Dysphagia

Availability

North South North West Statewide

Pre-referral work-up

History

All referrals should comply to the referral standards and include:

  • History of foreign body ingestion, especially children
  • History of Gastro-oesophageal reflux or Oesophageal motility disorder, Scleroderma, Neoplasm or Thyroid enlargement

Tests

  • Soft tissue studies of the neck including lateral XR
  • Chest x-ray
  • Barium swallow
  • Thyroid studies if appropriate

Interim/GP management

To refer a patient with this condition, please see the ENT clinic page for the full referral process and templates.

For more information please see the Tasmanian Health Pathways website.

Emergency

Hypo-pharyngeal or upper oesophageal foreign body suspected (mid-lower oesophageal lesions and foreign bodies normally referred to Gastroenterology) – refer immediately to Emergency Department

Urgent / category 1

Dysphagia with hoarseness – Cat 1

Progressive dysphagia or persistent dysphagia for three weeks Cat 1

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Emergency:

Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED – Phone: (03) 6777 6405  Fax: (03) 6348 7382
MCH ED – Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH ED – Phone: (03) 6493 6340  Fax: (03) 6464 1926
RHH ED - Phone: (03) 6166 6100  Fax: (03) 6173 0489

Urgent:

Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.

We will endeavour to see these patients within four weeks, or sooner if clinically indicated.

Semi-urgent:

We will endeavour to see these patients within 12 weeks

Routine:

Next available appointment