Classifications

• Oropharygneal Dysphagia

• Esophageal Dysphagia

  

Presentation

• Timing: Acute vs chronic
• Perceived location of obstruction

  • Retrosternal: Esophageal Dysphagia

  • Neck: either Oropharygneal Dysphagia or Esophageal Dysphagia

    

    • Proceed to the individual DDx of the two types
    • Difficulty initiating → Oropharygneal Dysphagia
    • Food get stuck after swallowing → Esophageal Dysphagia

Alternative Dx

• Odynophagia
• Globus

Investigation

• Barium Swallow Test
• Video Fluoroscopy (radioactive dye → watch food goes down)
• Esophagoscope