Which of the following conditions would NOT typically prompt a barium swallow?

A barium swallow, or esophagram, is primarily utilized in the assessment of disorders affecting the esophagus. This imaging technique is particularly helpful for conditions that involve swallowing difficulties, structural abnormalities, or suspected malignancies of the esophagus.

Dysphagia, or difficulty swallowing, is a common indication for the procedure as it helps identify the underlying causes of this symptom, such as strictures or obstructions. Suspected esophageal malignancy also warrants a barium swallow to visualize any irregularities or growths in the esophagus that could suggest cancer. Gastric reflux, or gastroesophageal reflux disease (GERD), can lead to complications that might be evaluated with a barium swallow, particularly if there are concerns about anatomical changes or other esophageal complications resulting from reflux.

Chronic asthma, however, does not typically prompt a barium swallow. Asthma is primarily a respiratory condition characterized by inflammation and narrowing of the airways, which is not directly assessed through a barium swallow. While esophageal issues can contribute to respiratory symptoms in some patients, the procedure itself is focused on evaluating the swallowing mechanism and esophageal structure rather than assessing pulmonary conditions such as asthma. Thus, a barium swallow would not be indicated solely for the evaluation