Dysphagia

Posted by e-Medical PPT Sunday, August 15, 2010
Dysphagia is difficulty swallowing.Dysphagia is classified as oropharyngeal or esophageal, depending on where it occurs.Oropharyngeal dysphagia is difficulty emptying material from the oropharynx into the esophagus. Most often, oropharyngeal dysphagia occurs in patients with neurologic conditions or muscular disorders.Esophageal dysphagia is difficulty passing food down the esophagus. It results from either a motility disorder or a mechanical obstruction.Patients with esophageal dysphagia may have other symptoms
  • Discomfort to severe pain, with the patient nearly always unable to locate the obstruction accurately.
  • Regurgitation, vomiting, coughing and choking are common.
Idiopathic achalasia presents with dysphagia for solids and also regurgitation of a bland tasting material that has never entered the stomach.
Dysphagia for solids alone suggests mechanical obstruction, but for both solids and liquids is nonspecific.
Drooling and spilling food from the mouth while eating or nasal regurgitation suggests an oropharyngeal disorder.
Regurgitation of a small amount of food on lateral compression of the neck is virtually diagnostic of pharyngeal diverticulum.

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