Odynophagia differential diagnosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sunny Kumar MD [2]
Overview
Odynophagia should be differentiated from dysphagia (difficulty in swallowing). There are many causes of odynophagia. They can also be differentiated with help of appropriate H & E and diagnostic procedures.[1][2][3][4][5]
Differentiating odynopaghia from dysphagia:
| Factor | Odynopagia | Dysphagia |
|---|---|---|
| Defination | Pain in swallowing | Inability to start or continue to swallow |
| Pathophysiology | Irritation of sensory nerves | Motor nerves paralysis or mechanical obstruction |
| Involved areas | Pharynx and esophagus | Motor nerves or esophagus |
Odynophagia differentials:
| Causes | Pain | History finding | Examination finding | Diagnostic test |
|---|---|---|---|---|
| URTI | Acute pain | Change in voice, fever, runny nose | inflamed oral mucosa, enlarged lymph nodes or tonsils | Oral swab culture |
| Tumors | Dull Pain | Loss of weight and appetite, risk factors, may have dysphagia | swelling may be seen, tumor may spread to lymph nodes | Endoscopy |
| Foreign body | Acute pain | History of foreign body intake | Foreign body may be seen, surrounding area may be inflamed | Laryngoscopy |
| GERD | Burning pain | Pain worse at night, decrease food intake but normal appetite | Oral mucosa normal, mild tender epigastrium | Manomatary |
| Esophagitis | Burning pain | Retrosternal pain on swallowing, food aversion | Oral mucosa normal | Endoscopy |
References
- ↑ Sopeña B, Limeres J, García-Caballero L, Diniz-Freitas M, Seoane J, Diz P (2018). "A Dramatic Case of Odynophagia". Dysphagia. 33 (1): 133–135. doi:10.1007/s00455-017-9861-8. PMID 29128948.
- ↑ Fukuda S, Watanabe N, Domen T, Ishioka M, Sawaguchi M, Ohba R; et al. (2018). "A case of esophageal actinomycosis with a unique morphology presenting as a refractory ulcer". Clin J Gastroenterol. 11 (1): 38–41. doi:10.1007/s12328-017-0797-1. PMID 29124648.
- ↑ Chi TH, Hung CC, Chen RF, Yuan CH, Chen JC (2017). "Spontaneous retropharyngeal emphysema: A case report". Niger J Clin Pract. 20 (9): 1213–1215. doi:10.4103/njcp.njcp_3_16. PMID 29072250.
- ↑ Jovov B, Reed CC, Shaheen NJ, Pruitt A, Ferrell K, Orlando GS; et al. (2017). "Fragments of e-Cadherin as Biomarkers of Non-erosive Reflux Disease". Dig Dis Sci. doi:10.1007/s10620-017-4815-4. PMID 29071486.
- ↑ Althuwaini S, Bamehriz F, Aldohayan A, Alshammari W, Alhaidar S, Alotaibi M; et al. (2017). "Prevalence and Predictors of Gastroesophageal Reflux Disease After Laparoscopic Sleeve Gastrectomy". Obes Surg. doi:10.1007/s11695-017-2971-4. PMID 29043549.