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On history, how do you distinguish between the different types of motility-related oesophageal dysphagia aetiologies?
{{c1::Asking whether or not the symptoms are gradually progressive}}
{{c1::Asking whether or not the symptoms are gradually progressive}}
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- If 'yes' to this, then this suggests achalasia or systemic sclerosis (scleroderma), while if 'no' this suggests oesophageal hypercontractile disorder (i.e. distal oesophageal spasm) or oesophagogastric junction outflow obstruction
- Motility-related oesophageal dysphagia aetiologies present with symptoms with both solid and liquid foods

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Source
Fass R, et al. Approach to the evaluation of dysphagia in adults. UpToDate. Updated May 2023. Accessed June 25, 2023. Approach to the evaluation of dysphagia in adults - UpToDate.
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