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Doctor, I』ve been having trouble eating. When I swallow food it seems to get caught in my chest.
Do you find it difficult to swallow solid food or do you have to take liquids or can you not even manage liquids?
I find that things like meat or potato stick, and I have to take a drink to wash it down.
How long have you had this problem?
For about three months, but I’m finding it increasingly difficult to swallow food.
Has there been any associated pain or vomiting with this?
When I eat solid food, I find it sticks but after I』ve brought it up the pain goes away.
In the past have you had any problems with burning in the chest, especially when lying down or after a large meal?
I』ve had heartburn after I』ve eaten a lot or at night, or after some kinds of food, for about ten years.
Have you lost weight or had loss of appetite?
Yes, I』ve lost about 4kg over the last three months.
When you eat do you feel as if you are choking, or do you cough a lot afterwards or do you feel tight around your chest?
No, I don’t get anything like that.
Can you please get into a gown and I』ll examine you. … With these symptoms I think we need to find out whether there is a blockage in the food pipe or the esophagus. We can do this in a number of ways. One way is to put a tube down your throat which can look into the esophagus and down into your stomach.
Another way is to give you a barium meal, you have to drink a thick liquid called barium which will outline if there is any blockage. The blockage may be due to a number of factors. It could be due to a growth or from a tightening of the esophagus due to acid going up into it. This is called reflux. After these two tests we can decide upon a treatment plan.
swallow ['swɒləʊ] 吞咽 v.
get caught in 卡在
chest [tʃest] 胸部 n.
solid food 固體食物
liquid ['lɪkwɪd] 液體 n.
stick [stɪk] 粘 v.
vomit ['vɒmɪt] 嘔吐 v.
go away 消失
burning ['bɜːnɪŋ] 灼熱 n.
heartburn ['hɑːtbɜːn] 胃灼熱 n.
appetite ['æpɪtaɪt] 食慾，胃口 n.
choke ['tʃəʊk] 嗆，噎住 v.
cough [kɒf] 咳嗽 v.
feel tight around your chest 胸悶
gown [gaʊn] 體檢服 n.
symptom ['sɪm(p)təm] 症狀 n.
blockage ['blɒkɪdʒ] 阻塞 n.
food pipe 食道
esophagus [iː'sɒfəɡəs] 食道 n.
tube [tjuːb] 管子 n.
throat [θrəʊt] 喉嚨 n.
barium meal 鋇餐
barium ['beərɪəm] 鋇 n.
outline ['aʊtlaɪn] 描畫…輪廓 vt.
factor ['fæktə] 因素 n.
growth [grəʊθ] 增生 n.
tightening ['taɪtnɪŋ] 狹窄 n.
acid ['æsɪd] 酸 n.
reflux ['riːflʌks] 反流 n.
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詞彙編輯+圖文排版：王衍鳴（蘇州大學2014級護理學專業）
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