Scenario There Are Many Diseases of the Digestive System. Sjögren's Syndrome

Scenario
There are many diseases of the digestive system. Sjögren's syndrome is an autoimmune disease that destroys tear ducts and salivary glands. In megaesophagus, peristalsis fails to occur properly and the esophagus is enlarged. In achlorhydria (also called "hypochlorhydria") production of gastric acid is absent or low. When a person has diverticulitis, feces are trapped in small pouches of the large intestine, and cause infection. Infected portions of the large intestine can swell and block the large intestine. In exocrine pancreatic insufficiency, there is a progressive loss of pancreatic cells that make digestive enzymes. In gallstone cholestasis, bile cannot flow from the liver to the duodenum.
-Difficulty swallowing could indicate ________.

A) Sjögren's syndrome
B) megaesophagus
C) diverticulitis
D) gallstone cholestasis

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