In older patients, however, prolonged dysphagia is nearly always secondary either to oropharyngeal / oesophageal malignancy or to cerebrovascular disease, most commonly strokes and dementia.
In myasthenia gravis, dysphagia may be a presenting problem.
It should not however be used as a first-line investigation for dysphagia.
Prevalence of subjective dysphagia in community residents aged over 87.
Localization of where food 'sticks' is not a useful feature to distinguish oropharyngeal from oesophageal dysphagia.
Treatment for aspiration related to dysphagia: an overview.
This lack of consistency of symptoms confuses both patient and doctor and psychosomatic issues are attributed or sought to explain the dysphagia.
The first feature is usually ptosis, followed after a few years by dysphagia, but the order may be reversed.
