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.

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