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Doctor insights on: Achalasia Cardia Emedicine

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Whats GERD gastro esophageal reflux disease?

Whats GERD gastro esophageal reflux disease?

GERD defined: Gastroesophageal reflux disease (gerd) involves movement of stomach contents back into your esophagus. Gerd can be "silent" in a substantial # of patients, manifesting with ear/nose/throat & lung problems without heartburn. Heartburn is the common presentation of burning discomfort in your chest with exposure of the esophagus to stomach contents. See earlier healthtap answers for gerd prevention. ...Read more

Dr. Arnold Malerman
84 doctors shared insights

Esophageal Achalasia (Definition)

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


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Gastro esophageal reflux disease diet recommedations?

Gastro esophageal reflux disease diet recommedations?

Many Possibilities: If this is chronic and not a new problem may need to consider your diet such as things like coffee, smoking, spicy foods, and alcohol intake. Also there can be a chronic infection of the stomach that can cause this called h. Pylori which can be tested for by blood and stool tests. This is treatable with antibiotics. Also try otc meds like Zantac (ranitidine) and Prilosec with maalox. Try changing diet as well. ...Read more

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Does tachy cardia or brady cardia lead to cardiac carcinoma please explain?

Does tachy cardia or brady cardia lead to cardiac carcinoma please explain?

No: Cardiac tumors are very rare. They can be benign or malignant. Most malignant tumors have actually travelled to the heart from another location. Primary cardiac malignant tumors are even more rare, and are certainly not caused by tachycardia or bradycardia. ...Read more

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Has anyone done surgery for GERD (gastro esophageal reflux disease)?

Has anyone done surgery for GERD (gastro esophageal reflux disease)?

Common: It is a fairly common laparoscopic surgery performed by surgeons with expertise in this type of surgery. Names of surgery may be laparoscopic nissen fundoplication. ...Read more

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Is gastric muscosal prolapse serious problem? Report shows gastric muscosal prolapse in o-g junction at 38cms. How to treat?

Is gastric muscosal prolapse serious problem? Report shows gastric muscosal prolapse in o-g junction at 38cms. How to treat?

Gastric prolapse: This is often asymptomatic and treatment depends upon symptoms and cause of prolapse. Weight loss often helps. It can cause acid reflux with pain, nausea, vomiting, dyspepsia, etc. You need to discuss this at length with your GI doctor. ...Read more

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Gastric body-type mucosa with mild chronic, non-specific gastritis with intestinal metaplasia, negative forhelicobacter pylori.Have 5cm hitas hernia, ulc?

Gastric body-type mucosa with mild chronic, non-specific gastritis with intestinal metaplasia, negative forhelicobacter pylori.Have 5cm hitas hernia, ulc?

Might be Barrett's: Intestinal metaplasia typically refers to changes in the esophageal mucosa, and is associated with a disease called "barrett's esophagus." this is a precancerous condition, and you need to be followed by either a general surgeon who does endoscopy, or a gastroenterologist. ...Read more

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Anyone here treat dysphagia or achalasia?

Anyone here treat dysphagia or achalasia?

Achalasia: This is a disease where the nerves of the esophagus no longer function to coordinate the muscles to push down food, or send a signal to the lower valve of the esophagus at the entrance to the stomach to open an let the food in. Cause usually unknown. Most effective and most invasive treatment is surgically cutting the muscle of the valve, that can be done laparoscopically or endoscopically (poem). ...Read more

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Is anyone familiar with esophagitis and GERD gastroeosophageal reflux disease?

Is anyone familiar with esophagitis and GERD gastroeosophageal reflux disease?

Yes: Esophagitis is damage to the lining of the esophagus caused by stomach acid coming up past a failing valve at the top of the stomach, called gerd. Acid medicines can reduce the pain and much of the damage to the esophagus, but they do not stop the stomach fluid from coming up. Gerd is often associated with hiatal hernias and this can be repaired with anti-reflux surgery. ...Read more

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Tracheo-oesophageal fistula and oesophageal atresia hereditary?

Tracheo-oesophageal fistula and oesophageal atresia hereditary?

Not usually: Esophageal atresia with or with out fistula is usually sporadic. There area a few cases ( and i mean very few) in the literature where a parent had ea-tef and had a child with same. It is reportable. ...Read more

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Crohns disease, gastroesophageal reflux disease, barrett's esophagus, esophagitis. 2010 had a fundoplication. Why isn't it working anymore?

