In this episode of Ingest I speak to Dr Mark Follows, a GPwER in gastroenterology, about dysphagia. Mark bridges both primary and secondary care gastroenterology and provides an informative and authoritative overview of dysphagia. We look at the normal swallowing process, the differential diagnosis of dysphagia (including neurological, ENT and gastrointestinal causes), and how to investigate the patient with dysphagia. Mark talks about his approach to the patient with dysphagia, red flags and who to refer to and how urgently. If your automatic reaction to the patient with swallowing difficulties is to refer directly to gastroenterology, I would recommend you listen to this episode to develop a deeper understanding of this symptom.