Dysphagia history and symptoms: Difference between revisions
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== 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. | 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. Specific points to focus in history of patient presenting with dysphagia include | ||
* Past Medical History | |||
** Recent [[stroke]] | |||
** [[Neuromuscular disease]] | |||
** [[Hypertension]] | |||
** [[Diabetes mellitus]] (DM) | |||
** [[Thyroid disease]] | |||
** [[Cancer]] | |||
* Medication history | * Medication history | ||
* History of alcohol and smoking | ** History of use of any medications such as: | ||
** | |||
* Social History | |||
** History of [[alcohol]] and [[smoking]] | |||
* Travel history ([[Chagas disease|Chaga's disease]]) | * Travel history ([[Chagas disease|Chaga's disease]]) | ||
Revision as of 15:52, 23 February 2018
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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. Specific points to focus in history of patient presenting with dysphagia include
- Past Medical History
- Medication history
- History of use of any medications such as:
- Social History
- 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 | |
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Oropharyngeal dysphagia | Esophageal dysphagia |
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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.