Intermittent Dysphagia: Causes & Reasons

Warning: Do not use in emergencies, if pregnant, if under 18, or as a substitute for a doctor’s advice or diagnosis. Learn more

Possible Causes for Intermittent Dysphagia

Lower Esophageal Ring

These rings cause intermittent dysphagia for solids. Symptoms can begin at any age but usually do not begin until after age 25. [merckmanuals.com]

dysphagia associated with solids amongst the adult population. [symptoma.com]

Resources A lower esophageal ring is a 2- to 4-mm mucosal stricture that causes a ringlike narrowing of the distal esophagus at the squamocolumnar junction that often causes dysphagia [merckmanuals.com]

Nutcracker Esophagus

An 87-year-old woman with severe retrosternal pain and intermittent dysphagia was referred to the clinic for further evaluation. [nejm.org]

The usual presentation is intermittent dysphagia with occasional chest pain. [emedicine.medscape.com]

Video Nutcracker Esophagus. (00:06) An 87-year-old woman with severe retrosternal pain and intermittent dysphagia was referred to the clinic for further evaluation. [nejm.org]

Plummer-Vinson Syndrome

The clinical features include intermittent dysphagia for solid foods (rarely or never for liquid). [apamedcentral.org]

Presentation[3, 4] The presentation is usually with painless, intermittent dysphagia. [patient.info]

Results All patients presented painless and intermittent dysphagia limited to solids and associated with weight loss in 5 patients. [hindawi.com]

Esophageal Spasms

Four of five patients had episodic nonexertional midchest pain; two patients experienced intermittent dysphagia. [ncbi.nlm.nih.gov]

We present a 43-year-old female with paroxysmal chest and abdominal pain, nausea, salivation, and intermittent dysphagia. [ncbi.nlm.nih.gov]

DES is a rare primary esophageal motility disorder characterized by dysphagia and intermittent chest pain. [elsevier.es]

Esophagitis

In adults, the most common presenting symptoms are intermittent dysphagia and dyspepsia. 4, 5 In children, the presentation is more variable with symptoms such as regurgitation [bjgp.org]

Adults manifest mainly with dysphagia as well as food avoidance, food impactions and intractable heartburn. [orpha.net]

Symptoms may be chronic or intermittent, with some patients being completely asymptomatic during long periods. [orpha.net]

Gastroesophageal Reflux Disease

The case of a patient with intermittent dysphagia and suspected GERD is discussed. Pharyngoesophageal scintigraphy was performed. Reflux test was negative. [ncbi.nlm.nih.gov]

Intermittent non-progressive dysphagia was the main presenting complaint, while one also had an acute food impaction. [web.archive.org]

Each of these is experienced intermittently by over 5% of the population and 55 to 63% report at least one of these symptoms [ 1, 10 - 14 ]. [hon.ch]

Dysphagia Lusoria

In conclusion, when persistent intermittent dysphagia presents, dysphagia lusoria secondary to an ARSA should be considered in the differential diagnosis. [elsevier.es]

[…] lusoria caused by Kommerell's diverticulum of the aberrant left subclavian artery. 61 Kang MS 24036051 2014 41 Intermittent esophageal dysphagia: an intriguing diagnosis. [malacards.org]

[…] lusoria presenting as epigastric pain. ( 29212867 ) Daher H....Al Hadidi S. 2017 10 Dysphagia lusoria as a differential diagnosis in intermittent dysphagia. ( 27093895 ) [malacards.org]

Corkscrew Esophagus

A 74-year-old man presented with a 30-year history of intermittent dysphagia and regurgitation, which his doctor had initially referred to as a “hysterical reaction.” [nejm.org]

He reports intermittent dysphagia to solids and liquids. He denies any reflux symptoms or weight loss. He does not have any risk factors for cardiac disease. [acpinternist.org]

Patients with diffuse esophageal spasm may present with intermittent dysphagia and chest pain. [aafp.org]

Esophageal Web

dysphagia If cervical web and iron deficiency consider Plummer-Vinson Syndrome (also achlorhydria, glossitis & stomatitis) If distal esophagus "steak house syndrome" Zenker's [fprmed.com]

dysphagia and impaction of a bolus of food Treatment Intraluminal balloon dilatation. [medical-dictionary.thefreedictionary.com]

It tends to mark the proximal part of a hiatus hernia and usually presents in a patient aged over 50 years whose main complaint is intermittent dysphagia to solid food, spanning [patient.info]

Potassium-Aggravated Myotonia

A Sodium Channel Myotonia Presenting with Intermittent Dysphagia as a Manifestation of a Rare SCN4A Variant. [link.springer.com]

