Oxford Handbook of Geriatric Medicine (Oxford Medical Handbooks) by Bowker Lesley K. & Price James D. & Shah Kunal S. & Smith Sarah C

Author:Bowker, Lesley K. & Price, James D. & Shah, Kunal S. & Smith, Sarah C. [Bowker, Lesley K.]
Language: eng
Format: azw3
Publisher: OUP Oxford
Published: 2018-03-08T16:00:00+00:00

Dysphagia

Dysphagia (difficulty in swallowing) is a common symptom in older patients.

History

• Ask what type of food is difficult (solids or liquids) and the level at which food sticks (mouth/throat, retrosternal, or epigastric)

• Distinguish dysphagia from early satiety and regurgitation (when successfully swallowed food returns after seconds/minutes), which usually occurs with gastric outlet obstruction or pharyngeal pouch

• If the swallow ‘tires’ through a meal, consider myasthenia

• Cough, wheeze, or recurrent aspiration pneumonia can be a presentation of swallowing problems which cause aspiration

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