Intermittent Dysphagia: Causes & Reasons

Possible Causes for Intermittent Dysphagia

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]

Plummer-Vinson Syndrome

[…] solid dysphagia in the last 4 months. [scielo.edu.uy]

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]

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 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

Scientific letter Dysphagia lusoria as a differential diagnosis in intermittent dysphagia Disfagia lusoria como diagnóstico diferencial de la disfagia intermitente Beatriz [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

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]

Profound episodic muscle weakness Ataxia Disorientation Coma Intermittent dysphagia Cardiac arrhythmias Developmental delay Intellectual disability Regression of motor and [ncbi.nlm.nih.gov]

Intermittent exotropia has been observed in affected individuals. Rare individuals have been diagnosed with optic atrophy. Hearing loss. [ncbi.nlm.nih.gov]

Dysphagia and episodic worsening of swallow function has been observed, increasing the risk of aspiration due to inability to manage secretions and liquids. [ncbi.nlm.nih.gov]

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]

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]

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]

Presbyesophagus

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

Presbyesophagus presented with chronic intermittent dysphagia. Aging Clin Exp Res 2019;31:1343-6. [jkds.org]

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

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]

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

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]

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]

Globus Pharyngeus

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

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

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

Tracheal Sarcoma

Patient also complained of intermittent dry cough, with no sputum production, progressive dysphagia to solids, and 20 pound weight loss over last 3 months. [jto.org]

Acrokeratosis Paraneoplastica of Bazex

[…] dry cough, dysphagia, weight loss, and an expanding left‐sided neck mass. [ncbi.nlm.nih.gov]

CASE 1 A 60‐year‐old man with risk factors of alcohol use and 80 pack‐year (PY) smoking history presented with a 4 month history of hoarseness which progressed to intermittent [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]

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]

Childhood Thymoma

There was no history of dysphagia or dyspnea. General physical and systemic examination, including lymph nodes and genitalia were normal. [ncbi.nlm.nih.gov]

CASE REPORT An 8-year-old boy presented to the pediatric clinic with a 3-month history of intermittent cough and occasional pain in the right upper chest. [ncbi.nlm.nih.gov]

Traction Diverticulum of the Esophagus

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

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

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

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]

Vagal Paraganglioma

She reported concomitant intermittent hoarseness. She denied dysphagia or velopharyngeal insufficiency. [hindawi.com]

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]

Omental Volvulus

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

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]

Chronic GV can present with milder and intermittent symptoms such as early satiety, dyspnea, bloating during/after a meal, and dysphagia. [journals.lww.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]