Dysphagia as a Manifestation of a Rare SCN4A Variant. 61 Benhammou JN...Pisegna JR 28012096 2017 24 A review of the use of mexiletine in patients with myotonic dystrophy [malacards.org]

A sodium channel myotonia presenting with intermittent dysphagia as a manifestation of a rare SCN4A variant. J Mol Neurosci. 2017;61:312–14. [www-ncbi-nlm-nih-gov.ezproxy.u-pec.fr]

Gastric Volvulus

Gastric volvulus as a cause of intermittent dysphagia. Dig Dis Sci. 1998 May. 43(5):1057-60. [Medline]. Tsang TK, Walker R, Yu DJ. [emedicine.com]

Dysphagia may occur if the esophagogastric junction (EGJ) is distorted. [emedicine.medscape.com]

Chronic gastric volvulus Patients with chronic gastric volvulus typically present with intermittent epigastric pain and abdominal fullness after meals. [emedicine.medscape.com]

Congenital Esophageal Diverticulum

Causes of Intermittent Dysphagia : Zenker's diverticulum Eosinophilic esophagitis. [mediconotebook.com]

Is the dysphagia intermittent or progressive? [clevelandclinicmeded.com]

MC presentation : Dysphagia (Intermittent) Earliest presentation : Regurgitation (Also with Achlasia and GERD ) Note : In Achlasia and Zenker - Old food regurgitates In GERD [mediconotebook.com]

Aberrant Right Subclavian Artery

Figure 1 A 45-year-old woman had had intermittent dysphagia for two years. [nejm.org]

Case Report A 73-year-old male presented with prolonged history of intermittent dysphagia. [omicsonline.org]

This anomaly is complicated by aortitis, dysphagia, chronic cough and intermittent dyspnoea. [jpma.org.pk]

Esophageal Leiomyoma

Right: Smooth, submucosal tumor in a 65 year-old woman with intermittent dysphagia (difficulty swallowing). [endoatlas.com]

Methods: We report the case of a 58-year-old man referred to our unit with a 4-year history of progressive and intermittent dysphagia, mainly to solids, and weight loss. [oatext.com]

However, it patients do become symptomatic they often complain of intermittent, worsening dysphagia, substernal pain, vomiting, or weight loss. [med-ed.virginia.edu]

Esophageal Diverticula

Methods: We report the case of a 58-year-old man referred to our unit with a 4-year history of progressive and intermittent dysphagia, mainly to solids, and weight loss. [oatext.com]

Intermittent dysphagia, which usually arises after meal or strong excitements, are the sings of pseudodiverticula. [intranet.tdmu.edu.ua]

Is the dysphagia intermittent or progressive? [clevelandclinicmeded.com]

Esophageal Stenosis

She underwent four endoscopic balloon dilatations that then allowed her to swallow solid food with intermittent mild dysphagia. [ncbi.nlm.nih.gov]

Moreover, all our patients had typical clinical findings of the adult form of congenital esophageal stenosis with a long-standing history of intermittent dysphagia. [ajronline.org]

Here we report the case of a 9-month old female infant who presented intermittent vomiting, dysphagia and refusal of solid foods starting after weaning. [ncbi.nlm.nih.gov]

Zenker Diverticulum

A watch-and-wait approach should be used for patients with mild symptoms (ie, mild or intermittent dysphagia) and minor functional limitations. [mdedge.com]

Fair re- sults were obtained in 3 patients, 2 complaining of intermittent dysphagia and 1 of postprandial acid reflux. [docslide.us]

In the 3 patients treated with a subdiverticular or Heller myotomy plus a Nissen procedure, 2 pre- sented fair results: one because of intermittent dysphagia, the other due [docslide.us]

Globus Pharyngeus

Symptoms Sensation of lump in throat (Cervical Dysphagia) Intermittent fear of Choking with Dyspnea III. Associated conditions IV. [fpnotebook.com]

Differential Diagnosis Images: Related links to external sites (from Bing) Ontology: Globus Hystericus (C0017650) Definition (NCI) Persistent or intermittent non-painful sensation [fpnotebook.com]

[…] of a lump or foreign body in the throat occurring between meals in the absence of dysphagia, odynophagia, evidence of gastroesophageal acid reflux, or histopathogically based [fpnotebook.com]

Presbyesophagus

Likely underlying cause of dysphagia Painful dysphagia - oesophagitis, candida infection, oesophageal spasm. Intermittent dysphagia - oesophageal spasm. [ideaas.eu]

The most common complain occurring from esophageal motility dysfunction is chest pain, typically followed by intermittent, non-progressive dysphagia. [symptoma.com]

