DYSPHAGIA

If heartburn present: Consider GERD Dysphagia Neuromuscular Structural Neuromuscular Solids and/or Liquids Structural Solids only Esophageal Dysphagia Delayed Difficulty Food sticks seconds later/ Further down? Oropharyngeal Dysphagia Immediate Difficulty Difficulty initiating swallowing? Choking? Nasal Regurgitation? Intermittent Symptoms Progressive Symptoms Intermittent Symptoms Progressive Symptoms • Tumors • Zenker’s Diverticulum • Foreign Body • Myasthenia Gravis • CNS Tumors • Cerebrovascular Accident • Multiple Sclerosis • Amyotrophic Lateral Sclerosis • Polymyositis • Reflux Stricture • Esophageal Cancer • Schatzki Ring • Esophageal Web • Eosinophilic Esophagitis • Scleroderma • Achalasia • Diabetic Neuropathy • Esophageal Spasm