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42 Possible Causes for Bicarbonate Decreased, Dysphagia, Odynophagia

  • Gastroesophageal Reflux Disease

    Cigarette smoking can reduce the LES pressure[ 117 – 119 ] and decrease salivary bicarbonate secretion, thus reducing the physiological neutralizing effect of saliva on intraesophageal[doi.org] Dysphagia and odynophagia are common symptoms. Endoscopy is the procedure of choice for diagnosis. Symptomatic management is the mainstay of treatment.[ncbi.nlm.nih.gov] Outcomes selected were recurrent or persistent postoperative dysphagia and an abnormal 24-hour pH test result.[ncbi.nlm.nih.gov]

  • Peptic Esophagitis

    […] may show a decreased salivary bicarbonate response to acid perfusion challenge to the distal esophagus.[nature.com] Symptoms of Reflux Esophagitis Difficulty swallowing (dysphagia) Painful swallowing (odynophagia) Chest pain Swallowed food becoming stuck in the esophagus Nausea Vomiting[universityendoscopy.com] Typical symptoms include pyrosis, dysphagia and regurgitation.[symptoma.com]

  • Esophageal Ulcer

    In turn, less prostaglandin E was available to promote bicarbonate and mucus secretion, which are protective of the gastrointestinal mucosa [ 12 ].[bmcpediatr.biomedcentral.com] A 37-year-old female presented with a one-week history of odynophagia and weight loss.[ncbi.nlm.nih.gov] Esophageal involvement of multiple myeloma should be kept in mind in patients presenting with dysphagia.[ncbi.nlm.nih.gov]

  • Presbyesophagus

    Gum, especially bicarbonate gum, has been shown to increase salivary bicarbonate and prevent reflux.[ucdvoice.org] References Merando A, 2013, Dysphagia and Odynophagia Clinical Advisor Spechler S, 2013, Approach to the patient with dysphagia Clinical Advisor Richter JE, Dysphagia, odynophagia[ehealthstar.com] Among the dysphagia, esophageal dysphagia occurs more commonly in the aged.[freepaper.me]

  • Tendinitis

    The injection requires a 21-or 22-gauge 1.5-inch needle, 8 mL of 1% lidocaine (Xylocaine), 1 mL of 8.4% sodium bicarbonate to decrease the sting of the injection, one 10-mL[aafp.org] A 46-year-old Caucasian man presented with a 1-day history of severe neck pain, headache and odynophagia.[ncbi.nlm.nih.gov] A 36-year-old woman presented with neck stiffness and torticollis accompanied by dysphagia and prevertebral space sensitivity on the second day.[ncbi.nlm.nih.gov]

  • Chemotherapy-induced Mucositis

    Sodium bicarbonate solution. 0.9% saline/sodium bicarbonate solution. Topical anesthetics: Lidocaine: viscous, ointments, sprays.[cancer.gov] […] symptoms include xerostomia with highly viscous saliva, followed by very painful oral mucosal ulcers with surrounding inflammation (erythema) of the mucosal membranes with odynophagia[practicalpainmanagement.com] As a result, the child receiving chemotherapy may experience significant pain, dysphagia, alteration in nutritional status, and risk of infection.[ncbi.nlm.nih.gov]

  • Glossopharyngeal Neuralgia

    Decrease of bicarbonate reabsorption in kidneys 39.ECG of a patient shows such alterations: P-wave is normal, P-Q-interval is short, ventricular QRST complex is wide, R-waveis[de.slideshare.net] Neurological examination elicited a faint dysphonia associated with paradoxical dysphagia.[ncbi.nlm.nih.gov] Glossopharyngeal neuralgia is a rare and often controversial cause for odynophagia and otalgia.[ncbi.nlm.nih.gov]

  • Radiation Stomatitis

    Sodium bicarbonate solution. 0.9% saline/sodium bicarbonate solution. Topical anesthetics: Lidocaine: viscous, ointments, sprays.[cancer.gov] […] symptoms include xerostomia with highly viscous saliva, followed by very painful oral mucosal ulcers with surrounding inflammation (erythema) of the mucosal membranes with odynophagia[practicalpainmanagement.com] Side effects of surgery include dysphagia and odynophagia; side effects of chemotherapy and radiation therapies include dysphagia, mucositis, stomatitis, nausea, anorexia,[todaysdietitian.com]

  • Duodenal Ulcer

    […] mucus, bicarbonate secretion and prostaglandins (12).[scielo.br] 56 year-old woman with dysphagia (difficulty swallowing) and odynophagia (painful swallowing).[endoatlas.com] NSAIDs; corticosteroids; antihypertensives; antihyperlipidemics; the presence of H. pylori infection; reason for endoscopy (abdominal symptoms [epigastric pain, heartburn, dysphagia[bmcresnotes.biomedcentral.com]

  • Gastritis

    Support for a pathogenic role for smoking comes from the finding that smoking may accelerate gastric emptying and decrease pancreatic bicarbonate production.[emedicine.com] These include GI bleeding, anaemia, early satiety, unexplained weight loss ( 10% body weight), progressive dysphagia, odynophagia, or persistent vomiting.[bestpractice.bmj.com] “Alarm features" that warrant prompt gastroenterology referral [1] include bleeding, anemia, early satiety, unexplained weight loss, progressive dysphagia or odynophagia,[emedicine.com]

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