GI SYMPTOMS
GI SYMPTOMS
Dysphagia
Difficulty in swallowing
Types
This resulting from bilirubin or pseudobilirubin polyps Worse for liquids than for solids.
- It may accompanied by chewing ,spluttering and fluid regurgitating from the nose.
Neurological Dysphagia
It is also called as Oesophageal Dysmoticity , present in middle age.- It is worse for solids and may be helped by liquids and setting upright. Eg : Achalasia when the lower esophagus leads to programive oesophageal dilation above the sphinter fails to relax normally.
- Overflow of secreation and food into the respiratory tract may then occur especially at night, when the patient lies down and cause aspiration pneumonia.
- It can cause oesophageal dysmoticity
- Oesophageal Spasm
- Chest Pain
Mechanical Dysphagia
- Often due to Oesophageal Stricture
- Weight Loss
- A short history
- No reflux Symptoms
- Suspect Oesophageal Cancer
Longstanding dysphagia without weight loss but accompanied by heart burn. Most likely due to benign peptic stricture .
Causes
Oral
- Jorisilitis
- G canducar fuer
- Phoringitis
- Peritonillar abscess
- Painfull Mouthfullness
Neurological
- Bulbur or pseudobulbur palsy
- Cerebro vascular accident
Neuromuscular
- Achalasia
- Pharyngeal Pouch
- Myasthenia gravis
- Oesophageal
- Dysmotility
Mechanical
- Oesophageal Cancer
- Peptic
- Oesophagitis
- Other benign stricture after prolonges NJ Tubes
- Lung Cancer
- Systemic Slelerosis.