Swallowing is a complex interplay of nerves, muscles and protective reflexes which involves both involuntary and voluntary phases. Difficulty swallowing can occur due to a variety of underlying pathologies, but can broadly be differentiated into high (oropharyngeal) and low (oesophageal) dysphagia. Using case scenarios this article will highlight common dysphagia presentations encountered in general practice and their appropriate history, examination, investigation and management.
