Epistemis

Dysphagia

Specialty: Gastrointestinal.

  • difficulty swallowing
  • choking

Why it occurs

  • Esophageal motor disorder
  • Stenosis (peptic or tumor)
  • Stroke / neurological cause
  • Esophageal ring/membrane
  • Reflux

Initial workup

Distinguish oropharyngeal/esophageal; upper digestive endoscopy; barium transit.

red flags

Progressive dysphagia to solids with weight loss, or sudden onset after stroke → urgent study (neoplasia / bronchoaspiration).

Standard management

  • Treat the cause — the approach is etiological
  • IBP — if esophagitis/peptic stricture

Educational guidance for study. It is NOT a prescription recommendation. The actual choice depends on the cause, the patient, and current guidelines.

PreviousDifficulty swallowing
Area
Gastrointestinal
Listed causes
5
Treatment options
2
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