Esophageal Dysphagia - History and Diagnosis Algorithm

Solids only - Probably Structural

 - Intermittent, Non-Progressive: Ring and/or web

 - Progressive

    • Slow +/- reflux: Stricture

    • Rapid +/- weight losee: Cancer

Solids and Liquids - Probably Dysmotility

 - Pain+, Regurgitation++: Achalasia

 - Pain++, Regurgitation+/-: Spasm



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