Intermittent-dysphagia: Causes & Reasons

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Possible Causes for intermittent dysphagia

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]

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. [msdmanuals.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 [msdmanuals.com]

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]

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]

Esophageal Spasm

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]

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

[…] 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]

Corkscrew Esophagus

and Jonathan Fletcher, M.R.C.P. 1 Citing Article A 74-year-old man presented with a 30-year history of intermittent dysphagia and regurgitation, which his doctor had initially [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]

Complications Intermittent dysphagia to solid food is the most common complication. [emedicine.com]

Labor

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

Food Allergy

Only two patients had intermittent dysphagia. The average dysphagia score decreased from 2.1 to 0.3 ( P 0.002). [dx.doi.org]

Patient 1 had intermittent symptoms of solid food dysphagia with seasonal changes, specifically the beginning of fall and spring. [dx.doi.org]

Occasional solid food dysphagia was reported by patients 1 and 6 (dysphagia scores of 1 and 2, respectively). [dx.doi.org]

Polyneuropathy

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

The dysphagia is usually painless and intermittent or progressive over years, limited to solids and sometimes associated with weight loss. [orpha.net]

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 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]

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]

Iron Deficiency Anemia

The dysphagia is usually painless and intermittent or progressive over years, limited to solids and sometimes associated with weight loss. [ojrd.com]

Personality Disorder

He also had an intermittent high-grade fever with chills and rigors. He had voice changes, odynophagia, and dysphagia for three days. [ncbi.nlm.nih.gov]

Diverticulosis

dysphagia. [ncbi.nlm.nih.gov]

[…] pseudo-diverticulosis (EIPD) is a rare disease characterized by multiple small flask-shaped pouches in the esophageal wall, with the predominant symptom of chronic progressive or intermittent [ncbi.nlm.nih.gov]

Globus Hystericus

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]

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]

Hemolytic Anemia

[…] by complement and reticuloendothelial system intravascular and extravascular hemolysis Can occur in aplastic anemia Clinical symptoms Pallor, excessive fatigue;, weakness Intermittent [amboss.com]

[…] episodes of red/dark urine Venous thrombosis in unusual locations (e.g., hepatic, cerebral, abdominal veins) Vasoconstriction: headache, pulmonary hypertension Abdominal pain, dysphagia [amboss.com]

Medial Sclerosis

Her medical history was significant for intermittent claudication. [bmccardiovascdisord.biomedcentral.com]

[…] hospital with a 20-year history of an increasing size of the anterior portion of the neck associated with progressive exertional dyspnea, nighttime snoring and coughing, dysphagia [bmccardiovascdisord.biomedcentral.com]

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]

Chronic Fatigue Syndrome

Symptoms were divided into "oesophageal" (dysphagia, heart burn, acid regurgitation), "gastric": (anorexia, nausea, early satiety, bloating, abdominal distension, intermittent [bmcgastroenterol.biomedcentral.com]

Pulmonary Infarction

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

The dysphagia is usually painless and intermittent or progressive over years, limited to solids and sometimes associated with weight loss. [orpha.net]

Subclavian Steal Syndrome

He reported anorexia and intermittent dysphagia. [jbsr.be]

It can happen as an intermittent way, in which symptoms arise with positional changes of head and/or body that reduce blood flow to labyrinth (1). [arquivosdeorl.org.br]

In our case, surgical treatment options were explored and discussed as our patient presented with clear symptoms of anorexia and intermittent dysphagia. [jbsr.be]

Epididymitis

A lady has dysphagia, intermittent epigastric pain. On endoscopy, Esophagus was dilated above and narrow at the bottom. Treatment is A. Heller's Cardiomyotomy B. [ukmall.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]

Sigmoiditis

The dysphagia is usually painless and intermittent or progressive over years, limited to solids and sometimes associated with weight loss. [rarediseases.info.nih.gov]

Klinefelter Syndrome

He also had an intermittent high-grade fever with chills and rigors. He had voice changes, odynophagia, and dysphagia for three days. [ncbi.nlm.nih.gov]

Peptic Esophagitis

Intermittent dysphagia, separated by long periods of no symptoms, is most probably suggestive of a Schatzki's ring. [nature.com]

Intermittent esophageal dilation, typically in an “on-demand” fashion for recurrent symptoms of dysphagia, is also a possible maintenance strategy. [gi.org]

[…] time secondary to progression of fibrosis and esophageal narrowing, only to return after therapeutic dilation.34, 35, 36, 37, 38, 39, 40 Over time both solid and liquid dysphagia [nature.com]