Odynophagia medical therapy: Difference between revisions
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* Propelling agents (Barium swallow as coin in children ) | * Propelling agents (Barium swallow as coin in children ) | ||
* NSAIDS | * NSAIDS | ||
'''Approaching patient with Odynophagia''' | |||
{{Family tree/start}} | |||
{{Family tree | | | | | | | A01 | | | |A01='''Alarm findings:'''<br>Odynophagia<br>Dysphagia<br>Weight loss<br>Anorexia }} | |||
{{Family tree | | | |,|-|-|-|^|-|-|.| | }} | |||
{{Family tree | | | |!| | | | | | B02 | | |B02='''If present:'''<br>upper gut endoscopy }} | |||
{{Family tree | | | |)|-|-|-|-|-|^|-|.| }} | |||
{{Family tree | | | C01 | | | | | | | C02 | |C01='''If normal'''<br>Proton pump inhibitors<br>therapeutic or empirical|C02=If mucousal abnormality<br>seen than treat }} | |||
{{Family tree | |,|-|^|-|-|-|-|-|-|-|-|.| | | | | }} | |||
{{Family tree | | D01 | | | | | | | | D02 | | |D01='''If patient benefits'''<br>taper dose and maintain|D02='''If no benefit'''<br>order manomatery }} | |||
{{Family tree | | | | | | | |,|-|-|-|-|+|-|-|-|-|-|.| | }} | |||
{{Family tree | | | | | | | E01 | | | E02 | | | | |!| | |E01='''Manomatery shows'''<br>Achlasia|E02='''Manomatery shows'''<br>Spastic motility disorders<br>Nutcracker esophagus<br>DES<br>Hypertonic LES }} | |||
{{Family tree | | | | | | |!| | | | |!| | | | | | |!| | | }} | |||
{{Family tree | | | | | | F01 | | | |`|-|-|-|-| F02 | |F01='''Treat with'''<br>medicine<br>surgery<br>endoscopic procedure|F02='''Manomatery shows'''<br>Normal tone<br>Trear with pain killers }} | |||
{{Family tree/end}} | |||
==References== | ==References== | ||
Revision as of 03:49, 5 February 2018
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Odynophagia Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Odynophagia medical therapy On the Web |
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American Roentgen Ray Society Images of Odynophagia medical therapy |
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Risk calculators and risk factors for Odynophagia medical therapy |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sunny Kumar MD [2]
Medical Therapy overview
The treatment of odynophagia depends on it's etiology.
Medical Therapy of common causes of odynophagia:
Following are few common conditions of odynophagia. These conditions are managed accordingly:
Upper respiratory tract infections:
- Antibiotics
- Cephalosporins,
- penecillins.
- macrolides
- Vancomycin
- Anti tuberculosis therapy
- Soothing agents
- marshmallow plan
- Sage
- echinacea
- Apple cider vinegar
- Salt water gargle
- Honey
- Licorice root
- Lemon water
- Ginger root tea
- Coconut oil
- Cinnamon
- Plenty of fluids
- Chicken soup
- Peppermint tea
- Chamomile tea
- Herbal throat lozenges.
Amyotrophic lateral sclerosis:
- Anticholinergics
Lower esophageal spasms
- Anticholinergics
- Antispasmodics, botulinum toxin injection
- (lower esophageal spasm)
Myasthenia gravis, Polymyositis Scelroderma:
- Glucocorticoids
- Muscarinic agents
Gastroesophageal reflux disease:
- Proton pump inhibitors
- Promotility agents, weight loss
- Avoidance of offending foods
- Elevated sleeping
Tumors of esophagus, lung or oral cavity:
- Surgical therapy
- Radiation therapy
- Anti-tumor medication
- Soothing agents
- NSAIDS
- Morphine
Foreign body:
- Surgical removal
- Propelling agents (Barium swallow as coin in children )
- NSAIDS
Approaching patient with Odynophagia
| Alarm findings: Odynophagia Dysphagia Weight loss Anorexia | |||||||||||||||||||||||||||||||||||||||||||
| If present: upper gut endoscopy | |||||||||||||||||||||||||||||||||||||||||||
| If normal Proton pump inhibitors therapeutic or empirical | If mucousal abnormality seen than treat | ||||||||||||||||||||||||||||||||||||||||||
| If patient benefits taper dose and maintain | If no benefit order manomatery | ||||||||||||||||||||||||||||||||||||||||||
| Manomatery shows Achlasia | Manomatery shows Spastic motility disorders Nutcracker esophagus DES Hypertonic LES | ||||||||||||||||||||||||||||||||||||||||||
| Treat with medicine surgery endoscopic procedure | Manomatery shows Normal tone Trear with pain killers | ||||||||||||||||||||||||||||||||||||||||||