Dysphagia

DYSPHAGIA


DYSPHAGIA

  • Dysphagia is difficulty with swallowing.

Classification-

I) Based on location-

  1. Oropharyngeal dysphagia- transfer of food from oral cavity to upper oesophagus. Occurs in voluntary phase.
  2. Esophageal dysphagia- transport food into the stomach. Occurs in involuntary phase.

II) Based on onset-

  1. Acute- common in children
  2. Chronic

III)  Based on progression-

  1. Progressive
  2. Intermittent

Causes-

 Clinical features-

  • Pain and difficulty in swallowing
  • Nasal regurgitation
  • Coughing or gagging while swallowing
  • Dysarthria
  • Loss of weight

Carcinoma oesophagus or haropharynx

Investigations-

  • Barium swallow examination- pharyngeal pouch, webs & strictures
  • Oesophagoscopy (1st investigations) & gastroscopy- strictures or achlasia
  • CT scan- for malignancy stages, for solid
  • Endoscopic ultrasound- abnormalities within the wall
  • 24hr pH monitoring for GERD
  • Manometry- achlasia, DES

Treatment-

  • Drug therapy for GERD, motility disorders
  • Endoscopy- foreign body removal
  • Chemoradiation
  • Dilation- stricture, achlasia
  • Surgery

Exam Important

Classification-

I) Based on location-

  1. Oropharyngeal dysphagia- transfer of food from oral cavity to upper oesophagus. Occurs in voluntary phase.
  2. Esophageal dysphagia- transport food into the stomach. Occurs in involuntary phase.

II) Based on onset-

  1. Acute- common in children
  2. Chronic

III)  Based on progression-

  1. Progressive
  2. Intermittent

Causes-

Classification-

I) Based on location-

  1. Oropharyngeal dysphagia- transfer of food from oral cavity to upper oesophagus. Occurs in voluntary phase.
  2. Esophageal dysphagia- transport food into the stomach. Occurs in involuntary phase.

II) Based on onset-

  1. Acute- common in children
  2. Chronic

III)  Based on progression-

  1. Progressive
  2. Intermittent

Causes-  

 Clinical features-

  • Pain and difficulty in swallowing
  • Nasal regurgitation
  • Coughing or gagging while swallowing
  • Dysarthria
  • Loss of weight

Investigations-

  • Barium swallow examination- pharyngeal pouch, webs & strictures
  • Oesophagoscopy (1st investigations) & gastroscopy- strictures or achlasia
  • CT scan- for malignancy stages
  • Endoscopic ultrasound- abnormalities within the wall
  • 24hr pH monitoring for GERD
Don’t Forget to Solve all the previous Year Question asked on DYSPHAGIA

Module Below Start Quiz

This site uses Akismet to reduce spam. Learn how your comment data is processed.

%d bloggers like this:
Malcare WordPress Security