A YOUNG PATIENT WITH HISTORY OF DYSPHAGIA MORE TO LIQUID THAN SOLIDS, THE FIRST INVESTIGATION YOU WILL DO IS

• A. Barium swallow ✓
• B. Eosophagoscopy
• C. USG
• D. CT Scan

When a young patient presents with a history of dysphagia, especially more to liquids than solids, the first investigation that is typically conducted is a barium swallow. A barium swallow, also known as an esophagram, is a diagnostic test that involves swallowing a liquid containing barium sulfate, which helps to highlight the esophagus and detect any abnormalities in its structure or function. This test allows healthcare providers to visualize the movement of the barium through the esophagus on X-ray images, providing valuable information about the patient’s swallowing function and identifying any potential causes of dysphagia.

In other words, when a young patient presents with a history of dysphagia, particularly more to liquids than solids, the initial investigation that is typically recommended is crucial in determining the underlying cause. Dysphagia refers to difficulty swallowing and can be caused by various conditions affecting the esophagus or surrounding structures. Choosing the most appropriate diagnostic test is essential for accurate diagnosis and subsequent management.

The first investigation that is commonly performed in a patient with dysphagia, especially when there is a difference in swallowing solids versus liquids, is a barium swallow study. This diagnostic test involves the patient swallowing a contrast material called barium while X-rays are taken. Barium swallow studies are particularly useful in evaluating the anatomy and function of the esophagus. The radiologist can observe the passage of barium through the esophagus and identify any abnormalities such as strictures, narrowing, or motility disorders that may be causing the dysphagia.

Barium swallow studies are non-invasive, relatively quick, and provide valuable information about the structure and function of the esophagus. They can help differentiate between mechanical obstructions, such as strictures or tumors, and motility disorders like achalasia or diffuse esophageal spasm. Based on the findings of the barium swallow study, further investigations or interventions can be planned to manage the underlying cause of dysphagia effectively.

In summary, a barium swallow study is often the initial investigation of choice in a young patient with dysphagia, especially when there is a predominant difficulty in swallowing liquids compared to solids.