Now the feeling has progressed such that he experiences discomfort with swallowing both solids and liquids at all times. His problems have steadily progressed and on occasion he has avoided swallowing his own saliva. The patient has no other problems except for a troublesome rash that appears intermittently. He has lost no weight. He has no family history of cancer.
Physical exam discloses only the rash.
Infectious esophagitis Pill esophagitis Behcet s disease Answer 2. Empiric trial with sucralfate and lidocaine for symptoms Diagnostic testing Empiric trial with antifungals since the most common etiology is candidiasis Watchful waiting as odynophagia typically resolves on its own Answer 3. You schedule an upper endoscopy for the patient. The edges of the ulcer are regular and do not appear thickened. There is no evidence of a hiatal hernia, linear erosions, or candidal plaques.