Dysphagia history and symptoms: Difference between revisions
Aditya Ganti (talk | contribs) |
Aditya Ganti (talk | contribs) |
||
Line 7: | Line 7: | ||
== History == | == History == | ||
Obtaining the history is the most important aspect of making a [[diagnosis]] of dysphagia. It provides insight into the [[Causality|cause]], precipitating factors and associated [[comorbid]] conditions. | |||
* Medication history | |||
* History of alcohol and smoking | |||
* Travel history ([[Chagas disease|Chaga's disease]]) | |||
==Symptoms of | ==Symptoms of Dysphagia== | ||
Evaluation and management of dysphagia is a multidimensional task and requires a multidisciplinary approach. Initial steps include the following:<ref name="pmid2589590">{{cite journal| author=Jamieson J, Hinder RA, DeMeester TR, Litchfield D, Barlow A, Bailey RT| title=Analysis of thirty-two patients with Schatzki's ring. | journal=Am J Surg | year= 1989 | volume= 158 | issue= 6 | pages= 563-6 | pmid=2589590 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2589590 }} </ref><ref name="pmid7429120">{{cite journal| author=Hendrix TR| title=Schatzki ring, epithelial junction, and hiatal hernia--an unresolved controversy. | journal=Gastroenterology | year= 1980 | volume= 79 | issue= 3 | pages= 584-5 | pmid=7429120 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7429120 }} </ref><ref name="pmid25085338">{{cite journal| author=Bakari G, Benelbarhdadi I, Bahije L, El Feydi Essaid A| title=Endoscopic treatment of 135 cases of Plummer-Vinson web: a pilot experience. | journal=Gastrointest Endosc | year= 2014 | volume= 80 | issue= 4 | pages= 738-41 | pmid=25085338 | doi=10.1016/j.gie.2014.05.332 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25085338 }} </ref><ref name="pmid26944249">{{cite journal| author=Bakshi SS| title=Plummer-Vinson Syndrome. | journal=Mayo Clin Proc | year= 2016 | volume= 91 | issue= 3 | pages= 404 | pmid=26944249 | doi=10.1016/j.mayocp.2015.11.002 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26944249 }} </ref><ref name="pmid12858606">{{cite journal| author=Lind CD| title=Dysphagia: evaluation and treatment. | journal=Gastroenterol Clin North Am | year= 2003 | volume= 32 | issue= 2 | pages= 553-75 | pmid=12858606 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12858606 }} </ref><ref name="NavaneethanEubanks2015">{{cite journal|last1=Navaneethan|first1=Udayakumar|last2=Eubanks|first2=Steve|title=Approach to Patients with Esophageal Dysphagia|journal=Surgical Clinics of North America|volume=95|issue=3|year=2015|pages=483–489|issn=00396109|doi=10.1016/j.suc.2015.02.004}}</ref> | Evaluation and management of dysphagia is a multidimensional task and requires a multidisciplinary approach. Initial steps include the following:<ref name="pmid2589590">{{cite journal| author=Jamieson J, Hinder RA, DeMeester TR, Litchfield D, Barlow A, Bailey RT| title=Analysis of thirty-two patients with Schatzki's ring. | journal=Am J Surg | year= 1989 | volume= 158 | issue= 6 | pages= 563-6 | pmid=2589590 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2589590 }} </ref><ref name="pmid7429120">{{cite journal| author=Hendrix TR| title=Schatzki ring, epithelial junction, and hiatal hernia--an unresolved controversy. | journal=Gastroenterology | year= 1980 | volume= 79 | issue= 3 | pages= 584-5 | pmid=7429120 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7429120 }} </ref><ref name="pmid25085338">{{cite journal| author=Bakari G, Benelbarhdadi I, Bahije L, El Feydi Essaid A| title=Endoscopic treatment of 135 cases of Plummer-Vinson web: a pilot experience. | journal=Gastrointest Endosc | year= 2014 | volume= 80 | issue= 4 | pages= 738-41 | pmid=25085338 | doi=10.1016/j.gie.2014.05.332 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25085338 }} </ref><ref name="pmid26944249">{{cite journal| author=Bakshi SS| title=Plummer-Vinson Syndrome. | journal=Mayo Clin Proc | year= 2016 | volume= 91 | issue= 3 | pages= 404 | pmid=26944249 | doi=10.1016/j.mayocp.2015.11.002 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26944249 }} </ref><ref name="pmid12858606">{{cite journal| author=Lind CD| title=Dysphagia: evaluation and treatment. | journal=Gastroenterol Clin North Am | year= 2003 | volume= 32 | issue= 2 | pages= 553-75 | pmid=12858606 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12858606 }} </ref><ref name="NavaneethanEubanks2015">{{cite journal|last1=Navaneethan|first1=Udayakumar|last2=Eubanks|first2=Steve|title=Approach to Patients with Esophageal Dysphagia|journal=Surgical Clinics of North America|volume=95|issue=3|year=2015|pages=483–489|issn=00396109|doi=10.1016/j.suc.2015.02.004}}</ref> | ||
