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Dysphagia

Felix B. Chang, MD, DABMA, FAAMA Reviewed 06/2018
 


BASICS

Difficulty transmitting the alimentary bolus from the mouth to stomach 

DESCRIPTION

  • Oropharyngeal dysphagia: difficulty transferring food bolus from oropharynx to proximal esophagus

  • Esophageal dys...

DIAGNOSIS

HISTORY

  • Dysphagia to both solids and liquids from the onset of deglutition likely represents an esophageal motility disorder.

  • Oropharyngeal dysphagia presents as difficulty initiating the swal...

TREATMENT

GENERAL MEASURES

Exclude cardiac disease. Ensure airway patency and adequate pulmonary function. Assess nutritional status. Speech therapy evaluation is helpful. 

MEDICATION

First Line

  • For esoph...

ONGOING CARE

DIET

See “General Prevention.” 

PATIENT EDUCATION

Dietary modification; no eating at bedtime; remaining upright after eating; smoking cessation 

PROGNOSIS

Vary with specific diagnosis 

COMPLICATIONS

REFERENCES

1
1 American College of Radiology. ACR appropriateness criteria for dysphagia. https://www.guidelinecentral.com/summaries/acr-appropriateness-criteria-dysphagia/. Accessed October 4, 2017.
2
2...

ADDITIONAL READING

  • Jones K, Pitceathly RD, Rose MR, et al. Interventions for dysphagia in long-term, progressive muscle disease. Cochrane Database Syst Rev.  2016;(2):CD004303. {L-End} {L-End} ...

CODES

ICD10

  • R13.10 Dysphagia, unspecified

  • R13.12 Dysphagia, oropharyngeal phase

  • R13.14 Dysphagia, pharyngoesophageal phase

  • Q39.3 Congenital stenosis and stricture of esophagus

  • R13.19 Other dysphagia

  • R13.13 ...

CLINICAL PEARLS

  • Dysphagia is an alarm symptom that warrants prompt evaluation to define the exact cause and initiate appropriate therapy.

  • Patients with oropharyngeal dysphagia usually report feeling an...

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