Many possibilities: See your surgeon and your gastroenterologist. The surgery may have failed, or your symptoms are not related to reflux. If you had barrett's esophagus, all the more reason to be seen by your physicians. ...Read more

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Heart attack, gerd, or h pylori?

Heart attack, gerd, or h pylori?

Sort it out...: It is important to see your doctor to sort this out. In addition to a thorough history and physical you may need an ekg, a stress test and perhaps an endoscopy and blood test for h. Pylori antibody. ...Read more

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How effective is surgery in fixing gastro esophageal reflux disease?

How effective is surgery in fixing gastro esophageal reflux disease?

Surgery for GERD: In 2008, a british study conducted by grant compared surgery vs medical therapy in patients with gerd. The investigators reported that by 12 months, 38% of those who had surgery were taking reflux medication, compared with 90% of those on medical management. Long-term results of antireflux surgery have shown that, at 10 years, 90% of patients are symptom-free and only a minority still take meds. ...Read more

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Help me, 59yrf-dercum's disease, lymphedema, ans disorder, heart disease- mi x3, 10+herniated discs, autoimmunity, gastroparesis, duodenitis w nodule?

Help me, 59yrf-dercum's disease, lymphedema, ans disorder, heart disease- mi x3, 10+herniated discs, autoimmunity, gastroparesis, duodenitis w nodule?

Too many issues here: If you do have all these listed problems, you need a good internist to take care of you and guide you further. Health matters get complicated if you truly have more than one or 2 ailments and you need long term care for any such diseases that are chronic in nature. You need a good primary care doctor to guide you for the long term. ...Read more

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All the swallow problems, finally an edoscopy. Dr says esophagitis seen, corrugated esophagus esophageal mucosa c/w eosinophilic esophagitis. Help?

All the swallow problems, finally an edoscopy. Dr says esophagitis seen,  corrugated esophagus esophageal mucosa c/w eosinophilic esophagitis. 
Help?

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

Dr. Liawaty Ho Dr. Ho
3 doctors agreed:
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Quels sont les causes du cancer du sein?

Dr. Liawaty Ho Dr. Ho
3 doctors agreed:
Quels sont les causes du cancer du sein?

Breast cancer causes: We don't know what causes breast cancer for sure. But most likely is combination of genetic /hereditary mutation such as brca 1/2 and others- and enviromental risk factors- such as dietary, hormones, lack of activity, obesity, radiation, smoking, alcohol, etc. Read more at www.Cancer.Net. ...Read more

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Confusion between esophageal spasm or heart disorder?

Yes, lots: They are so similar there is an old fashioned diagnosis called "cardiospasm" for this, and also the stomach has a "cardia" so there has been confusion for a long time. Also they both can respond to nitroglycerine. You would have to be tested with ekg, possibly a stress test or an esophageal study to tell the difference. Try an antacid or antiflatulent (with simethicone) but don't risk guessing. ...Read more

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Endoscopy, gastro jun. esophagitis, body erythematous hyperemic, pre pyloric as well, lower 3rd irregular z line ?!...thoughts

Endoscopy, gastro jun. esophagitis, body erythematous hyperemic, pre pyloric as well, lower 3rd irregular z line ?!...thoughts

Enlist your symptoms: Before I can guide you further, you need to tell me about your symptoms that lead you to have endoscopy done? The findings on endoscopy show significant abnormalities which, I am sure, your doctor must have shared with you. Did he recommend you to take treatment for Esophagitis and the Gastritis which your medical report describes. Once you have addressed my questions, I can guide you further. ...Read more

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How does a gastroenterologist treat GERD (gastroesophageal reflux disease)?

How does a gastroenterologist treat GERD (gastroesophageal reflux disease)?

Same: eat small meals, loose wt., no smoking, no caffein. soda and avoid fatty meals. ...Read more

Dr. Suzanne Galli
65 doctors shared insights

Cardiospasm (Definition)

Cardiospasm = regurgitation or difficulty swallowing due to lack of relaxation of muscle fibers in ...Read more


Dr. Hiroshi Mashimo
84 doctors shared insights

Achalasia (Definition)

A rare disorder that makes it difficult for food and liquids to ...Read more