Line 16: | Line 20: | ||
* Underlying specific etiology; and ascertaining the integrity of oropharyngeal swallow and the degree of risk or presence of silent or overt aspiration. Subsequent assessment must determine the patients abilities and impairments and the degree to which these impairments can be improved. | * Underlying specific etiology; and ascertaining the integrity of oropharyngeal swallow and the degree of risk or presence of silent or overt aspiration. Subsequent assessment must determine the patients abilities and impairments and the degree to which these impairments can be improved. | ||
{| class="wikitable" | {| class="wikitable" | ||
!Symptoms | ! colspan="2" |Symptoms | ||
|- | |- | ||
! | !Oropharyngeal dysphagia | ||
! | !Esophageal dysphagia | ||
|- | |- | ||
| | | | ||
Line 32: | Line 35: | ||
* "Gurgly" sounding voice after eating | * "Gurgly" sounding voice after eating | ||
* Food or stomach acid backing up into your throat | * Food or stomach acid backing up into your throat | ||
| | |||
* Sensation of food obstruction in the passage from the upper esophagus to the stomach | |||
* Difficulty initiating a swallow | |||
* Patient points to the suprasternal notch or behind the sternum as the site of obstruction | |||
|} | |} | ||
==== | ==== Less commonly associated symptoms of dysphagia ==== | ||
* Weight loss | Less common symptoms of dysphagia include: | ||
* [[Weight loss]] | |||
* | * [[Anemia]] | ||
* | * [[Heartburn]] | ||
==References== | ==References== |
Revision as of 15:42, 23 February 2018
Dysphagia Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Dysphagia history and symptoms On the Web |
American Roentgen Ray Society Images of Dysphagia history and symptoms |
Risk calculators and risk factors for Dysphagia history and symptoms |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Feham Tariq, MD [2]
Overview
The most important factor in the evaluation of all types of dysphagia is a detailed history, and a thorough review of symptoms that can differentiate esophageal from oropharyngeal dysphagia and help predict the specific etiology. How a patient describes the symptoms and their timing, associated historical features, and other characterizations may specifically denote the anatomic level of swallowing dysfunction.
History
Obtaining the history is the most important aspect of making a diagnosis of dysphagia. It provides insight into the cause, precipitating factors and associated comorbid conditions.
- Medication history
- History of alcohol and smoking
- Travel history (Chaga's disease)
Symptoms of Dysphagia
Evaluation and management of dysphagia is a multidimensional task and requires a multidisciplinary approach. Initial steps include the following:[1][2][3][4][5][6]
- Confirming the presence of a swallowing dysfunction.
- Defining its anatomic level (oropharyngeal vs esophageal) [7]
- Mechanism (motor vs mechanical)
- Underlying specific etiology; and ascertaining the integrity of oropharyngeal swallow and the degree of risk or presence of silent or overt aspiration. Subsequent assessment must determine the patients abilities and impairments and the degree to which these impairments can be improved.
Symptoms | |
---|---|
Oropharyngeal dysphagia | Esophageal dysphagia |
|
|
Less commonly associated symptoms of dysphagia
Less common symptoms of dysphagia include:
References
- ↑ Jamieson J, Hinder RA, DeMeester TR, Litchfield D, Barlow A, Bailey RT (1989). "Analysis of thirty-two patients with Schatzki's ring". Am J Surg. 158 (6): 563–6. PMID 2589590.
- ↑ Hendrix TR (1980). "Schatzki ring, epithelial junction, and hiatal hernia--an unresolved controversy". Gastroenterology. 79 (3): 584–5. PMID 7429120.
- ↑ Bakari G, Benelbarhdadi I, Bahije L, El Feydi Essaid A (2014). "Endoscopic treatment of 135 cases of Plummer-Vinson web: a pilot experience". Gastrointest Endosc. 80 (4): 738–41. doi:10.1016/j.gie.2014.05.332. PMID 25085338.
- ↑ Bakshi SS (2016). "Plummer-Vinson Syndrome". Mayo Clin Proc. 91 (3): 404. doi:10.1016/j.mayocp.2015.11.002. PMID 26944249.
- ↑ Lind CD (2003). "Dysphagia: evaluation and treatment". Gastroenterol Clin North Am. 32 (2): 553–75. PMID 12858606.
- ↑ Scheurer U (1991). "[Dysphagia]". Ther Umsch. 48 (3): 150–61. PMID 2042117.