AI Snips
Chapters
Transcript
Episode notes
Globus Improves With Swallowing
- Ask whether the sensation improves with swallowing to distinguish globus from dysphagia.
- If it improves with swallowing, consider globus rather than mechanical obstruction or motility disease.
EOE Often Hides Behind Compensations
- Eosinophilic esophagitis (EOE) commonly causes long diagnostic delays because patients compensate for symptoms.
- Ask about lifelong coping (drinking with meals, eating slowly, last to leave table) to uncover hidden EOE.
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.