Odynophagia history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
History and Symptoms
Odynophagia is symptom. History of patient having odynophagia will help in narrowing down the cause of odynophagia. The cornerstone of any dysphagia evaluation is a detailed history, and a thorough review of symptoms that can differentiate esophageal from oropharyngeal odynophagia and help predict the specific etiology of odynophagia. How a patient describes his or her difficulty and its timing, associated symptoms, and other characterizations may specifically denote the anatomic level of swallowing dysfunction. Following are important aspects of history which need to be addressed.
Symptoms of odynosphagia:
Evaluation and management of odynophagia needs following Initial steps :[1][2][3][4]
- Confirming the presence of a swallowing dysfunction.
- Defining its anatomic level (oropharyngeal vs esophageal)
- Mechanism (inflammatory vs mechanical)
- Underlying specific etiology; and ascertaining the integrity of oropharyngeal swallow and the degree of risk or presence of silent or overt aspiration. Subsequent assessment must determine the patients abilities and impairments and the degree to which these impairments can be improved.
| Causes | Pain | History finding |
|---|---|---|
| URTI | Acute pain | Changed in voice, fever, runny nose |
| Tumors | Dull Pain | Loss of weight and appetite, risk factors, may have dysphagia |
| Foreign body | Acute pain | History of foreign body intake |
| GERD | Buring pain | Pain worse at nights,decrease food intake but normal appetite |
| Esophagitis | Burning pain | Resternal pain on swallowing, food aversion, risk factor |
References
- ↑ Jamieson J, Hinder RA, DeMeester TR, Litchfield D, Barlow A, Bailey RT (1989). "Analysis of thirty-two patients with Schatzki's ring". Am J Surg. 158 (6): 563–6. PMID 2589590.
- ↑ Hendrix TR (1980). "Schatzki ring, epithelial junction, and hiatal hernia--an unresolved controversy". Gastroenterology. 79 (3): 584–5. PMID 7429120.
- ↑ Bakari G, Benelbarhdadi I, Bahije L, El Feydi Essaid A (2014). "Endoscopic treatment of 135 cases of Plummer-Vinson web: a pilot experience". Gastrointest Endosc. 80 (4): 738–41. doi:10.1016/j.gie.2014.05.332. PMID 25085338.
- ↑ Bakshi SS (2016). "Plummer-Vinson Syndrome". Mayo Clin Proc. 91 (3): 404. doi:10.1016/j.mayocp.2015.11.002. PMID 26944249.