Define dysphagia
Difficulty swallowing
Causes of dysphagia
Mechanical - Oesophageal or gastric malignancy - Benign oesophageal strictures - Extrinsic compression - Pharyngeal pouch - Foreign body - Oesophageal web Neuromuscular - Post-stroke - Achalasia - Diffuse oesophageal spasm - Myasthenia gravis - Myotonic dystrophy
Investigations for dysphagia
Endoscopy +- biospy - rule out malignancy
Routine bloods - FBC and LFTs
Urgent upper GI endoscopy within 2 weeks if
Those with dysphagia Aged ≥ 55 with weight loss plus - Upper abdominal pain - Reflux - Dyspepsia