Question 1

i know pharyngeal pouch has consequences. what are they?

Accepted Answer

Trouble swallowing: Pharyngeal pouches occur most commonly in elderly patients (over 70 years) and typical symptoms include difficulty swallowing or painful swallowing, regurgitation, chronic cough, aspiration, and weight loss. It is also known as a zenker's diverticulum. The treatment is surgery.

Question 2

what are the best treatments for pharyngeal pouch?

Accepted Answer

Pharyngeal pouch: Treatment is surgical and is now usually done endoscopically (alternative is an external cervical approach) and should include a cricopharyngeal myotomy. The pouch is excised.

Question 3

should i go to urgent care for a pharyngeal pouch that has food in it?

Accepted Answer

No see your MD: IT is not an emergency , is unusual at the age of 33 , see your family doctor will refer you to a specialist for a definitive care ( surgery )

Question 4

could a  pharyngeal pouch cause chronic  gerd due to pressure to the les sphlinter?

Accepted Answer

PP gives swallowing: problems, or dysphagia.  It occurs in the neck region and may be related to abnormal pressure in the upper ES which usually relaxes with swallowing.  Food can then be trapped in this pouch, and cause regurgitation of food,  choking, chronic cough and hoarseness.  GERD  is caused by hiatal hernia or abnormal LES.   See https://pmj.bmj.com/content/77/910/506

Question 5

ent said nasal endoscopy normal
but have lpr gaviscon advance ppi don't work.reflux after sipping water.stomach bloated can 
pharyngeal pouch cause it?

Accepted Answer

Probably not: Treatment for LPR is tricky even with twice daily PPI (taken 30-60 mins before breakfast and dinner) and dietary restriction.  One needs to consider bile reflux when symptoms are not controlled by Gaviscon and PPI.  In severe cases, surgery may be needed to control the reflux. Consult a gastroenterologist.

Question 6

gp referral to ent doctor for excess burping for a barium meal suspected pharyngeal pouch .only nasal endoscopy procedure was done.told i have lpr or gerd which i already know.would nasal endoscopy find pharyndeal pouch or only found with barium meal?

Accepted Answer

Yes: The endoscopic evaluation is most accurate..Barium can "miss" the pouch!!!

Hope this is helpful!
Dr Z

Question 7

s it possible for tetanus to show symptoms 1 month after been cut by a dirty blade ? i can't move my neck , not sure if it's my gym or tetanus ?

Accepted Answer

Prevent tetanus : It's unlikely u have tetanus a month after a contaminated injury. Most cases occur about a week or 10 days from the injury. Certain wounds are more likely than others to lead to tetanus-what's necessary is for the organisms to grow and produce toxin. Deep wounds, crush injuries, dirt contamination etc are risks. Would make sure your vaccines are up to date- tetanus is an awful disease. Hope u c MD

Question 8

i have this small node or cyst but only slightly visible when i turn my neck its on the back of my neck right side. i want to say i always had it , it feels like a little ball , is it normal? no other symptoms?

Accepted Answer

: You need to see a Dr who can get a good history, do a physical and if needed do some labs. Only way to be certain it is not something to worry about.

Question 9

is a stiff neck a anxiety symptom?!

Accepted Answer

Possible: Although difficult to prove, if the anxiety is severe enough to cause marked muscle tension a stiff neck could develop.

Question 10

do symptoms like neck trauma go away quickly?

Accepted Answer

Depends: That depends of the nature of the trauma and the extent of damage to the neck.  The amount of damage is determined by the trajectory and amplitude of the energy applied to the neck at the time of trauma.  If there is bony damage, it may take weeks to months to heal.  Damage to the spinal cord my never resolve completely.  Damage to the soft tissue resolves usually in days to weeks.

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Doctor answers about:

Pharyngeal pouch symptoms

A member asked:

I know pharyngeal pouch has consequences. what are they?

A member asked:

What are the best treatments for pharyngeal pouch?

A member asked:

Should i go to urgent care for a pharyngeal pouch that has food in it?

A member asked:

Could a pharyngeal pouch cause chronic gerd due to pressure to the les sphlinter?

A member asked:

Ent said nasal endoscopy normal but have lpr gaviscon advance ppi don't work.reflux after sipping water.stomach bloated can pharyngeal pouch cause it?

A member asked:

Gp referral to ent doctor for excess burping for a barium meal suspected pharyngeal pouch .only nasal endoscopy procedure was done.told i have lpr or gerd which i already know.would nasal endoscopy find pharyndeal pouch or only found with barium meal?

A member asked:

S it possible for tetanus to show symptoms 1 month after been cut by a dirty blade ? i can't move my neck , not sure if it's my gym or tetanus ?

A member asked:

I have this small node or cyst but only slightly visible when i turn my neck its on the back of my neck right side. i want to say i always had it , it feels like a little ball , is it normal? no other symptoms?

A member asked:

Is a stiff neck a anxiety symptom?!

A member asked:

Do symptoms like neck trauma go away quickly?

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