25.1.9
Dysphagia (difficulty Swallowing)
Malawi Standard Treatment Guidelines, 6th Edition, 2023. Chapter 25, Palliative Care.
Clinical Description
- Common causes (see relevant chapter for details)
- Esophageal pathology e.g. Candida, Cancer
Non-pharmacological
- Small meals, soft food, support patient sit upright (see anorexia)
Pharmacological
- Dexamethasone 16mg STAT, if effective 8mg 12 hourly for a week then reduce dose (with Nystatin pessaries (suck) to prevent oesophageal candida)
Complications and Referral Criteria
- Consider referral for stenting in oesophageal cancer
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