General Age of onset Acute/gradual onset Weight gain Growth and development Constant, progressive, or intermittent Pain (location/quality) Fever Ingestion history (neuroleptics, foreign bodies, or caustics) Difficulty chewing Difficulty swallowing Change in voice quality Altered swallowing sensation (lump, sticking, or foreign body) Drooling/salivation Solid/liquid intolerance Cough/choking while feeding Respiratory symptoms after feeding (stridor, wheezing, or apnea) Vomiting (gastric contents) versus regurgitation (food without gastric contents, esophageal disorders) Nasopharyngeal regurgitation Gastroesophageal reflux Peptic ulcer disease Tobacco or alcohol usage Recent esophageal or airway instrumentation Arthritis, degenerative joint disease Antibiotic use Chemotherapy Underlying illness, immunodeficiency Newborn/infant Prematurity Pregnancy history Infections Medications (especially antihypertensives) Bleeding Toxemia