DYSPHAGIA

DYSPHAGIA If heartburn present: Consider GERD Dysphagia Structural Neuromuscular/Toxic/Metabolic Functional Motor Disorder Solids and/or Liquids Mechanical Obstruction 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 SymptomsIntermittent 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 Scleroderma Achalasia Diabetic Neuropathy Esophageal Spasm