Doctor insights on:
Achalasia Barium Swallow
This is a disease that destroys the nerves coordinating esophageal muscle contraction. The normal ability to push food into the stomach is lost, and the valve entering the stomach becomes tight and stiff, allowing food to collect in the esophagus and empty by gravity alone. Solids generally worse than liquids. Onset is gradual. Weight loss & malnutrition common. Treatment ...Read more
Yes: One of the easiest ways of performing laryngoscopy is with a flexible scope which is a long narrow tube with lenses contained within which is past down the nostril after utilizing a topical anesthetic spray. One can easily visualize the nasopharynx, full larynx, oro pharynx and pass behind the larynx to the piriform sinuses on each side where even early pathology can be defined. ...Read more
Does swallowing liquid GI cocktail (Lidocane Viscus, Mylanta, Donnatal) coat the Esophagus? Does it obscure plain X-ray view of the Esophagus?
Trouble swallowing every meal & hard 2breath- throat feels restricted, especially at night. Endoscopy, motility study, barium swallow, still no answer?
PH study: Consider a ph study to see if acid is causing the symptoms complex. ...Read more
Esophageal Spasm: The treatment depends on the diagnosis. In this case ulcers may be indicative of reflux which can be treated with either medical or surgical options. However, that alone is unlikely the cause and other etiologies should be for the spasm should be excluded. ...Read moreSee 1 more doctor answer
All the swallow problems, finally an edoscopy. Dr says esophagitis seen, corrugated esophagus esophageal mucosa c/w eosinophilic esophagitis.
Allergist/GI: See an allergist or a GI doc who is comfortable managing eosinophilic esophagitis (EoE). Often, patients with this condition are managed by both specialties. EoE is often managed with multiple therapies, including food elimination diets, proton pump inhibitors, and swallowed steroids depending on severity and symptoms. Please see doc as this is a chronic, sometimes severe, condition. ...Read more
Here's Answer #6: There are a variety of ways a barium swallow test can be conducted. The most common is simply having the patient swallow oral contrast while the radiologist watches the passage of barium down the esophagus. Sometimes different textures of barium are tested to see how each moves from the mouth to the esophagus and down. A modified barium swallow with speech therapist helps assess for aspiration. ...Read more
Occasionally: For the most part, the fluoroscopic screen is aimed at viewing the esophagus and not other parts of the chest. But with a change in your position, we may see some lung findings ...Read more
Would having a normal looking esophagus, norm barium swallowing, norm MRE of small intestines, rule out esoph. motility disorders?
Need manometry: at this stage, you need high resolution manometry, probably best if done at academic medical center. ...Read more
Barium swallow: The barium is a thick liquid, consistency like a dense milkshake. If you don't have a problem swallowing liquids, you should be ok with the barium. If you have a problem swallowing liquids, especially thicker consistencies,you will have the same problem with the barium. Do your best, it is all anyone can ask. If you can drink it quickly with big mouthfuls, that's the way to go. ...Read more
Can barium swallow test show an esophageal diverticulum which was not seen with upper endoscopy 2 months ago?
Eso diverticulum: This is possible but not very common. The reason for this may be the fact that the endoscopy failed to diagnose the diverticulum or that it developed in the interim. Barium swallow is very sensitive test for diverticulum. Also, doing an endoscopy in this case can be dangerous since the endoscope may perforate the diverticulum. ...Read more
EM studies: Esophageal manometry (em) is a probe, typically passed transnasally, into your esophagus. The probe is sensitive to pressures generated when esophagus muscles contract during swallowing. Probe measures muscle coordination during swallowing, as well as function & effectiveness of both upper & lower esophageal sphincters. Motility disorders, situational spasms, & gerd contributants are measured. ...Read more
Swalowin mechanism function normal witout reflux no obstruction 2 flow barium esophagus grosly unremarkable.Trob swallown do I need dialation?
No, need more tests: It sounds like critical narrowing ; obstruction have been ruled out by anatomic testing, but that still leaves room for error with regard to functional conditions (dysmotilities), entities like eosinophilic esophagitis, pathology extrinsic to the esophagus, ; even atypical reflux. A gastroenterologist is your best bet to pursue these possibilities. ...Read more
Barium is a chemical element with symbol ba and atomic number 56. It is the fifth element in group 2, a soft silvery metallic alkaline earth metal. Because of its high chemical reactivity barium is never found in nature as a free element. Its hydroxide was known in pre-modern history as baryta; this substance does not occur as a mineral, but can be prepared ...Read more
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