Odynophagia history and symptoms
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Odynophagia is symptom. A detailed 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 involves 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 odynophagia:
- 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.
|URTI||Acute pain||Change in voice, fever, rhinorrhea|
|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 night, decreased food intake but normal appetite|
|Esophagitis||Burning pain||Retrosternal pain on swallowing, food aversion|
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
- 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
- Failure to thrive
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