Final answer:
The dysphagia differential diagnosis for Hiatal Hernia includes GERD, Esophageal Stricture, and Esophageal Spasm. All of these conditions can cause similar swallowing difficulties and are considered in the DDX.
Step-by-step explanation:
The differential diagnosis (DDX) for dysphagia related to a Hiatal Hernia includes several other conditions that can cause similar symptoms. These conditions are:
- Gastroesophageal Reflux Disease (GERD)
- Esophageal Stricture
- Esophageal Spasm
- All of the above
GERD can cause dysphagia when the lower esophageal sphincter fails to close adequately, allowing stomach acid to flow backward into the esophagus and causing irritation. An esophageal stricture is a narrowing of the esophageal lumen, which can result from chronic inflammation due to GERD or other causes and can impede the passage of food. Esophageal spasm refers to abnormal, painful contractions of the esophageal muscles, which can also interfere with swallowing. Therefore, the correct answer is all of the above, as each of these conditions could present with dysphagia in the context of a Hiatal Hernia.