Fatty acids in the ileum and bile salts in the ileum do not stimulate water secretion. In early appendicitis there is no inflammation. The pain is due to appendiceal distention. Gradual distention of a hollow viscus, like the CBD, is usually painless. Dysphagia due to Schatzki s ring is usually intermittent and rarely progressive.
Esophageal spasm causes intermittent, non-progressive dysphagia.
Achalasia causes dysphagia for both solids and liquids. Instead patients have LLQ pain and fever and a long history of increased segmental contractions in the left colon, elevating intracolonic pressures, leading to diverticular formation. Not a good indicator of nutritional status. Not in Rochester. Somewhere on campus.