Dysphagia — Uganda (General Adult population)
Clinical Presentation
Difficulty initiating swallow, repetitive swallowing, nasal regurgitation, coughing, nasal speech, drooling. Diminished cough reflex, choking. Recurrent pneumonia. Halitosis in Zenker’s diverticulum or advanced achalasia.
Investigations
Medical history, Timed water swallow test (complemented by food test). Endoscopy is mandatory. HIV serology, RBS, electrolytes.
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