smoke marijuana? would there be ...

Hello, Today, stupidly my friends and I played the pass out game. I did this in the way that does not damage your he...

Starting 4 days ago i have been experiencing episodes of what is basically the same symptoms as Nystagmus. Every day,...

A friend is trying to stop drinking and has repeated seizures and blackouts. Prescribed (sp?) clonopin (grk? I think...

Dear Doctor, I am a male 43 years old and occasionally (3-4 times a year) experiencing episodes of a sudden impaired...

I was on Zoloft since March 20. First 12.5 mg, second week, 25 mg, thrid week 37.5 mg and forth week 50 mg. Took 50...

Last night I strained myself while using the bathroom, when I got in the shower I noticed that I had the taste of blo...