Dysphagia

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Difficulty swallowing. Not to be confused with Dysphasia. Pain on swallowing is odynophagia.

When taking a history it is useful to know:

  • Time scale: Sudden/progressive; days/months?
  • Solids/liquids or both?
  • Presence/absence of neurological problems
  • Weight loss
  • Systemic features

Contents

Causes/Differential diagnosis

Outside the wall

  • Mediastinal lymphadenopathy
  • left atrial hypertrophy
  • goitre

In the wall

Intraluminal

Psychosomatic

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