On rare occasions, patients thought to have a functional GI disorder can develop progressive GI symptoms from another underlying condition. This is truly rare, but when symptoms do not respond as expected, or if symptoms get worse and worse despite a clinician’s best efforts, it may be worth considering other things. Scleroderma is a very rare disorder that, when present, can frequently affect the gut.Topics: Gastroparesis, GER, GERD, Irritable Bowel Syndrome (IBS), Other Disorders/Symptoms, Swallowing
Fact Sheet: Functional Dysphagia507
By: Joel Richter, MD
Functional dysphagia is the sensation of solid and/or liquid foods sticking, lodging, or passing abnormally through the esophagus. It is diagnosed based on symptoms present for at least three months and not associated with anatomic abnormalities, gastroesophageal reflux disease (GERD), or well recognized motility disorders such as achalasia [difficulty swallowing due to an absence of peristaltic contractions in the esophagus].
Fact Sheet: Esophageal Motility Disorders518
Difficulty swallowing liquids or solids, heartburn, regurgitation, and atypical (or non-cardiac) chest pain may be symptoms of an esophageal motility disorder. These disorders are characterized by specific criteria based upon the pressures generated within the esophagus when swallowing occurs.
Fact Sheet: Achalasia – When Swallowing Becomes a Problem533
By: Joel Richter, MD
Achalasia is a motility disorder in which the esophagus empties slowly. Symptoms include the sensation of solids, and usually liquids, hanging up and passing slowly into the stomach. This most often occurs during and after a meal. A review of symptoms, tests, and treatment options.
Fact Sheet: Report from IFFGD Research Award Winner: Adult Neurogenic Dysphagia -- Disorders and Conditions that Disrupt Swallowing544
Dysphagia is a disorder characterized by difficulty swallowing. Swallowing involves more than transporting material from the mouth to the stomach for digestion. It also involves protection of the airway, rejection of harmful ingested substances, and the preparation of foods for digestion. When swallowing is disrupted, the consequences can be devastating. This article provides an overview of causes, medical assessment, complications, and management of neurogenic dysphagia.
Many patients with throat discomfort are surprised when they are told that they have laryngeal pharyngeal reflux (LPR). Gastric acid can cause significant inflammation when it falls on the vocal cords. If this happens repeatedly, a person can be left with a number of bothersome throat problems, such as hoarseness, frequent throat clearing, coughing, or the sensation that there is something stuck in their throat. Many patients with LPR do not have any of the typical GERD symptoms. This has lead to some controversies and misunderstandings about LPR.
Documents listed on this page are available for download in Adobe’s PDF format. If you don’t have Adobe Reader, please visit Adobe’s site to download it. It’s free!