Odynophagia medical therapy
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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:[1][2][3][4][5][6][7][8][9][10][11][12][13][14]
Upper respiratory tract infections:
- Antibiotics
- 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:
Lower esophageal spasms
- Antispasmodics, botulinum toxin injection
Myasthenia gravis, Polymyositis, Scelroderma:
- Antimuscarinic agents
Gastroesophageal reflux disease:
- Promotility agents, weight loss
- Avoidance of offending food
- Elevation of the head of the bed
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 | ||||||||||||||||||||||||||||||||||||||||||
References
- ↑ 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.
- ↑ Marques S, Carmo J, Pinto D, Bispo M, Ramos S, Chagas C (2017). "Cytomegalovirus Disease of the Upper Gastrointestinal Tract: A 10-Year Retrospective Study". GE Port J Gastroenterol. 24 (6): 262–268. doi:10.1159/000479232. PMC 5731150. PMID 29255766.
- ↑ Rama-López J, Tomás-Fernandez M, García-Garza C, Martínez-Madrigal M (2018). "Pharyngeal perforation after anterior cervical spine surgery treated by transoral endoscopic surgery". Head Neck. 40 (2): E13–E16. doi:10.1002/hed.25030. PMID 29206327.
- ↑ Kato MG, Isaac MJ, Gillespie MB, O'Rourke AK (2018). "The Incidence and Characterization of Globus Sensation, Dysphagia, and Odynophagia Following Surgery for Obstructive Sleep Apnea". J Clin Sleep Med. 14 (1): 127–132. doi:10.5664/jcsm.6898. PMC 5734881. PMID 29198289.
- ↑ Teixeira C, Alves AL, Cremers I (2018). "Esophageal lichen planus: a rare case". Rev Esp Enferm Dig. 110 (1): 67–68. doi:10.17235/reed.2017.5332/2017. PMID 29168645.
- ↑ Chen L, Lai Y, Dong L, Kang S, Chen X (2017). "Polysaccharides from Citrus grandis L. Osbeck suppress inflammation and relieve chronic pharyngitis". Microb Pathog. 113: 365–371. doi:10.1016/j.micpath.2017.11.018. PMID 29146495.
- ↑ Kim YJ, Park JY, Choi KY, Moon BJ, Lee JK (2017). "Case reports about an overlooked cause of neck pain: calcific tendinitis of the longus colli: Case reports". Medicine (Baltimore). 96 (46): e8343. doi:10.1097/MD.0000000000008343. PMC 5704790. PMID 29145245.
- ↑ Alamoudi U, Al-Sayed AA, AlSallumi Y, Rigby MH, Taylor SM, Hart RD; et al. (2017). "Acute calcific tendinitis of the longus colli muscle masquerading as a retropharyngeal abscess: A case report and review of the literature". Int J Surg Case Rep. 41: 343–346. doi:10.1016/j.ijscr.2017.10.063. PMC 5686463. PMID 29145108.
- ↑ 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.