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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes dysphagia?

Answered by
Dr.
Dr. Klerida Shehu

Gastroenterologist

Practicing since :2006

Answered : 2265 Questions

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Posted on Thu, 30 Apr 2015 in Digestion and Bowels
Question: 55 y o caucssian male in general good health. non-smoker, nondrinker. hx of mild, rarely-episodic dysphagia, almost always occurring when eating beef steak too rapidly on an empty stomach. hx of intermittent, noncontinuous GERD, which generally would follow a late night spicy meal. I have had no baseline esophageal endoscopies performed.

my chief complaint is based upon approximately the past two weeks that I've been feeling a scratchy tight sensation in vicinity of my proximal (cervical) esophageal sphincter. been reading all the internet "horror stories" linking seemingly similar symptoms with esophageal adenocarcinoma. however, I have experienced no weight loss, no palpable nodes, no fever, or other systemic disruptions --- at least that I can discern. I run 5 miles a day. I have experienced no loss of energy. And I eat well.

I understand the difficulties of at a distance diagnoses. however, based on what I have conveyed, would you consider esophageal adenocarcinoma as one of the 'top of mind' differentials, given this set of facts?


doctor
Answered by Dr. Klerida Shehu 11 hours later
Brief Answer:
Please follow the suggestions below..

Detailed Answer:
Hi,

I have gone through your medical history carefully and understood your concerns.

Dysphagia is a symptom that should get further evaluated through:
- upper endoscopy
- and/or barium contrast examination

After getting the results, we get discuss specifically.

For the moment, your symptoms seem not suggestive for cancer, however the last word depends on tests results.

Hope it was of help!
Dr.Klerida
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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