Odynophagia history and symptoms: Difference between revisions
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== Overview == | |||
Odynophagia is symptom. History of patient having odynophagia will help in narrowing down the cause of odynophagia. Odynophagia evaluation need a detailed history, and a thorough review of symptoms that can differentiate esophageal from oropharyngeal odynophagia and help predict the specific etiology of odynophagia. | |||
==History and Symptoms== | ==History and Symptoms== | ||
Odynophagia is symptom. History of patient having odynophagia will help in narrowing down the cause of odynophagia. | Odynophagia is symptom. History of patient having odynophagia will help in narrowing down the cause of odynophagia. Odynophagia evaluation need 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: === | === Symptoms of odynosphagia: === | ||
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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 is symptom. History of patient having odynophagia will help in narrowing down the cause of odynophagia. Odynophagia evaluation need a detailed history, and a thorough review of symptoms that can differentiate esophageal from oropharyngeal odynophagia and help predict the specific etiology of odynophagia.
History and Symptoms
Odynophagia is symptom. History of patient having odynophagia will help in narrowing down the cause of odynophagia. Odynophagia evaluation need 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.[5][6][7][8][9][10][11]
| 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 |
Symptoms in Adults may Include:
- Hesitation to swallow
- Difficult or painful swallowing
- Constant feeling of a lump in the throat
- Inability to recognize food and taste it
- Food sticking in the throat
- Food coming up (regurgitation) through the throat or nose
- Chest pain or discomfort when swallowing
- Difficulty swallowing solid foods
- Excessive throat clearing
- "Gurgly" sounding voice after eating
- Hoarse voice or recurrent sore throat
- Coughing during or after swallowing
- Necessity to "wash down" solid foods
- Recurrent episodes of pneumonia
- Frequent heartburn
- Food or stomach acid backing up into your throat (acid reflux)
- Unexpected weight loss
In Infants and Children, Symptoms may Include:
- Low interest in feeding or meals
- Tension in the body while feeding
- Refusal to eat foods that have certain textures
- Lengthy feeding or eating times (30 minutes or longer)
- Food or liquid leaking from the mouth
- Coughing or gagging when eating or nursing
- Spitting up or vomiting during feeding or meals
- Strained breathing while eating and drinking
- Poor weight gain or growth
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.
- ↑ Salgado C, Garcia AM, Rúbio C, Cunha F (2017). "[Infectious Mononucleosis and Cholestatic Hepatitis: A Rare Association]". Acta Med Port. 30 (12): 886–888. doi:10.20344/amp.8715. PMID 29364802.
- ↑ So H, Park BH, Jang K, Baek H, Kim YJ (2018). "Esophagogastric Crohn's Disease Manifested by Life-Threatening Odynophagia and Chest Pain: a Case Report". J Korean Med Sci. 33 (4): e30. doi:10.3346/jkms.2018.33.e30. PMC 5760815. PMID 29318797.
- ↑ Eskander A, Monteiro E, O'Connell D, Taylor SM, Canadian Association of Head and Neck Surgical Oncology (CAHNSO) (2018). "Head and Neck Surgical Oncology Choosing Wisely Campaign: imaging for patients with hoarseness, fine needle aspiration for neck mass, and ultrasound for odynophagia". J Otolaryngol Head Neck Surg. 47 (1): 2. doi:10.1186/s40463-017-0251-x. PMC 5759226. PMID 29310719.
- ↑ Gonzales Zamora JA, Espinoza LA (2017). "Histoplasma and Cytomegalovirus Coinfection of the Gastrointestinal Tract in a Patient with AIDS: A Case Report and Review of the Literature". Diseases. 5 (4). doi:10.3390/diseases5040030. PMC 5750541. PMID 29292712.
- ↑ Miranda C, Jaker MA, Fitzhugh-Kull VA, Dever LL (2018). "Oropharyngeal histoplasmosis: The diagnosis lies in the biopsy". IDCases. 11: 33–35. doi:10.1016/j.idcr.2017.12.005. PMC 5738199. PMID 29276680.
- ↑ Jalisi S, Jamal BT, Grillone GA (2017). "Surgical Management of Long-standing Eagle's Syndrome". Ann Maxillofac Surg. 7 (2): 232–236. doi:10.4103/ams.ams_53_17. PMC 5717900. PMID 29264291.
- ↑ Jalisi S, Sakai O, Jamal BT, Mardirossian V (2017). "Features of Prevertebral Disease in Patients Presenting to a Head and Neck Surgery Clinic with Neck Pain". Ann Maxillofac Surg. 7 (2): 228–231. doi:10.4103/ams.ams_54_17. PMC 5717899. PMID 29264290.