Odynophagia
You don't need to be Editor-In-Chief to add or edit content to WikiDoc. You can begin to add to or edit text on this WikiDoc page by clicking on the edit button at the top of this page. Next enter or edit the information that you would like to appear here. Once you are done editing, scroll down and click the Save page button at the bottom of the page.
|
WikiDoc Resources for Odynophagia | |
|
Articles | |
|---|---|
|
Most recent articles on Odynophagia Most cited articles on Odynophagia | |
|
Media | |
|
Powerpoint slides on Odynophagia | |
|
Evidence Based Medicine | |
|
Clinical Trials | |
|
Ongoing Trials on Odynophagia at Clinical Trials.gov Clinical Trials on Odynophagia at Google
| |
|
Guidelines / Policies / Govt | |
|
US National Guidelines Clearinghouse on Odynophagia
| |
|
Books | |
|
News | |
|
Commentary | |
|
Definitions | |
|
Patient Resources / Community | |
|
Patient resources on Odynophagia Discussion groups on Odynophagia Patient Handouts on Odynophagia Directions to Hospitals Treating Odynophagia Risk calculators and risk factors for Odynophagia
| |
|
Healthcare Provider Resources | |
|
Causes & Risk Factors for Odynophagia | |
|
Continuing Medical Education (CME) | |
|
International | |
|
| |
|
Businness | |
|
Experimental / Informatics | |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Phone:617-525-6884
Please Take Over This Page and Apply to be Editor-In-Chief for this topic: There can be one or more than one Editor-In-Chief. You may also apply to be an Associate Editor-In-Chief of one of the subtopics below. Please mail us [2] to indicate your interest in serving either as an Editor-In-Chief of the entire topic or as an Associate Editor-In-Chief for a subtopic. Please be sure to attach your CV and or biographical sketch.
Odynophagia is defined as painful swallowing.
- Dysphagia is defined as difficulty in swallowing
- Dysphagia is usually due to muscle or nerve control
Diagnosis
History and Symptoms
- Onset
- Severity
- Duration
- Dysphagia with liquids versus solids
- Psychiatric history
- Prior episodes
- Substance exposure
- History of neck and head problems
Laboratory Findings
Electrolyte and Biomarker Studies
- Creatinine phosphokinase (CPK) can be used to rule out cardiac ischemia as a cause.
Electrocardiogram
Can be used to assess for left atrial enlargement.
Chest X Ray
Can used to rule out lung cancer and other mass lesions as well as left atrial enlargement.
MRI and CT
- MRI of brain can be used to exclude CVA and mass lesions of the head and neck.
Echocardiography or Ultrasound
Can be used to rule out an aneurysm or left atrial enlargement as a cause.
Other Diagnostic Studies
- Esophagogastroduodenoscopy (OGD)
- Biopsy
- Barium swallow
- Electromyogram (EMG)
- Nerve conduction tests
- Esophageal manometry
Differential Diagnosis
In alphabetical order. [1] [1]
- Abscesses
- Achalasia
- Aerophagia
- Agranulocytosis
- Alcoholism
- Allergic swelling
- Amyloidosis
- Amyotrophic Lateral Sclerosis (ALS)
- Angina tonsillaris
- Anxiety disorders
- Aortic aneurysm
- Aspiration of foreign body
- Barret's Syndrome
- Behcet's Syndrome
- Botulism
- Brainstem stroke
- Bronchial carcinoma
- Bulbar palsy
- Candidiasis
- Cascade stomach
- Central hypoglossal nerve paralysis
- Central vagal nucleus lesion
- Cerebrovascular accident (CVA)
- Chagas Disease
- Chemical burns
- CREST syndrome (calcinosis raynaud's phenomenon esophagus sclerodactyly telangiectasias)
- Cytomegalovirus (CMV)
- Dermatomyositis
- Diabetic neuropathy
- Diphtheria
- Diverticulum
- Enlarged left atrium
- Esophageal cancer
- Esophageal Crohn's disease
- Esophageal diverticulum
- Esophageal moniliasis
- Esophageal sarcoidosis
- Esophageal spasm
- Esophageal trauma
- Esophagotracheal fistula
- Extreme spinal curvature
- Fibrosis
- Food bolus
- Gastric tumors
- Gastritis
- Gastroparesis
- Global hystericus
- Globus syndrome
- Goiter
- Graft versus host reaction
- Guillain-Barre Syndrome
- Herpangina
- Herpes simplex virus (HSV)
- Hiatal hernia
- Huntington's chorea
- Hyperthyroidism
- Hypokalemia
- Hypothyroidism
- Idiopathic human immunodeficiency virusHIV ulcers
- Impaired sensitivity in the larynx
- Intramural pseudodiverticulosis
- Laryngeal cancer
- Lateral funiculus angina
- Leiomyoma
- Ludwig's angina
- Lymph granulomatosis
- Lymphadenopathy
- Medication-induced esophagitis
- Mononucleosis
- Multiple Sclerosis
- Mumps
- Myasthenia Gravis
- Neoplastic (external compression)
- Nutcracker esophagus
- Oral candidiasis
- Osteophytes
- Palatoplegia after damage to the vagal nerve or the accessory nerve
- Paraneoplastic syndrome
- Parkinson's Disease
- Peptic stenosis
- Peripheral neuropathy
- Peripheral tongue paralysis with lesions of the hypoglossal nerve
- Pharyngitis
- Pleural and pericardial causes
- Plummer-Vinson Syndrome
- Poliomyelitis
- Polyradiculitis
- Pseudoachalasia
- Pseudobulbar paralysis
- Pyloric stenosis
- Rabies
- Radiation esophagitis
- Reflux esophagitis
- Rheumatoid Arthritis
- Scarlet Fever
- Schatzki ring
- Scleroderma
- Stevens-Johnson Syndrome
- Stomatitis
- Syringobulbia
- Systemic Lupus Erythematosus
- Tetanus
- Tonsillar abscess
- Typhoid fever angina
- Vascular abnormality
- Vincent's angina
- Zenker's Diverticulum
Treatment
- Endoscopy (acute and chronic mechanical obstructions)
- Speech therapy (ALS and stroke patients)
Pharmacotherapy
- Proton pump inhibitors or promotility agents, weight loss, avoidance of offending foods (gastroesophageal reflux disease)
- Anticholinergics (ALS, stroke, lower esophageal spasms)
- Muscarinic agents (myasthenia gravis)
- Glucocorticoids (myasthenia gravis and polymyositis)
- Antispasmodics, botulinum toxin injection (lower esophageal spasm)
Surgery and Device Based Therapy
- Thoracic surgery, possible balloon dilation (chronic mechanical obstruction)
References
Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
