DYSPHAGIA

intrinsic oesophageal obstruction:

tumour

foreign body

achalasia

benign stricture

peptic ulceration / Barrett's stricture

spasm

web

Schatzki's ring

extrinsic compression of oesophagus:

tumours:

thyroid

lymphoma

other mediastinal tumours

aortic aneurysm

vertebral spurs

dysphagia lusoria (aberrant right subclavian artery)

oropharyngeal lesions:

pharyngitis

glossitis

stomatitis

tumours

neurological disease:

bulbar palsy

myasthenia gravis

motor neurone disease

multiple sclerosis

parkinsonism

cerebro-vascular accident

lower cranial nerve palsies

infections:

botulism

tetanus

diphtheria

oesophagitis (Candida, herpes simplex, etc.)

systemic disease:

diffuse scleroderma (systemic sclerosis)

dermatomyositis

amyloidosis

motility problems:

non-specific motility disorder

oesophageal spasm

psychogenic: globus hystericus

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