• May be associated with severe intermittent chest pain, dysphagia and even food impaction. 22. manometrically-verified diffusemanometrically-verified diffuse esophageal [slideshare.net]

Esophagobronchial Fistula

Diffuse, intramural esophageal pseudodiverticulosis is a rare condition manifested by progressive or intermittent dysphagia. [jhu.pure.elsevier.com]

She presented with 15 days history of dysphagia for solids, productive cough, low-grade intermittent fever, and projectile vomiting. [ijamhrjournal.org]

These symptoms were accompanied by intermittent fever since seven days prior to hospitalization. [casereports.in]

Intrathoracic Gastric Volvulus

Gastric volvulus as a cause of intermittent dysphagia. Dig Dis Sci. 1998 May. 43(5):1057-60. [Medline]. Tsang TK, Walker R, Yu DJ. [emedicine.medscape.com]

Dysphagia may occur if the gastroesophageal junction is distorted. [emedicine.medscape.com]

Chronic gastric volvulus Patients with chronic gastric volvulus typically present with intermittent epigastric pain and abdominal fullness after meals. [emedicine.medscape.com]

Traction Diverticulum of the Esophagus

Intermittent dysphagia, which usually arises after meal or strong excitements, are the sings of pseudodiverticula. [intranet.tdmu.edu.ua]

Is the dysphagia intermittent or progressive? [clevelandclinicmeded.com]

In the case of EED dysphagia may be progressive and severe but that associated with MD are usually intermittent [ 7 ]. [omicsonline.org]

Hiatal Hernia

Patients with PEH or mixed hiatal hernias typically present with intermittent dysphagia, substernal discomfort, or abdominal pain, and in rare cases present acutely with gastric [amboss.com]

[…] chest palpitations and shortness of breath duration intermittent Physical exam noncontributory to diagnosis inspection obesity Imaging Barium upper gastrointestinal radiograph [step2.medbullets.com]

Many patients with paraesophageal hernias either have no symptoms or have vague, intermittent symptoms. [uclahealth.org]

Eosinophilic Gastroenteritis

A 30-year-old woman who was 2 weeks postpartum presented with intermittent dysphagia since delivery. [ncbi.nlm.nih.gov]

dysphagia since delivery. [academic.oup.com]

The most common symptom was abdominal pain followed by bloating, intermittent nausea and diarrhea. Three (43%) patients had a weight loss of less than 5kg. [omicsonline.org]

Congenital Generalized Fibromatosis

She presented with intermittent dysphagia and significant weight loss within a 3-mo period. [wjgnet.com]

COMMENTS Case characteristics A 54-year-old female presenting with intermittent dysphagia and a 60-pound weight loss within a 3-mo period. [wjgnet.com]

CASE REPORT A 54-year-old female presented to the emergency department with intermittent dysphagia and a 60-pound weight loss within a 3-mo period. [wjgnet.com]

Herpes Simplex Esophagitis

At 6-month follow-up, the patient felt well, although he still experienced mild, intermittent dysphagia after ingestion of certain fruits. [acgcasereports.gi.org]

Case 3: A 29-year-old man with a history of intolerance to certain fruits, intermittent dysphagia, and epigastric pain presented for suspected esophageal fish bone impaction [acgcasereports.gi.org]

Cytomegalovirus Esophagitis

Despite being on pantoprazole drip and later started on sucralfate, the patient continued to have epigastric pain, dysphagia and intermittent hematemesis. [shmabstracts.com]

Lower Esophageal Rings The term Schatzki ring is reserved for symptomatic patients with lower esophageal rings who present with intermittent dysphagia for solids, especially [mussenhealth.us]

Celiac Disease with Diffuse Intestinal Ulceration

dysphagia. [emedicine.medscape.com]

[…] iron replacement have made this disease less common, the diagnosis of Plummer-Vinson syndrome nonetheless should be considered in patients presenting with long-standing intermittent [emedicine.medscape.com]

Pleural Calcification

He had had intermittent chest pain for 6 years after an athletic injury; dysphagia, dyspnea, and weight loss had developed over the past 2 years. [nejm.org]

A 36-year-old man was admitted to the hospital because of chest pain, dysphagia, and pleural and mediastinal calcifications. [nejm.org]

Omental Volvulus

Gastric volvulus as a cause of intermittent dysphagia. Dig Dis Sci. 1998 May. 43(5):1057-60. [Medline]. Tsang TK, Walker R, Yu DJ. [emedicine.medscape.com]

Patients who present with chronic, intermittent, and vague signs and symptoms of upper abdominal pain, nausea, dysphagia, early satiety vomiting, and hiccups may have a chronic [statpearls.com]

[…] partial or intermittent gastric volvulus. [statpearls.com]