AI Snips
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Use Targeted Questions After Patient Points
- Ask patients to point where food gets stuck but follow with questions about nasal regurgitation, coughing, halitosis, and food on pillow.
- Use these red flags to distinguish oropharyngeal from esophageal dysphagia before imaging.
Progressive Dysphagia Warrants Endoscopy
- Consider upper endoscopy (EGD) for progressive dysphagia because dysphagia is an alarm symptom.
- Use esophagram as a low-risk roadmap or when endoscopy/anesthesia is risky.
Specialized Barium Protocols Aid Diagnosis
- Radiology protocols (achalasia and EOE protocols) can reveal subtle strictures or stasis missed on endoscopy.
- A tailored esophagram helps plan targeted therapy and track treatment response.