Skip to main content

Abstract

Dysphagia or difficulty in swallowing can present either as food getting stuck or as coughing spells during swallowing. The diagnosis of dysphagia could be done by a physician, an otolaryngologist, a pulmonologist, and an intensive care specialist who has recently extubated a patient, or it could be a gastroenterologist or a neurologist or even an oncologist treating head-neck cancers. The consequences of dysphagia can range from malnutrition, dehydration, to persistent cough or aspiration pneumonia. Therefore, it is imperative to identify the cause of dysphagia and treat the patient. As with all medical conditions, the diagnosis of dysphagia starts with taking a thorough history, followed by examination and specific tests.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Lee GS, et al. Intermittent dysphagia for solids associated with a multi-ringed esophagus: clinical features and response to dilatation. Dysphagia. 2007;22:55–62.

    Article  PubMed  Google Scholar 

  2. Johnsson F, et al. Symptoms and endoscopic findings in the diagnosis of gastroesophageal reflux disease. Scand J Gastroentol. 1987;22:714–8.

    Article  CAS  Google Scholar 

  3. Edwards D. Discriminatory value of symptoms in the differential diagnosis of dysphagia. Clin Gastroenterol. 1976;5:49–57.

    Google Scholar 

  4. Howard P, et al. Five year prospective study of the incidence, clinical features, and diagnosis of achalasia in Edinburgh. Gut. 1992;33:1011–5.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  5. Rosenzweig S, Traube M. The diagnosis and misdiagnosis of achalasia. A study of 25 consecutive patients. J Clin Gastroenterol. 1989;11:147–53.

    Article  CAS  PubMed  Google Scholar 

  6. Eckardt VF, et al. Chest pain in achalasia: patient characteristics and clinical course. Gastroenterology. 1999;116:1300–4.

    Article  CAS  PubMed  Google Scholar 

  7. Aviv JE, Martin JH, Jones ME, Wee TA, Diamond B, Keen MS, Blitzer A. Age related changes in pharyngeal and supraglottic sensation. Ann Otol Rhinol Laryngol. 1994;103:749–52.

    Article  CAS  PubMed  Google Scholar 

  8. Sonies BC. Oropharyngeal dysphagia in the elderly. Clin Geriatr Med. 1992;8(3):569–77.

    CAS  PubMed  Google Scholar 

  9. Dodds WJ, Stewart ET, Logemann JA. Physiology and radiology of the normal oral and pharyngeal phases of swallowing. AJR Am J Roentgenol. 1990;154:953–63.

    Article  CAS  PubMed  Google Scholar 

  10. Stoeckli SJ, Huisman TA, Seifert B, Martin-Harris BJ. Interrater reliability of videofluoroscopic swallow evaluation. Dysphagia. 2003;18:53–7.

    Article  PubMed  Google Scholar 

  11. Cameron JL, Reynolds J, Zuidema GD. Aspiration in patients with tracheostomies. Surg Gynecol Obstet. 1973;136:68–70.

    CAS  PubMed  Google Scholar 

  12. Zambrana-Toledo González N. El mantenimiento de las orientaciones logopédicas en el paciente con disfagia orofaríngea de origen neurogénico. Rev Neurol. 2001;32:986–9.

    Google Scholar 

  13. Schatzki R, Gary JE. Dysphagia due to a diaphragm-like localized narrowing in the lower esophagus (lower esophageal ring). Am J Roentgenol Radium Ther Nucl Med. 1953;70(6):911–22. PMID 13104726.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Gauri Mankekar MS, DNB, PhD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer India

About this chapter

Cite this chapter

Mankekar, G. (2015). Dysphagia: Clinical Diagnosis. In: Mankekar, G. (eds) Swallowing – Physiology, Disorders, Diagnosis and Therapy. Springer, New Delhi. https://doi.org/10.1007/978-81-322-2419-8_3

Download citation

  • DOI: https://doi.org/10.1007/978-81-322-2419-8_3

  • Publisher Name: Springer, New Delhi

  • Print ISBN: 978-81-322-2418-1

  • Online ISBN: 978-81-322-2419-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics