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

Leave a Reply

%d bloggers like this:
Malcare WordPress Security